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Tata AIG General Insurance Co. Ltd.

Auto Secure - Standalone Own Damage Two Wheeler Policy

UIN: IRDAN108RP0002V01201920

(FORM 51 OF THE CENTRAL MOTOR VEHICLE RULES, 1989)

OD Policy No 0147471465
              Policy Type Renew Proposal No. & Date P13786014, 07 Aug 2021
14 Aug 2021 12:00AM to 13 Aug 2022 11:59PM
     
Policy Issued On 07 Aug 2021 4:23PM Period of Own Damage Cover
Tenure 1 Year
Insured Name MR. LAXMI NARAYAN PATTANAIK Previous Policy No. 3410/00017109/000/00
FLAT NO- 5A, BLOCK- A, PARAS APARTMENT PUNDAG
Insured Add. ROAD ARGORA DORANDA RANCHI , RANCHI , Previous Insurer Cholamandalam MS General Insurance Co. Ltd.
JHARKHAND-834002        
GSTIN: NA
PAN GSTIN: 20AABCT3518Q1ZA
Servicing Office of Insurer: 2nd Floor, MR Tower, Line Tank Road, Ranchi - 834001, RANCHI , JHARKHAND- State Code : 20
INSURED MOTOR VEHICLE DETAILS INSURED DECLARED VALUE (IDV) (in Rs.)
Make Royal Enfield Motors India Ltd. Vehicle IDV 153820
HIMALAYAN-
HIMALAYAN-HIMALAYAN BSVI -GRANITE
Model-Variant Non-Elec. Accessories 0
BLACK
Registration No.-RTO JH 01 DY 5818- RANCHI Elec. Accessories 0
Manufacturing Year-Body Type 2020-
BIKE Total IDV 153820
Engine No.-Chassis No. D4A5F1LG070255-
ME3D4A5F1LH069212  :
Cubic Capacity-Seating capacity 411 - 2    
Hypothecation/Lease* No    
Fuel Type-Invoice Date PETROL-
14 Aug 2020    
Liability Policy
Liability Policy No. Liability Policy Insurance Comp. Liability Policy End Date    
Start Date
Cholamandalam MS General
3410/00017109/000/00 14 Aug 2020 13 Aug 2025    
Insurance Co. Ltd.
Schedule of Premium (Amount in Rs.)
Own Damage Premium (A)
Basic Premium Amount (Rs.) Discounts Amount (Rs.)
Vehicle 1277 Voluntary Deductibles (0) (IMT - 22A) 0
Electrical Accessories (IMT - 24) 0 Anti Theft Device (IMT - 10) 0
Non Electrical Accessories 0 AA Membership(IMT - 8) 0
Sub Total (Basic Premium) 1277 No Claim Bonus (20%) 256
Sub Total (Discounts) 256 Handicap Discount (IMT-12) 0
Add On Coverages  (NIL DEP ) 1308
Geographical Area Extension (IMT - 1) 0
IMT 33 0
Sub Total Addition 2585
Net Own Damage Premium (A) 2329
SGST(9.00%) 210
CGST(9.00%) 210
Gross Premium Paid 2749
Note: 1.Policy issuance is subject to realization of cheque
2.Consolidated stamp duty paid to state exchequer

3.The policy is subject to compulsory deductible of Rs.0


 (IMT-22)

4.Geographical Area- India

*Subject to IMT Endt. Nos.& Memorandum:3,22


Insured Declared Value :The schedule of age-wise insured declared(IDV) as shown in the below table is applicable for the purpose of Total loss including Theft/Constructive Total Loss(TL/CTL) claims only on basis of loss date
falling in the respective year. A vehicle will be considered to be a CTL, where the aggregate cost of retrieval and/or repair of the vehicle subject to terms and conditions of the policy exceeds 75% of the IDV.
Tenure 14 Aug 2021 to 13 Aug 2022 - - - -
Total IDV 153820 0 0 0 0
Limitations as to use: The policy covers use of the vehicle for any purpose other than (1) Hire or Reward (2) Carriage of goods (other than samples or personal luggage) (3) Organized racing (4)Pace making (5) Speed testing (6)
Reliability trials (7) Any purpose in connection with motor trade.

Driver's Clause: Any person including the insured: Provided that a person driving holds an effective driving license at the time of the accident and cois not disqualified from holding or obtaining such a license,Provided also that the
person holding an 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.

Disclaimer: The Compulsory Personal Accident cover has not been opted in this policy as the Owner driver has a separate existing Personal Accident cover against Death and Permanent Disability (Total and Partial) for Sum Insured
of at least Rs.15 lakhs.

Note: Own Damage Cover is subject to a valid Third Party Policy.


No Claim Bonus: No Claim Bonus is subject to no claim on the previous policy. Benefits under the policy stands forfeited if claim is/was made in previous policy
Grievance Clause:
For resolution of any query or grievance, Insured may contact the respective branch office of the company or may call at(18002667780
) or may write an email at (customer.support@tataaig.com). In case the
insured is not satisfied with the response of the office, insured may contact the Grievance Officer of the Company at (customer.support@tataaig.com).In the event of unsatisfactory response from the Grievance Office, he/she may,
subject to vested jurisdiction, approach the Insurance Ombudsman for the redressal of grievance. Details of Insurance Ombudsman offices are available at IRDA website:www.irda.org , or on the website of General Insurance
Council: www.irda.org or on the company website (www.tataaig.com).
The Policy wording is available on request at free of cost. The Same can be downloaded from our Website www.tataaig.com.

Hypothecation Details: ----NA----


MISP Code : AB-MRE000456
MISP Name : M/S RAGHU RAM AUTOCARE
POSPName : AJAY KUMAR SHARMA
POS Code : AB-DPRE000451
Important Notice: The insured is not indemnified, if the vehicle is used or driven otherwise than in accordance with the schedule. Any payment made by the company by reasons of wider terms
appearing in the certificate in order
to comply with the Motor Vehicle Act, 1988 is recoverable from the insured. See the clause headed "AVOIDANCE OF CERTAIN TERMS & RIGHT OF
RECOVERY" For legal interpretation, English version will hold good.

I/we hereby certify that the policy to which this certificate relates as well as this certificate of insurance are issued in accordance with the provisions of Chapter X and Chapter XI of Motor Vehicle Act, 1988
SAC 997134 Description of Service : Motor Insurance    
Place of Supply : JHARKHAND(State Code-20)    
0147471465
For & On Behalf of
Tata AIG General Insurance Co. Ltd.

  Dealer Code :
4713

Authorized Signatory
Broker Name & Add : Aditya Birla Insurance Brokers Limited , Regd. Office: Indian Rayon Compound, Veraval - 362 266. Corporate Office: One World Centre, Tower-1, 7th floor, Jupiter Mill Compound, 841, Senapati Bapat Marg,
Elphinstone Road, Mumbai 400 013. Tel. No.: +91 22 43568585. Fax: +91-22-4356 8511 License Number: 146 CIN: U99999GJ2001PLC062239
Broker Code : 10000001926
Receipt No. : 0147471465
Payment Mode : Online
For Renewal/Claims assistance - please contact Insurance.Co./Broker through : RAGHU RAM AUTOCARE at +91-(06516)571

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