Tata AIG Motor Policy Schedule 3184 6203665789
Tata AIG Motor Policy Schedule 3184 6203665789
Tata AIG Motor Policy Schedule 3184 6203665789
Address : S/O NARESH YADAV, BABUTOLA BANKA WARD NO-15, TP Cover Period 28 Oct '24 (00:00 Hrs) 27 Oct '25 (Midnight)
NEAR MAHILA COLLEGE,BANKA,,
BANKA, Premium amount : ₹ 9,377
BANKA-813102,
BIHAR
Welcome to Tata AIG General Insurance Company Limited family & we thank you for choosing our policy for your motor vehicle insurance. Your Policy No. 6203665789 has
been issued based on the information and declaration provided by you. You are requested to visit our website www.tataaig.com for full policy wordings
Certificate of Insurance and Policy Schedule Form 51 of the Central Motor Vehicle Rules, 1989
Address : S/O NARESH YADAV, BABUTOLA BANKA WARD NO-15, Make/Model : TATA MOTORS/HEXA
NEAR MAHILA COLLEGE,BANKA,,
Fuel Type : DIESEL
BANKA,
BANKA-813102, Variant : XT 4X2 7 STR
BIHAR
Engine Number/Battery Number : VARICOR07CSYJ06208/NA
TP cover period : 28 Oct '24 (00:00 Hrs) to 27 Oct '25 (Midnight)
Chassis number : MAT614173HRD03604
Policy Issuance Date : 27 Oct '24
Engine/Battery Capacity (CC/ KW) : 2179
Customer / Lessor GSTIN : NA
Seating Capacity (including driver) : 7
Customer ID : NA
Mfg Year : 2017
Customer contact number : 9162500600
Date of Registration : 30/10/2017
Proposal No : PR/24/6202930518
Body Type : MUV
Covernote no / Issuance date : NA
Trailer Regn No. / Chassis No. : NA
Alternate Policy No : NA
HP/HYP/Lease : NA
Zone : B
Schedule Of Premium
Legal Liability
Add: Legal liability to paid driver (IMT 28) ₹ 50.00
Number of persons:1
Agent Name : MAYANK RANJAN Agent License Code : AGINFYUPR6187L • Agent Contact No. : 9525527947(or landline)
Drivers Clause : Persons or classes of persons entitled to drive: 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.
Limitations as to use : The Policy covers use of the vehicle for any purpose other than : a) Hire or Reward other than for the purpose of driving tuitions b) Carriage of goods
(other than samples or personal luggage) c) Organized racing d) Pace Making e) Speed testing f) Reliability Trials g) Any purpose in connection with Motor Trade
Warranted that the insured named herein/owner of the vehicle holds a valid Pollution Under Control (PUC) Certificate, as applicable, on the date of commencement of the
Policy and undertakes to renew and maintain a valid and effective PUC and/or fitness Certifitate, as applicable, during the subsistence of the Policy.
Limits of Liability : Under Section I - 1 (i) of policy (Death of or bodily injury) : Such amount as is necessary to meet the requirements of the Motor Vehicles Act, 1988
Under Section I -1 (ii) of policy (Third Party Property Damage) :₹ 7,50,000 •
Nominee details :
Name of the Nominee :NA • Nominee Age :NA • Relationship of the Nominee with the Insured :NA
I/We hereby certify that the Policy to which this Certificate relates as well as this For & On Behalf of Tata AIG General Insurance Company Ltd.
Certificate of Insurance are issued in accordance with provisions of Chapter X Digitally Signed by: Shammi Kapoor
and XI of Motor Vehicles Act, 1988. docit-digital-sign
Date: 27/10/2024
In witness whereof this Policy has been signed at Mumbai on: Receipt (s) :
PD300010626830 27/10/2024 Location: Mumbai
Policy Servicing Office :BANKA, 2ND FLOOR, M.S.VILLA, MASAK CHAK ROAD, NEAR GHANTAGHAR, BANKA 812001 • Tel. No :
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 Motor Vehicles Act, 1988 is recoverable from the Insured. See the clause headed “AVOIDANCE OF CERTAIN TERMS AND
RIGHT OF RECOVERY”.
