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ev sm Poy Scholle Too Whedlrs TP LABILITY ONLY Sena” seein se 140.6 tare now srromee Cove. 361400 sa name Poncyoacanrwsurace web ogyregolr Trusted since 1908, ‘Tite vw Ofce Aces. ison newrnce Company Lt 90.1860 No" 4142-49, Sector Sonpwon 122001 _ Gat ncAaacnoe7e276 ats xm Contact Numba 18002588070 one Number 0724-2380092.033, fone Numer nor 010% Customer Name: Jagadish K J ss Custom 10: apa ‘ave Phone 9640022080 uvAdéress 15180, prchogess church ste a, sevenwol, Cy. Chonnal Das Shale Tara Nag, PIN 600001 {an € Mat’ chonvshroviaksh@gmalcom et. 9040022980 oteyEnectve from 0:00 hours, on 20772020 ath to milo ofa 72021] “ican Prone sa ara. eenCover Note Number and Oni WA cost com soowurest 000 one tem aga Nebo Ole PAOD 2BETAD vest seo oe com annem oh Regan anata PERAOAT OL 2807 = eer he ets mA ees Pay ane ny! sw 2 Tad Art ee x 4ona0z0 (pees 7 Me Ey Sean tn) non Vie Dea nono: ved to ‘rr Regn. Number -mouaceesr "OV (rater Sieca mA ene amgne of Me No—HATOEAMHUA4Z91 sion wea EletralAcconsries NA ‘toon temChassis Number MBLHATOCESHT 9348 memperremtin ected yy eo Reg. Nabaty oven trom mya PF Gia Tank MA stam ax ceogapncsl eo ctuinda rnb gieCNGAPC Unt NA ‘ewe Mahe emo HONOA yaaa ° enooe prLenoon rive 0 cfta grok Toning Charges NA eee Vaan ELECTRIC START ORUM BRAKE (100 20) ah aad ory CoG °7 cman nae of Veile Moor Cea mtn itrnen tem smc anata nT t ‘Seating / Carying Capacity ia we! ae Sun Yor ta 2008 stom Ren Date sarsr2008 von st Shel of Premium ‘ret Own Damage . eso Lage Labty . 04th om (don goth be) Own Damage Lesley Cover oa Coverage ors) cre ten Persons Accident ° ses Tol ce a saat tr Vehicle un Damage Ieurance Detats «ent % No Clim Bons NA Los of Accesories Covered No No sabi qn wa Forelgn Embassy Name ‘MI Depreciation Pls Covered oo _ ee Ee ee es FORA UF © a TNO4 AC8857 a JAGADISH KS SATACHANDRAN EY. 128 THICAOARAYA PILLAPIT ri sree a ‘CHENNAI 00001 an THIVAOARAYA PILLAPSY crsmal RELIANCE MOTORS gay susnemd Enrollment No. : 2017/30713/29618 To P. Ravikumar uw geguons ‘S/O: Paramasivam WwW GIRIGORI ST Chennai Chennai G.p,Chennai Tamil Nadu - 600001 8124868074 (MM Lalla I KHS577065695FT 57706569 2 MISE LHI stoi. / Your Aadhaar No 2460 4557 9868 ASM - ENHMISOM nefigeaficit 94S \smTIL0 u godeuonf P. Ravikumar sobs seer | DOB: 05/06/1879

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