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    Prashanth Krishna Bhat.....

    Uploaded by

    Sujay Bhandari
    Jj

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    © All Rights Reserved
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    Prashanth Krishna Bhat.....

    Uploaded by

    Sujay Bhandari
    13 views3 pages
    Jj

    Copyright

    © © All Rights Reserved

    Available Formats

    PDF, TXT or read online from Scribd

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    Jj

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    13 views3 pages

    Prashanth Krishna Bhat.....

    Uploaded by

    Sujay Bhandari
    Jj

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    of 3

    The Oriental Insurance Company Limited

    MOTOR INSURANCE CERTIFICATE CUM POLICY SCHEDULE


    MOTORISED TWO WHEELERS-(5 Years) BUNDLED POLICY - ZONE B
    UIN:IRDAN556RP0004V01201819
    Policy No : 422207/31/2021/4562 Prev Policy No : -

    Cover Note No : - Cover Note Dt :


    Insured's Code : 123108654 Issue Office Code : 422207
    Insured's Name : PRASHANTH KRISHNA BHAT (GSTIN: 0) Issue Office Name : BO MAIN ROAD PUTTUR (GSTIN:
    29AAACT0627R4ZS)
    Address : S/O:ESHWARA BHAT Address : KRISHNA PRASAD BLDG,
    DURGA NILAYA
    MAIN ROAD,
    KAJE ROAD,
    KUKKUNDOORU(P&V) PUTTUR [DK]
    UDUPI T.Q 574104
    PUTTUR KARNATAKA 574201

    MANGALORE KARNATAKA 574241


    Tel /Fax /Email : / / 7619642352 / [email protected] Tel /Fax /Email : (08251)230979 / 230979 /
    [email protected]
    Lead/Breakin No : /
    Agent/Broker Details
    Dev.Off.Code : NA0000002998 ANANDA GOWDA
    Agent/Broker :
    Address :
    Tel /Fax /Email : ////

    MISP Code : AB0000041403 MISP Name : M/S Gupta Bajaj MISP PAN No

    Policy Period FROM 11:46 ON 12/01/2021 TO MIDNIGHT OF 11/01/2022


    (OWN DAMAGE):
    Policy Period FROM 11:46 ON 12/01/2021 TO MIDNIGHT OF 11/01/2026
    (LIABILITY) :
    Compulsory PA : FROM 11:46 ON 12/01/2021 TO MIDNIGHT OF 11/01/2022

    Collection No & Dt : CC 5108004649 - 12/01/2021 GST INVOICE NO :2919709013 UIN :0

    Gross Premium : 7,661 GST : 1,378 Stamp Duty : .5 Total : 9,039

    Geographical Area : IND Area Extension :

    Particulars of Insured Vehicle:

    Registration Mark Engine No. & Year Of Type Of Body Seating Cubic
    & Place Chassis No. Manufacture Capacity (inclu Capacity
    Make - Model Type Of Fuel

    NEW DT1AM2500692 - TVS-TVS APACHE RTR 200 4V BS VI 2021 SOLO 1+1 200
    MD637ET11M2A0
    0749 PETROL

    Limitations as to use:
    The Policy covers use only under a permit within the meaning of the Motor Vehicles Act 1988 or such a carriage falling under Sub-
    section 3 of Section 66 of the Motor Vehicles Act 1988.
    1 Use only for social, domestic and pleasure purposes and for the insured's business or profession. The Policy does not cover use for
    hire or reward, tuition, racing, pace making, reliability trial, speed testing, carriage of goods(other than samples or personal luggage)
    in connection with any trade or business or use for any purpose in connection with Motor Trade

    Driver:Any person including the insured,Provided that a person driving holds an effective driving license at the time of the accident and is not
    disqualified from holding or obtaining such a license.,Provided also that the person holding an effective Learner's license may also drive the
    vehicle and that such a person satisfies the requirements of Rule 3 of the Central Motor Vehicles Rules, 1989.
    Limit of Liability:Under Section II-I(i) in respect of any one accident: as per Motor Vehicles Act, 1988.
    Under Section II-I(ii) in respect of any one claim or series of claims arising out of one event is Rs. 100000
    P.A. Cover under Section III for Registered Owner Cum Driver (CSI) : Rs. 1500000

