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vePr
iva
teCa
r
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uranc
ePoli
cy

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FICATEOFI
NSURANCECUM SCHEDULE

Nameoft
hePoli
cyHol
der : MRSHUBHAM RAMDASGOLE Pol
ic
yNo :SM734540
Communi
cat
ionAddr
ess : 129,NRPOLICEHEADQUARTER Pol
ic
yTy
pe :Pr
iva
teCa
r-TPI
nsur
anc
ePol
ic
y
MALHARPETH,SATARA
TAL.DIST.SATARASa
tar
a,Ma
har
asht
ra-415001 Tot
alPr
emi
um :9369.
00

Cont
actNo : 9600000000 Pol
ic
ySt
artDa
te :18/
8/202000:
00hr
s
Pol
ic
yEndDat
e :17/
8/2021Midni
ght
:
Ema
ilI
D : hi
te
sha
122@g
mai
l.
com AgentNo :2C000323
AgentName :QUICKI NSUREI NSURANCEBROKERS
ContactNo :
Ema i
lID :se
rvi
ce@quic
kins
ure
.co.
in

POSPDe
tai
ls
Pos
pNa
me RAJ
ESHRAMSWARUPAGRAWAL Pos
pCont
act
No 8855933
543
Pos
pPa
nNo AGLPA8971F Pos
pAa
dha
rNo 4773143
27097

YourVe
hic
leDe
tai
ls
Ve
hic
leRe
g.no.
:MH14AE7530 Ye
arofMa
nuf
act
ure
:2004 Ma
ke/Mode
l:
MAHI
NDRA/
SCORPI
O Fue
lTy
pe:
Die
sel

Ins
uredDecl
are
dVal
ueoft
he Se
ati
ngCa
pac
it
y(
Inc
ludi
ngDr
ive
r):
9 Cha
ssi
s/Eng
ineNo:
K81396/
K52338 Cubi
cCa
pac
it
y/KW :
2609
Vehic
le(
IDV)
:0.
00
YourPr
emiumDetai
ls
(i
nRs)
OwnDa magePr
emium(A)
Ve
hic
le 0.
00Addi
ti
ona
lCov
er
El
ect
ri
calAc
ces
sor
iesSumI
nsur
ed(
IMT24)
(0) 0.
00
Non-
Ele
ctr
ica
lAc
ces
sor
iesSumI
nsur
ed(
0) 0

CNG/
LPG(
IMT25)
(0) 0.
00
Ba
sicOwnDa
mag
ePr
emi
um 0.
00
Vol
unt
aryDe
duc
ti
ble 0.
00
NoCl
ai
mBonus(
0%) 0.
00
Ant
iThe
ft 0.
00
Loa
d/Di
scount 0.
00

Out
st
andi
ngLoa
nCov
er 0
Tot
alOwnDa
mag
ePr
emi
um 0.
00
Li
abi
li
tyPr
emi
um(
B)
Ba
sicTPPr
emi
um(
Inc
ludi
ngTPPD) 7,
890.
00
PAt
oOwne
rDr
ive
r 0.
00
Unna
medPACov
ert
oPa
sse
nge
rs(
IMT16) 0.
00
Le
galLi
abi
li
tyt
oPa
idDr
ive
r(I
MT28) 50.
00
TPPD 0.
00
Bi
-Fue
lKi
t 0.
00
Tot
alLi
abi
li
tyPr
emi
um 7,
940.
00

