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aii TT, Taycve ATA set Ts, f feret-et 2008 ORIENTAL HOUSE, A-25/27 Asaf Ali Road, New Delhi-410 002
MOTOR INSURANCE CERTIFICATE CUM POLICY SCHEDULE
THE ORIENTAL INSURANCE COMPANY LIMITED
PRIVATE CAR PACKAGE POLICY - ZONE B PC x
wort
Poticy Wo 31 08/33/2014/5006 Prey Policy No = S3tt0so1ZNaSI04
over Rote No Cover Note Dt
insureds Code: 51597764 lenee Oe Code = 381108
insureds Neve: DR.RE THAKUR Issue Oise Name > CBO 4 PATNA
scoress S/OSRISHYAMNANDAN THAKUR adds C80 IV, GANGOTR COMPLEX
SAREYAPUR, VADAVPUR FO BORING ROADPATNA
GOPALGAR
PATI aiHAR Bo0004
Tel Faxifmal > 1 (HA Tot iRanEmst 0612. 2500000 2595044 0512
2oase4s/
Sanjaykishore@orientalnsurance:
AgorifBrokor Detatio
DevoftCede —_NAODOADOSOS DIRECT (334103)
‘AgentBroker
‘Address
‘Tel Fax /Emalt Hil
Period of Insurance ; FROM 00:00 ON417/10/2013 TO MIDNIGHT OF 18/10/2014
Goltecion No & Dt: CHO'4G7TCO8a49 - 0871072013,
GossPrenium — | 13,408 Sewice Tax : 1.857 stamp buy. 5 Total: 15,085
Geographical Area INDIA. aoa
ension
Particulars of Insured Vehicle:
Engine No. & Type OF Boey Cubic Year OF Seating Capacity
Mark& Place Chassis No. Make - Modet Capacity —Manf. including Driver)
BROEPAOMS 3196356 GENERAL SALOON pies 2000 +1
vuzaterpur MasaBsosieHo3 MOTORS
52 CHEVROLET Tavera
52-7 seats BSNIEG
Umitations as to use
1. Ihe Patiey covers use cf the vehicle for any purpose other than a) Hire or Rewer b) Cariage of gacds (other than
samples or personal luggage) c) Organized rasing d) Pace making e) Speed tasting f) Relebly Trials gj Use n
connection with Motor Trade
Driver
Any person nelucing the insured, Provided that a person ativing holds an effective daving license at the time ofthe accent
ard isnot disqualified from holding or obtaining such 2 cance. Previded algo that tho parson holding on offectve Learner
cance may alse ctive the vehicie and thet such 8 person saltfies fe requirements of Rule 9 cf ine Gensel Motor Venices
Rules, 1989,
Lint of Laity:
For and on behalf of
Dre Oriental Insurance Company Liméed
Ie
<—
‘Authorised Signatory
Page tots
Place: PATNA x
Date: agitarzara
In case of any query regarding the Policy please call Ta
Froo No. 1800 11 £486 ond 041 30208486,
All the Amounts mertioned!in this policy are in Indian Rupees
Now you con buy and renew solectod policies online ot www atientalinstrence org inTHE ORIENTAL INSURANCE COMPANY LIMITED
{A Govt. of india Undertaking)
ORIENTAL HOUSE, A-25/27 Asaf Ali Road, Hew Dethi-t40 002
Corea tart TT Sea)
SPROUT TR, T3420 SURE eH Be, Af Fe -nto00
Atsched to ard forming pant of policy number 331709/9112014/5006
UUndor Section (1) in aspect of any one accident: as per Motor Vebidles Act, 1985,
Under Section IL.) in respect of ary one claim o+ erie of cims acing out of ane event is Re. 750000
PA Cover under Section Il for Registered Owner Gum Driver (CSI): Rs.200000
Insured’s Declared Value
Forthe For Trallets Non Electical Electrical Value of CNG Total Value
Venicle ‘Accessories —_Acoessarias ee kit
499,000 a ° 499,000
‘SCHEDULE OF PREMIUM
ACOWN DAMAGE B.LIABILITY
FASICOD COVER 19,673.00 BASIC TP COVER 3.42400
LESS UNDERWRITER DISCOUNT 1,981.00 BASIC TP TOTAL 3.42400
NOTOR OD BASIC - NEW 12,292.00 | ADD-PA FOR OWNER DRIVER-GRIGA 100.00
BASIC OD TOTAL 12:292.00 | ADD:LLPAD ORWER, 000
‘OD LOADING TOTAL 12,292.09 | GONDUGTOR.CLEANERIMT-28
SD TOTAL 1292.09 | TPTOTAL 3974.00
LESS -No CLAN BONUS-GRI7 2.49040 | TOTAL PREMIUM 19,406.00
MOTOR TOTAL oD 9,804.00 STAMP DUTY 050
‘ADD:SERVICE TAX 1,857.00
TOTAL AMOUNT 15,065.00
Deductioies under Section-t: Compulsory Deducitie 2000
Subject to IMT Endorsement Printed hereinvatacned t : 1MT-22 ,MT-28 , INT-S
(Details of IMT Encorsemenis and GR also available on internet TAC website www iac.org.in)
Hypothecation Agreemont with S81.GOPALGANPATNA
Hite PurchaselLesser Agrooment with:
ln he event ofa cam under he polcy exceeding Rs. tac ora claim ‘or rafund of premium oxcooding Retlne,the insured
wa comaly withthe provisions ef the ANIL pofey of ho Company. The ANAL plicy& avalae nal Our operating ices as
ella companye website.
‘The insurance under this policy is subject to conditions, clauses, warranties, excistons, {MTs and OIG endorsements
‘mentioned heroin abeve which ere evailable on Company's website: www.orientalinsurance.orain or on demardl fon the
policy issuing office.
Werrartes that in case of dsicnour of premium eheque(s) the Comsany shall not be liable under the psi and the poly ell be
void abingo (rom inception),
Gaim for thet of vehicte not payable I thet ot reported to Company within 48 hours of ts escurrence.
Camis not cdmissibi if Diving License is found fake or ie ot vald whether er not in the hnowlodge of Ue Insbred
For and on vena of
1¢ Oriontal insurance Company Li
Place: PATNA, Ke
Date: oartar2013
ln-caso of any query regarang tne Paicy please cal Toll ¥
Free No, 1800 11 8485 and 011 S320a485
- ‘AulnoriseeSgnetory
Allthe Acrounts mentioned in this poliay ae in Indien Rupees: Page 2 of
"Now you can tuy and renew salactod peliies online at wwnw.crientelinsurarce.org.infe stftuven grata wert faties THE ORIENTAL INSURANCE COMPANY LIMITED
Cars etert or Ue sar) {AGovt. of India Undertaking)
aver EA, Gaye ARE oa Te, FF fare pRooe? ORIENTAL HOUSE, A-25/27 Asal Ali Road, New Delhi-t40 002
The Oriental Insurance Company Lite.
BO IV PATNA CBO, GANGOTRI COMPLEX , BORING ROAD.PATNA., . PATNA . 800001
RECEIPT
‘fice Goce & Name ssrtogceo a PATNA, Rank Coco paneer s0.0:3
‘corocton no, PosteaDects 07710889
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