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Ap0 2CF4017

insurance

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18 views2 pages

Ap0 2CF4017

insurance

Uploaded by

thejasnaikrh
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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Shriram General Insurance Company Ltd.

E-8.EPIP, RIICO Industrial Area, Sitapura, Jaipura


Rajastan - 302022 (Raj.) Toll free: 1800-300-30000,Fax:2770692
CERTIFICATE CUM POLICY SCHEDULE
Policy servicing Off: E-8.EPIP, RIICO Industrial Area, Sitapura, Jaipura,Rajastan - 302022 (Raj.) Toll free: 1800-300-30000,Fax:2770692
Policy Number OG-16-1807-1802-00000536 Product Two Wheeler-Liability Only Policy
Period of Insurance From: 20- December -2024 00:45 Policy Issued on 16-December-2024
To: 19- December -2025 Midnight Cover Note No /
Application No Scrutiny No 46031301
Insured Name B C SHEKAR NAIK Zone A
Insured Address S/O B SAMYA NAIK, 7-48, BELUGUPPA THANDA
BELUGUPPA, BELUGUPPA, ANANTAPUR,
ANDHRA PRADESH - 515741
Customer ID 71967671 Premium Payer ID 55618481
Transaction ID 0
Policy Status ISSUED
Registration Make Sub Type Model CC Mfg Year Seat Vehicle Trainer Chassis Engine Number
No. Cap No.
AP02CF4017 HERO SELF START PASSION 97.2 2018 2 MBLHAR188J4E03214 HA10ACJ4E03373
PRO i3S

Vehicle IDV ElecAcc Non ElecAcc Side Car Trailer Reg No CNG/LP Unit Total Sum Insured

48000 0 0 0 0 0 48000

SCHEDULE OF PREMIUM
OWN DAMAGE LIABILITY
Total Own Damage Premium Basic Third Party Liability 670
PA Cover For Owner- Driver Of Rs. 100000 50
Total Liability Premium 720
Additional Loading @ 0% 0
Total Premium 720
Special Discount 0
Net Premium 105
Service Tax 149
EduCess 0
Final Premium Rs. 968 ***All Premium Figures are in Rupees
Geographical Area: INDIA No claimBonus: 0%
LIMITS OF LIABILITY: Under Section II-I(i) of the policy -> Death or periodically Injury: Such amount as is necessary to meet there requirement of the Motor Vehicle.
Act,1988 under section II-I(ii) of the policy -> Damage tothird party property: Rs.100000.
DRIVER: Any person including the insured Provided that a person driving holds on effective driving licence at the time of the accident and is not disqualified from holding or
obtaining such a licence. Provided also that the person holding an effective Lerner's Licence may also drive the vehicle and that such a person satisfies the requirements of
Rule 3 of the central Motor Vehicle Rules , 1989.
IMPORTANT NOTICE: The insured is not indemnified if the veh icle 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 Vehicle Act.1988 is recoverable from the insured. See the clause headed AVOIDANCE
OF CERTAIN TERMS AND RIGHT OF RECOVERY.
Subject to IMT Endorsement Nos: 22 & Policy wordings attached herewith
Premium collection Serials :-[Receipt No/Collection No/Amount],/Rs.670.
***If premium paid through cheques, the policy is void ab-inito in case of dishonor of cheque.
This certificate of insurance is issued in accordance with the provision of chapter X and chapter XI of M.V. Act,1988
In case of any claim, please contact our 24 hours call centre at 1800-22-5858, 1800-102-5858(TOLL FREE)/91-020-30305858 (changeable,add area code before this
number in case of mobile call) or email us at '[email protected]'
This is a pre signed documents and will not be valid unless QC verified and signed/Countersigned by an authorised signatory of Bajaj Allianz General Insurance Co.Ltd.
For & On Behalf of Shriram General Insurance Company Ltd.

Authorized signatory
Consolidated stamp
duty paid vide Receipt No: - 824
Regd. Office: GE Plaza, Airport Road,yerwada Pune-411006(India)

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