Insurance Purchase Statement

Mentioned below are the transaction details for your National Insurance policy purchased on Coverfox.com. A policy
document will be issued against these details.

Personal Details Policy Details

Name: Ranbhim Singh Policy No.: 26020131216210026285

Mobile: +91 98*****597 Policy Type: Comprehensive

Email: Ku*****com Policy Purchase 18/11/2021

Date:
Address: 1052/B Sector-52/B, Chandigarh,
Chandigarh, Chandigarh, 160036 Policy Start Date: 21/11/2021

Policy End Date: 20/11/2022

Total Premium: 926.0

Payment Date: 18/11/2021

Vehicle Details

Honda Motorcycle and Scooter India Pvt Limited Honda Activa 110 3G 110 Registration No.: CH-01-AV-6939
(Petrol)

Engine No.: JF50E80596038 Chassis No.:

ME4JF501LD8597262

Registration Date: 12/12/2013 Financier: NA

Category: Private

Coverage

Vehicle IDV: 24907 Owner Driver Cover: NA

Value of CNG/LPG Kit: NA Passenger Cover (per 0

passenger):
Electrical Accessories: NA
Voluntary Deductible: 0
Non Electrical NA
Accessories:

No Claim Bonus: 50%

Note:
Your new policy details will be updated within next 30 days on mParivahan.
This is only a transaction confirmation receipt and cannot be used for filing claims.
Have questions, suggestions or complaints? Connect with our Customer Service Unit:
Toll free no.: 1800 209 9930 (Mon to Sat, 9am-9pm) Email: help@coverfox.com

Coverfox Insurance Broking Pvt. Ltd. : Unit D4131-4139, 4th floor, Oberoi Garden Estates, Near Chandivali Studio, Andheri East,
Mumbai - 400072
IRDAI Direct Broker Code : IRDA/ DB 556/ 13, Valid till: 26/12/2022