Note: You are advised to go through the policy schedule cum certificate of insurance which is issued based on information and declaration provided by you. Transcript of
Information & Declaration is also provided herewith to enable you to go through the same again and if any error/ discrepancy is found in respect of vehicle details, No Claim
Bonus or any other information provided by you, it should be brought to our notice within 15 days of receipt of this policy for necessary correction along with the supporting
documents, otherwise it will be deemed to be correct. You may visit the company website at www.tataaig.com for detailed benefits, terms & conditions and exclusions of the
policy issued and held by you. You may also reach us at our 24*7 helpline 1800 266 7780 in case you desire to have a printed copy of policy wording. Our grievance redressal
procedure and details about ombudsman are available at the company website www.tataaig.com. You may also reach us at our 24*7 helpline 1800 266 7780 for grievance
redressal procedure and details about ombudsman. Please note that any mis-representation, fraud, non-disclosure of material facts or non-cooperation of the insured will
lead to cancellation of policy ab initio with forfeiture of premium and non consideration of claim, if any. We will specifically seek confirmation on No Claim Bonus availed by
you from your previous insurer. In case we receive confirmation that you had lodged claim with them then we will intimate you to pay the No claim Bonus Amount within 20
days. In case we don’t receive the No Claim Bonus recovery then it will be adjusted against claim amount payable to you if any. This Schedule, Policy terms and conditions
available on the company website and Endorsements mentioned herein above shall be read together and any word or expression to which a specific meaning has been
attached to/in any part of this Policy or of the Schedule shall bear the same meaning wherever it may appear. Any amendments/modifications/alterations made on this
system generated policy document is not valid and the Company shall not be liable for any liability whatsoever arising from such changes unless written request is made to
the Company and the Company accepts the requested amendments/modifications/alterations and records the same through separate endorsement.
Receipt
Transcript of Information/Declaration
Nominee Details
1. Name of Nominee: NA
2. Age of Nominee: NA
3. Relationship: NA
4. Name of Appointee (if Nominee is minor): NA
Declaration for No Claim Bonus (If NCB Confirmation is not submitted but NCB claimed)
I/We declare that the rate of NCB claimed by me/us is correct and that NO CLAIM has arisen in the expiring Policy Period (Copy of Policy enclosed). I/We further
undertake that if this declaration is found incorrect all benefits under the Policy in respect of Own Damage Section I of the Policy will stand forfeited.
I hereby give my consent to receive one page insurance policy
AML Guidelines :
I / we hereby confirm that all premiums paid / payable in future will be from bonafide sources and not paid out of proceeds of crime and that such premiums are
not disproportionate to my/our income. I / we understand that the Company has the right to call for documents to establish sources of funds and to cancel the
insurance policy in case I / we are found guilty by any competent court of law under any of the statutes, directly or indirectly governing the prevention of money
laundering law in India.
I / we are not Politically Exposed Persons * nor are their close relatives/family members/ associates. I / we shall keep the company informed if we subsequently
become a Politically Exposed Person/close relative / family member / associate of Politically Exposed Persons.
"Politically Exposed Persons" shall have the meaning assigned to it under Prevention of Money-Laundering (Maintenance of Records) Amendment Rules, 2023 as
amended from time to time.
Disclaimer : Insurance is the subject matter of solicitation. For more details on benefits, exclusions, limitations, terms & conditions, please refer sales brochure/ policy wordings on www.tataaig.com carefully,
before concluding a sale. Purchase of Tata AIG General Insurance Company Limited products are purely on voluntary basis.
Prohibition of Rebates: - Section 41 of the Insurance Act, 1938 as amended by Insurance Laws (Amendment) Act, 2015.
1. No person shall allow or offer to allow either directly or indirectly as an inducement to any person to take out or renew or continue an insurance in respect of any kind of risk relating to lives or property in
India, any rebate of the whole or part of the commission payable or any rebate of premium shown on the policy, nor shall any person taking out or renewing or continuing a policy accept any rebate, except
such rebate as may be allowed in accordance with the published prospectus or tables of the insurer.
2. Any person making default in complying with the provisions of this section shall be liable for penalty which may extend to ten lakhs.
Grievance Redressal Procedure : As per Regulation 17 of IRDA of India (Protection of Policyholders Interests) Regulation, 2017.
Section 64 VB of the Insurance Act 1938 : Commencement of risk cover under the policy is subject to receipt of premium by Tata AIG General Insurance Company Limited.