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GoDigitGeneralInsuranceLtd.

Schedule/
DigitTwo-WheelerLiabilityOnlyPolicy
ReceiptUINNo.:IRDAN158RP0003V0120
1718
Name HARPAL SINGH VehicleRegistrationNo. PB02DB7898
Address ABADI INDRA COLONY VPO PartnerName .
VERKA ,AMRITSAR,-0,Amritsar- 10642541
143102 PartnerCode
1968444
Mobile Xxxxxxxxx4434 PartnerMobileNo. +919780412591
Email [email protected] PartnerEmail [email protected]
PAN(POSP) BRTPV1109A
AadharNo. For Claims,contact usat 1800-258-5956
YOURPOLICYDETAILS

PolicyNo.
D022946867/1825851 PolicyIssueDate 21-Feb-2021 InvoiceNo. IA25948531

PeriodofPolicy From 21-Feb-2024 08:30:21


PolicyTerm 1Year
To 22-Feb-2025 23:59:59
PeriodofPolicyforPAOwnerDriver From -- Invoice 21-Feb-2024
To -- Date
YOURVEHICLEDETAILS
RTOlocation Amritsar,PUNJAB Make BAJAJ Model/Vehicle
Variant(Sub- PLATINA
EngineNo. D45848 ChassisNo. D71489 Type)
BodyType MotorCycle FuelType Petrol Yearof Regn 2016
SeatingCapacit
y
2 CubicCapacity 99CC YearofMfg. 2016

ENDORSEMENT
InvoiceNumber InvoiceDate GrossPremium Igst Cgst Sgst Utgst Cess NetPremium
IA035120031 2021-02-21 828.00 0.00 63.00 63.00 0.00 0.00 702.00

LIABILITYPREMIUM(`)
BasicThird-PartyLiability 702
(`) PAcoverforOwner-Driver(`) --
PA coverfor2 unamedpassengers -- PA cover for Paid Driver 0 --
each0(`)LegalLiabilitytoEmployees(`) (`)LegalLiabilitytoPaidDriver (`)
-- --
NetPremium(`) 702
CGST@9%=(`63)+SGST/UTGST@9%=(`63) 126

Final (`) 828


PremiumOTHER
--
DETAILS
PreviousPolicyNo. --
PreviousInsurer
Previous
IMT - IMT-20 PolicyExpiryD
ate --
EndorsementsGSTI Unregistered
StateCode 3
RA037258462
N/UINNo. Receipt Date
--
Receipt
NomineeDetails --
No.FinancierDet
ails

OtherDetials --

GeographicalArea: Any liability incurred within India shall be covered subject to Policy Terms and Conditions, unless specifically agreed
andendorsed. Limitation as to use: The policy covers use of the vehicle for any purpose other than hire or reward, racing, pace making, reliability
trial,speed testing and use for any purpose in connection with the Motor Trade. Person or Class of persons entitled to drive: Any person including
theinsured. 1) Provided that a person driving holds a valideffective driving license at the time of the accident and is not disqualified from holding
orobtainingsuchalicense.2)ProvidedalsothatthepersonholdingavalideffectiveLearner’sLicensemayalsodrivethevehicleandthatsuchaperson
satisfies the requirements of Rule 3 of the Central Motor Vehicles Rules, 1989 and any subsequent amendment as applicable. Limits ofLiability: 1)
Under Section II - 1 (i) of the policy: Death of or bodily injury - Such amount as is necessary to meet the requirements of the
MotorVehiclesAct,1988andanysubsequentamendmentasapplicable.2)UnderSectionII-1(ii)ofthepolicy:DamagetoThirdPartyProperty-
(`6000)3)P.A.CoverforOwnerDriverunderSectionIII(CSI)-( `)(perannum).

GoDigitGeneralInsuranceLtd.Address:Atlantis,95,4thBCrossRoad,KoramangalaIndustrialLayout,5thBlock,Bengaluru,Karnataka560095.IRDAIRegNo.158CINU66
010PN2016PLC167410,GSTReg.No.:03AACCO4128Q1ZAHSN:9971/
GeneralInsuranceServices,GSTINAddress:JalandharBusinessCentre,AKEmpire,1stFloor,BSFChowkKirtiNagar,LadowaliRoad,JalandharCity,Punjab,PIN-
144008
GoDigitGeneralInsuranceLtd.
Schedule/
DigitTwo-WheelerLiabilityOnlyPolicy
ReceiptUINNo.:IRDAN158RP0003V0120
ImportantNote:PleaseinformtheCompanyincaseofchangeonaccountofadditionofCNG/PNGkit. 1718

PUCDeclaration:The Policy has been issued subject to valid Pollution Under Control (PUC) Certificate disclosed by you as an insured on or beforethe
date of commencement of the Policy .Cheque dishonor / Non-receipt of payment premium paid through Cheque, the policy is void ab-initio
incaseofdishonorofChequeornon-receiptofpayment.ViolationofMotorVehicleAct:ThispolicyisissuedinaccordancewiththeprovisionofChapter X
and Chapter XI of MV act, 1988 and any subsequent amendment as applicable. Any violation will forfeit all benefits and
coveragesunderthePolicy.TheinsuredisnotindemnifiedifthevehicleisusedordrivenotherwisethaninaccordancewiththisSchedule.Anypaymentmade
bytheCompanybyreasonofwidertermsappearinginCertificateinordertocomplywiththeMotorVehicleAct,1988isrecoverablefromthe insured. See the
Clause headed (Avoidance Of Certain Terms And Right Of Recovery) in the policy. This policy is subject to the standardpolicy wordings,
warranties and conditions applicable for this product in addition to coverages and exclusions specified in the motor vehicle
tariffpublishedbyIRDAI.Policywouldbevoidonthegroundthatitwasobtainedbynon-disclosureofmaterialfactorbyarepresentationoffact

Note:Thetermsandconditionsdetailedinthispolicyscheduleas wellasthepolicydocumentsentbyDigitshallprevailincaseofanydispute.

For &OnBehalfofGoDigit GeneralInsuranceLtd.

In case of claim or any other query,


pleasecontact our 24-hour Call Centre at
PraveenBhat
1800-258- Vice President – Customer
[email protected]
[email protected] mAuthorizedSignatory
Printed,Signed,andExecutedatBengaluruConsolidatedSta
websitewww.godigit.com. mpDutyhasbeenpaidasperLetterofAuthorizationNo.67-B/
04/2017-18Date:30thMay2017issued by Department of
Stamps and Registration ,Bengaluru-560009-
KARNATAKA.
Hey, our document is now digitally
signedClickheretoviewthecertificate.

GoDigitGeneralInsuranceLtd.Address:Atlantis,95,4thBCrossRoad,KoramangalaIndustrialLayout,5thBlock,Bengaluru,Karnataka560095.IRDAIRegNo.158CINU66
010PN2016PLC167410,GSTReg.No.:03AACCO4128Q1ZAHSN:9971/
GeneralInsuranceServices,GSTINAddress:JalandharBusinessCentre,AKEmpire,1stFloor,BSFChowkKirtiNagar,LadowaliRoad,JalandharCity,Punjab,PIN-
144008

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