9/7/2019 OBC Mediclaim Policy

Basic Details

Name of insured Address for communication

JAGPREET KAUR 384 HARIDWAR ROAD
Email State
aman.303in@gmail.com UTTARAKHAND
Mobile City
9897240181 RISHIKESH
Occupation Pin code
HOUSE WIFE 242901

Vehicle Details

Type of vehicle Manufacturer name

MOTORISED-TWO HONDA SCOOTERS
WHEELERS
Model
Type of policy
DIO
PACKAGE POLICY
Variant
Date of first registration of
vehicle DIO

25/10/2017 Cubic Capacity of vehicle

Date of purchase of vehicle 110

22/10/2017 Seating capacity including

driver
State of purchase
2
UTTARAKHAND
Sum Insured
RTO zone
39000
Zone B
Whether existing vehicle?
Vehicle is registered in the
name of Company/Firm/HUF YES
(If yes, Owner/Driver Registered owner has taken
compulsory PA cover will be this cover in other vehicles
excluded) registered in his/her name
NO and has the choice of opting
out in this vehicle (If yes,
Owner/Driver compulsory PA
Registered owner does not cover will be excluded)
possess a valid driving NO
license for this class of
vehicle (If yes, Owner/Driver
compulsory PA cover will be
excluded)
NO

Additional Cover Details

Is vehicle using non-conventional Do you wish to cover legal liability to

source of fuel? driver?
NO NO
Extension of Geographical area Do you wish to cover legal liability to
required? other employee?
NO NO
Do you wish to opt for higher Do you wish to have PA cover for
deductible over and above the unnamed persons?
compulsory?

https://orientalinsurance.org.in/web/guest/motor-insurance-policy1?p_auth=mk9wKT8j&p_p_id=MotorInsurance_WAR_OICLportlet&p_p_lifecycle=1&… 1/3
9/7/2019 OBC Mediclaim Policy

NO NO
Do you wish to opt for higher Do you have a CNG/ LPG Kit?
deductible over and above the
compulsory? NO

NO Do you wish to select return to Invoice

cover? *
Is vehicle fitted with anti-theft device?
NO
NO
Do you wish to cover nil depreciation?
NO
Do you wish to have Limited TPPD
cover?
NO

NCB

Were there any claims in % of NCB enjoyed

expiring policy?
0%
NO

Other Details

Are you a member of any of Colour

these organization (e.g.
ICAI)? Metallic
GRAY
NA
Has any insurance company
Start date of new policy
ever declined/cancelled the
04/09/2019 proposal and refused to
renew or impose special
End date of new policy conditions?
03/09/2020
NO
Vehicle registration number
Chassis number
UK-14-D-2378
ME4JF39EJH7019892
Engine number
Hypothecation type
JF39E72098526 HYPOTHECATION
Name of the Company
SHRI RAM CITY UNION
FINANCE LTD.
Address of Company
RISHIKESH
State
UTTARAKHAND
City
RISHIKESH
Pin code
242901

Customer's Discount

Percentage (%) Discount

0.0

Select your branch office

https://orientalinsurance.org.in/web/guest/motor-insurance-policy1?p_auth=mk9wKT8j&p_p_id=MotorInsurance_WAR_OICLportlet&p_p_lifecycle=1&… 2/3
9/7/2019 OBC Mediclaim Policy

OICL Office State City Branch/Office

UTTARAKHAND RISHIKESH 252903

Own Damage Premium 654

Third Party Premium 1112
GST 294
Total Premium 1929
Proposal number R/252903/31/2020/12857938/4

Share proposal details

Email

Mobile

SEND

https://orientalinsurance.org.in/web/guest/motor-insurance-policy1?p_auth=mk9wKT8j&p_p_id=MotorInsurance_WAR_OICLportlet&p_p_lifecycle=1&… 3/3