Go Digit General Insurance Ltd.

Schedule/Receipt
Digit Two-Wheeler Liability Only Policy UIN No.: IRDAN158P0003V01201718

WE

N Name Umesh . Vehicle Registration No. GJ06DM5971

Address C-402 green view resi dency atladara POLICY BAZAR INSURANCE WEB
Partner Name
vadodara Vadodara 390012 AGGREGATOR PRIVATE LIMITED
Partner Code 1000158
Mobile xxxxxxxxx8812 Partner Mobile No. --
Email sxxxxxxxxxxxxxxxx5@gxxxl.com Partner Email crtmotor@policybazaar.com
Aadhar No. -- For Claims, contact us at 1800-258-5956
YOUR POLICY DETAILS PB
Policy No. D008195460 Policy Issue Date 17-Sep-2019 Invoice No. IA005922035
From 18-Sep-2019 11:25:33
Period of Policy Policy Term 1 Year
To 17-Sep-2020 23:59:59
From -- Invoice 17-Sep-2019
Period of Policy for PA Owner Driver
1 To -- Date
YOUR VEHICLE DETAILS

IGS RTO location Vadodara,GUJARAT Make HERO MOTOCORP Model/Vehicle

Variant (Sub- SPLENDOR PLUS/STD
PB Engine No. HA10EA9HMB9175 Chassis No. MBLHA10EJ9HM59725 Type)
Body Type MC Fuel Type Petrol Year of Regn 2010
Seating
2
Capacity PowerCapacity 100
Cubic 6.1 KW
CC Year of Mfg. --

WEB LIABILITY PREMIUM (`)

G01
135
Basic Third-Party Liability (`) 752 PA cover for Owner-Driver (`) --
PA cover for 2 unamed passengers each (`) -- PA cover for Paid Driver (`) --
Legal Liability to Employees (`) -- Legal Liability to Paid Driver (`) --
Net Premium (`) 752
IGST @ 18% = (`135) 135

Final Premium (`) 887

OTHER DETAILS
W
FH Previous Insurer -- Previous Policy No. --
IGS
Previous Policy
FH IMT - Endorsements -- Expiry Date
--

GSTIN/UIN No. Unregistered State Code 24

Receipt No. RA006991435 Receipt Date 17-Sep-2019
Financier Details -- Nominee Details --

Other Detials --

Geographical Area: Any liability incurred within India shall be covered subject to Policy Terms and Conditions, unless specifically agreed and
endorsed. Limitation as to use: The policy covers use of the vehicle for any purpose other than hire or reward, racing, pace making, reliability trial,
speed testing and use for any purpose in connection with the Motor Trade. Person or Class of persons entitled to drive: Any person including the
insured. 1) Provided that a person driving holds a valid effective driving license at the time of the accident and is not disqualified from holding or
Te obtaining such a license. 2) Provided also that the person holding a valid 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 and any subsequent amendment as applicable. Limits of
Liability: 1) Under Section II - 1 (i) of the policy: Death of or bodily injury - Such amount as is necessary to meet the requirements of the Motor
Vehicles Act, 1988 and any subsequent amendment as applicable. 2) Under Section II - 1 (ii) of the policy: Damage to Third Party Property -
(`100000) 3) P.A. Cover for Owner Driver under Section III (CSI) -(`)(per annum).

PA Owner Driver Declaration:The Policy has been issued without Compulsory Personal Accident Cover to Owner Driver on the basis of
your declaration that you do not hold a valid Driving License on or before the date of commencement of this Policy / already have an
alternate Personal Accident insurance cover of Rs. 15 Lakhs
Important Note: Please inform the Company in case of change on account of addition of CNG/PNG kit.

Cheque dishonor / Non-receipt of payment premium paid through Cheque, the policy is void ab-initio in case of dishonor of Cheque or non-receipt
of payment. Violation of Motor Vehicle Act: This policy is issued in accordance with the provision of Chapter X and Chapter XI of MV act, 1988
and any subsequent amendment as applicable. Any violation will forfeit all benefits and coverages under the Policy. The insured is not indemnified
http 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 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) in the policy. This policy is subject to the standard policy wordings, warranties and conditions applicable
for this product in addition to coverages and exclusions specified in the motor vehicle tariff published by IRDAI. Policy would be void on the ground
that it was obtained by non- disclosure of material fact or by a representation of fact which was false in some material particular

Go Digit General Insurance Ltd. Address: Atlantis, 95, 4th B Cross Road, Koramangala Industrial Layout, 5th Block, Bengaluru, Karnataka 560095.IRDAI Reg
No. 158 CIN U66010PN2016PLC167410, GST Reg. No.: 29AACCO4128Q1ZW HSN: 9971/General Insurance Services, GSTIN Address: Bengaluru Retail
Business Centre, Atlantis No 95 4th B Cross Road 5th Block Koramangala Industrial layout, Bangalore, Karnataka, PIN-560095
 Go Digit General Insurance Ltd. Schedule/Receipt
Digit Two-Wheeler Liability Only Policy UIN No.: IRDAN158P0003V01201718

WE
Note: The terms and conditions detailed in this policy schedule as well as the policy document sent by Digit shall prevail in case of any dispute.

For & On Behalf of Go Digit General Insurance Ltd.

In case of claim or any other query, please

contact our 24-hour C all C entre at 1800-
258-5956 or email us at hello@godigit.com Praveen Bhat
Vice President – Customer Experience
or visit our website www.godigit.com. praveen.bhat@godigit.com
Authorized Signatory
Printed, Signed, and Executed at Bengaluru
Consolidated Stamp Duty is Deposited with
Department of Stamps, Bengaluru
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Go Digit General Insurance Ltd. Address: Atlantis, 95, 4th B Cross Road, Koramangala Industrial Layout, 5th Block, Bengaluru, Karnataka 560095.IRDAI Reg
No. 158 CIN U66010PN2016PLC167410, GST Reg. No.: 29AACCO4128Q1ZW HSN: 9971/General Insurance Services, GSTIN Address: Bengaluru Retail
Business Centre, Atlantis No 95 4th B Cross Road 5th Block Koramangala Industrial layout, Bangalore, Karnataka, PIN-560095