https://

Go Digit General Insurance Ltd. Schedule/Receipt

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

WE
Name Harpreet Anil Bhasin Vehicle Registration No. MH05CW2508
N Address 1501 - D Wadhwa Heights Godrej# Hills POLICY BAZAR INSURANCE WEB
Partner Name
Kalyan West,Kalyan-421301 AGGREGATOR PRIVATE LIMITED
1000158
Partner Code
1000158
Mobile xxxxxxxxx7990 Partner Mobile No. --
Email sxxxxxxxxxxxxxx9@gxxxl.com Partner Email crtmotor@policybazaar.com
Aadhar No. For Claims, contact us at 1800-258-5956
YOUR POLICY DETAILS PB
Policy No. D014573675 / 06042020 Policy Issue Date 06-Apr-2020 Invoice No. IA012754240
From 07-Apr-2020 20:36:47
Period of Policy Policy Term 1 Year
To 06-Apr-2021 23:59:59
From 07-Apr-2020 20:36:47 Invoice 06-Apr-2020
Period of Policy for PA Owner Driver
1 To 06-Apr-2021 23:59:59 Date
YOUR VEHICLE DETAILS

IGS Kalyan-
Dombivali,MAHARASHT Model/Vehicle MAESTRO EDGE/I3S
PB RTO location RA Make HERO MOTOCORP Variant (Sub-
Engine No. JF33AAG4B14380 Chassis No. MLBJF33AAG4B12663 Type)
40 Body Type Scooter Fuel Type Petrol Year of Regn 2016
Seating
2
Capacity Cubic Capacity 125 CC Year of Mfg. 2016
WEB
G01
135
ENDORSEMENT
Invoice Number Invoice Date Gross Premium Igst Cgst Sgst Utgst Cess Net Premium

0.00 0.00 0.00 0.00 0.00 0.00 0.00

IU
IU
LIABILITY PREMIUM (`)
Basic Third-Party Liability (`) 752 PA cover for Owner-Driver (`) 220
PA cover for 2 unamed passengers each 0 (`) -- PA cover for Paid Driver 0 (`) --
Legal Liability to Employees (`) -- Legal Liability to Paid Driver (`) --
W Net Premium (`) 972
FH
IGS IGST @ 18% = (`175) 175
FH
Final Premium (`) 1147

OTHER DETAILS

Previous Insurer Reliance General Insurance Co. Ltd. Previous Policy No. --
Previous Policy
IMT - Endorsements IMT-15 --
Expiry Date
GSTIN/UIN No. Unregistered State Code 27
N Receipt No. RA013823440 Receipt Date 06-Apr-2020
IU Financier Details -- Nominee Details Piyush Bokde .
Child
Te
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
IU 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) -(`1500000.02)(per annum).

http

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
https://
Go Digit General Insurance Ltd. Schedule/Receipt
Digit Two-Wheeler Liability Only Policy UIN No.: IRDAN158P0003V01201718

WE

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
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

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
Hey, our document is now digitally signed
Click here to view the certificate.

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