The Oriental Insurance Company Limited

Download as pdf or txt
Download as pdf or txt
You are on page 1of 2

This Document is Digitally Signed

The Oriental Insurance Company Limited Signer: MILAP CHAND


Date: Thu, Jan 13, 2022 11:38:01 IST
Location: NOIDA
Reason: Signing Policy for OICL

MOTOR INSURANCE CERTIFICATE CUM POLICY SCHEDULE


PRIVATE CAR PACKAGE POLICY - ZONE B

Policy No : 242502/31/2022/4771 Prev Policy No : 242502/31/2021/5472


Cover Note No : - Cover Note Dt :

Insured's Code : 92521415 Issue Office Code : 242502


Insured's Name : SEEMA DEVI AND VIVEKANAND (GSTIN: 0) Issue Office Name : CBO 2 UDAIPUR (GSTIN:
08AAACT0627R3ZX)

Address : SEVA KUNJ, 14 , DHOOL KOT CHAURAHA, Address : 2ND FLOOR, 2-MAHAVEER COLONY,
PAHADA LINK ROAD,
ASHOK NAGAR MAIN ROAD,
UDAIPUR.
RAJASTHAN 313001
UDAIPUR RAJASTHAN 313001

Tel /Fax /Email : 9414731999 / / NULL / [email protected] Tel /Fax /Email : 0294-2420759/0294-2419884 / 0294-
5100517 /
[email protected]
Lead/Breakin No : /

Agent/Broker Details
Dev.Off.Code : NA0000004270 DIRECT
Agent/Broker :: BA0000056360 MANISH BHANDARI
Address : 47-ASHOK NAGAR ROAD NO-5, UDAIPUR,UDAIPUR,RAJASTHAN,313001
Tel /Fax /Email : 9829041185//NA

Period of Insurance : FROM 00:00 ON 16/01/2022 TO MIDNIGHT OF 15/01/2023

Collection No & Dt : DU A/C AA0000000001 GST INVOICE NO :0820422714 UIN :0

Gross Premium : 6,437 GST : 1,158 Stamp Duty : .5 Total : 7,595


Geographical Area : IND Area Extension :

Particulars of Insured Vehicle:

Registration Mark Engine No. & Type Of Body Cubic Year Of Seating Capacity
& Place Chassis No. Make - Model Capacity Manf. (including Driver)
Type Of Fuel
RJ 27 CD 4782 D13A2285016 MARUTI-SWIFT OTHERS 1248 2014 4 + 1
DZIRE--VDI (M)
Udaipur 1S00450691 DIESEL

Limitations as to use:

1 The Policy covers use of the vehicle for any purpose other than a) Hire or Reward b) Carriage of goods (other than samples or
personal luggage) c) Organized racing d) Pace making e) Speed testing f) Reliability Trials g) Use 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(1) 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. 750000
P.A. Cover under Section III for Registered Owner Cum Driver (CSI) : Rs. 1500000
*This insurance excludes all pre-existing damages

Insured's Declared Value


For the Vehicle For Trailers Non Electrical Electrical Value of CNG Total Value
Accessories Accessories LPG Kit

2,63,169 0 0 0 2,63,169

Place :
Date : 13/01/2022
Page 1 of 2
This Document is Digitally Signed

The Oriental Insurance Company Limited Signer: MILAP CHAND


Date: Thu, Jan 13, 2022 11:38:01 IST
Location: NOIDA
Reason: Signing Policy for OICL

Attached to and forming part of policy number 242502/31/2022/4771

SCHEDULE OF PREMIUM

A. OWN DAMAGE B. LIABILITY

BASIC OD COVER 8,819.00 BASIC TP COVER 3,221.00


MOTOR OD BASIC - NEW 8,819.00 BASIC TP TOTAL 3,221.00
BASIC OD TOTAL 8,819.00 ADD :PA FOR OWNER DRIVER-GR36A 320.00
LESS :Discount 3,528.00 ADD :PA-UN-NAMED-GR36B2 200.00
OD TOTAL 5,291.00 ADD :LL-PAID DRIVER, 50.00
LESS :NO CLAIM BONUS-GR27 2,645.50 CONDUCTOR,CLEANER-IMT-28
TP TOTAL 3,791.00
MOTOR TOTAL OD 2,646.00
TOTAL PREMIUM 6,437.00
STAMP DUTY 0.50
ADD :SGST 579.00
ADD :CGST 579.00
TOTAL AMOUNT 7,595.00

* NCB discount - 50 %

Deductibles under Section-I : Compulsory Deductible 1000

Subject to IMT Endorsement Printed herein/attached to : IMT-16 , IMT-22 , IMT-28

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 License 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 CBO 2 UDAIPUR
(GSTIN: 08AAACT0627R3ZX) on 13-JAN-22
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".

For and on behalf of


The Oriental Insurance Company Limited
Entered By : BA0000056360

Policy Printed By : OICL


Policy Printed On : 13-JAN-22 11:33:50 MILAP CHAND
General Manager
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

Place :
Date : 13/01/2022
Page 2 of 2

You might also like