    Place : PUTTUR
    Date : 12/01/2021
    Page 1 of 3
    The Oriental Insurance Company Limited

    Attached to and forming part of policy number 422207/31/2021/4562

    *This insurance excludes all pre-existing damages

    Insured's Declared Value

    Non Electrical Electrical


    For the Vehicle For the Side Car Accessories Accessories Value of LPG/CNG Total Value

    1,23,520 0 0 0 0 1,23,520

    SCHEDULE OF PREMIUM

    A. OWN DAMAGE B. LIABILITY

    BASIC OD COVER 2,173.95 BASIC TP COVER 5,453.00


    MOTOR OD BASIC - NEW 2,173.95 BASIC TP TOTAL 5,453.00
    LESS :Discount 652.00 ADD :PA FOR OWNER DRIVER-GR36A 360.00
    BASIC OD TOTAL 2,173.95 TP TOTAL 5,813.00
    ADD :ADD-ON COVER NIL DEPRECIATION 326.00 TOTAL PREMIUM 7,661.00
    POLICY
    OD TOTAL 1,848.00 STAMP DUTY 0.50
    MOTOR TOTAL OD 1,848.00 ADD :SGST 689.00
    ADD :CGST 689.00
    TOTAL AMOUNT 9,039.00

    Deductibles under Section-I : COMPULSORY DEDUCTIBLE Rs.100

    Subject to IMT Endorsement Printed herein/attached to : IMT-22 , OIC-1:Nil Depreciation Cover , IMT-20

    Details of IMT Endorsements are also available on the Company¿s Web Portal www.orientalinsurance.org.in

    Hypothecation Agreement with: -

    Hire Purchase/Lessor Agreement with: -

    In the event of a claim under the policy exceeding Rs.1lac or a claim for refund of premium exceeding Rs1lac,the insured will comply with
    the provisions of the AML policy of the Company.The AML policy is available in all our operating Offices as well as company's website.
    The insurance under this policy is subject to conditions, clauses, warranties, exclusions, IMTs and OIC endorsements mentioned
    herein above which are available on Company's website: www.orientalinsurance.org.in or on demand from the policy issuing office
    Warranted that in case of dishonour of premium cheque(s) the Company shall not be liable under the policy and the policy shall be void
    abinitio (from inception).
    Claim is not admissible if Driving Licence is found fake or is not valid whether or not in the knowledge of the insured.
    I/We hereby certify that the policy to which the certificate relates as well as this certificate of insurance are issued in accordance with the
    provision of Chapter X and Chapter XI of Motor Vehicles Act, 1988.
    In witness whereof the undersigned being authorised by and on behalf of the company has/have herein to set his/their hands at PUTTUR on
    12-JAN-21
    IMPORTANT NOTICE
    The Insured is not Indemnified if the vehicle is used or driven otherwise than in accordance with this Schedule. Any payment
    made by the Company by reason of wider terms appearing in the Certificate in order to comply with the MVAct, 1988 is
    recoverable from the Insured. See the Clause headed "AVOIDANCE OF CERTAIN TERMS AND RIGHTS OF RECOVERY".

    Place : PUTTUR
    Date : 12/01/2021
    Page 2 of 3
    The Oriental Insurance Company Limited

    Attached to and forming part of policy number 422207/31/2021/4562

    Entered By : SACHI@422207

    Policy Printed By : 463621 Digitally Signed


    By
    Policy Printed On : 20-JUN-24 17:17:54
    Authorised Signatory

    This is an electronically generated document (Policy Schedule). The Policy document duly stamped will be sent by post.
    In case of any query regarding the Policy please call Toll Free No. 1800 11 8485 and 011 33208485.
    CIN: U66010DL1947GOI007158 All the Amounts mentioned in this policy are in Indian Rupees
    IRDA Regn. No. 556 - Now you can buy and renew selected policies online at www.orientalinsurance.org.in and through other digital
    platforms including Whatsapp (Send "Hi" to 9560711200)

    Place : PUTTUR
    Date : 12/01/2021
    Page 3 of 3

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