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Insurance Purchase Statement

Mentioned below are the transaction details for your Bajaj Allianz General Insurance policy purchased on Coverfox.com. A
policy document will be issued against these details.

Personal Details Policy Details

Name: Sandeep Kumar Policy No.: OG-19-9906-1806-00008332


Mobile: +91 9955108442 Policy Type: Third party
Email: sndp69@gmail.com Policy Issue Date: 29/05/2018
Address: Vill-Shimla Po-Kukraha, Dist-Deoghar Policy Start Date: 01/06/2018
Jharkhand, Godda, Jharkhand, 815357
Policy End Date: 31/05/2019
Total Premium: 1221.0
Payment Date: 29/05/2018

Vehicle Details
BAJAJ AVENGER 220 STD 220 (Petrol) Registration No.: JH-15-G-9090
Engine No.: PDZCCJ16962 Chassis No.: MD2A22EZ4CCJ17840

Registration Date: 02/03/2013 Financier: NA


Category: Private

Note:
This is only a transaction confirmation receipt and cannot be used for filing claims.
Have questions, suggestions or complaints? Connect with our Customer Service Unit:
Toll free no.: 1800 209 9970 (Mon to Sat, ​9am–9pm) Email: help@coverfox.com

Coverfox Insurance Broking Pvt.Ltd. : 3rd Floor, A wing, Krislon House, Saki Vihar road, Saki Naka, Maharashtra - 400072.
IRDAI Direct Broker Code : IRDA/ DB 556/16, Valid till: 26/12/2019

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