Ne
tPr
emi
um(
A+B) 7940.
00

GST@18% 1429.
20

Tot
alPr
emi
um(
InRs
) 9369.
00

Nomi
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Dr
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Limitat
ionsastouse :ThePol i
cyc oversuseoft hevehicleforanypur poseotherthan:(a)HireorRe wa rd( b)Carri
ageofg oods(othe rtha
ns amplesofpe rs
ona lluggage)(
c)Or ganizedRa ci
ng( d) PaceMa k i
ng(e)Spe edTe st
ing(f)
Reli
abili
tyTrial(g
) Anypur poseinc onnectionwi t
hMot orTr ade.Driver
'sClause:PersonsorCl ass
esofpe r
sonentit
ledtodr i
ve:Anype rs
oni ncl
udingt heinsured,prov i
de dthatape r
sondr i
v ingholdsa neff
ecti
vedr ivingli
cens eatthe
ti
meoft hea c
c i
denta ndisnotdisqua l
if
iedf romholdingorobt a i
ningsuchal i
cense.Providedalsothatthepe rsonholdinga neffect
iveLe ar
ner '
sLic
e nsema ya lsodrivethev ehi
cleandt hatsuc hape rsonsati
sf
iesther equir
e me ntsof
Rule3oft heCe ntr
a lMotorVe hiclesRules ,1989.LimitsofLia bi
li
ty:UnderSe ct
ionI I
-1(i)ofthepolicy(De at
hoforbodi lyinjury):Sucha mountasi snecessarytome ettherequirementsoft heMot orVe hicl
esAc t,1988.Unde r
Sect
ionI I-
1(i
i)ofthepol i
cy(Da ma getoThi rdPart
yPr ope r
ty)Rs.7.5lakhs
.Unde rSecti
onI II
:P.Ac ove rtoowne rdri
v e
r(CSI ):Rs .
0.PAc overtounna me dpa ssengerRs .0.De ducti
bleunde rSe ct
ion-I:Compul soryDe duc t
ibleIMT
22:Rs.2000.Vol unt ar
yDe ductibleIMT22( A):Rs.0Subj ecttoIndianMot orTa rif
fEndor s
eme nt(nos.)IMT22- IMT28- .Wa r r
ant e
dthattheAs s
ur edname dher e
in/owne rofthev e
hicl
eins ur e
dhol dsav a
li
dPol l
uti
onUnde r
Control(PUC) Ce r
tifi
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cyandr enewsa ndma i
ntai
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ida nde f
fect
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ific
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ngthedur ati
onoft hePol icype r
iod.IfthePUCi snotf oundv ali
dont heda teofloss,the
compa nyshallre
pudi at
etheODc lai
mma deunde rthePol i
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I/
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danc
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tht
hepr
ovi
si
onsofCha
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rXa
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torVe
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Thispoli
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aIPatMonAug1714:
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Re
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ptno.:SHMP9124480332 GSTno.:27AADCB2008D1ZC ForBha
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Aut
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Sta
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arofStamps( AccHe ad0030- 02-103-0-01),Ba ng al
oreKa rnataka.
ImportantNotice:Thei ns
ure disnotindemni f
iedifthevehicl
eisusedordr ive
not herwisetha nina cc or
dancewi ththissc he dule.Anypa yme ntma debyt hecompa nybyr e
a s
onofwi dert er
msa ppe ari
ngi nthec erti
fi
cat
einorde rto
complywi t
htheMot orVe hicl
e'sAct,1988isrecov e
rablefr
omt heinsured.Seet heclausehea ded" AVOI DANCEOFCERTAI NTERMSANDRI GHTOFRECOVERY" .
TheSc hedule,theattache dPol icya ndEndorseme nts
menti
one dhereinabov eshallreadtogetherandwor dorexpress
iontowhi chas pecif
icme aningha sbe enatt
achedi na nypa rtofthisPol i
cyoroft heSc heduleshal
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ningwhe reve ritma yappe ar.Any
amendme nts/
modi f
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ablefora nyliabili
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ngf roms uchc hanges.Anyc hang esre quiredtobema deinthepolic
y
oncei
s s
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da nde f
fecti
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ept sthere que stedame ndme nts/modi fi
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essalofyourg ri
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nc e,ifany ,youma ya pproa cha nyoneoft heof fic
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Pol i
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isfi
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evanceredress
alme chanism;y ouma ya l
soa pproachInsuranceOmbuds ma n.De t
ailsofInsur a
nc eOmbuds ma nof fi
ce sa rea v
ail
abl eatIRDAwe bsi
te:www. i
rda.gov.
in,oront hewe bs i
teofGe ne r
a lIns ur
anc eCounc i
l:
www.g i
counci
l.i
noront hec ompa nywe bsit
ewww. bhart
i-ax
agi.c
o.in
Bhart
iAXAGe neralInsuranceCompa nyLi mited,“HOSTOCENTRE”No. 43,Mi llersRoa d,Va santhNa gar,Ba ngalor e- 560046.Pr oductNa me :POSPSma r
tDr ivePr i
vateCa rInsurancePolicy.Pr o ductPr oductUIN:
IRDAN139RP0008V01200809
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lbefolloweda ftert hePoli
c yCe rti
ficat
e

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igne
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gner:DSBHARTIAXAGENERALI NSURANCECOMPANY
LIMITED3
Date
:Mon,Aug17,202017:
28:
04I
ST
Loca
tion:Ba
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