Professional Documents
Culture Documents
25.04.23 Rj19ge6745 Pun Ji
25.04.23 Rj19ge6745 Pun Ji
25.04.23 Rj19ge6745 Pun Ji
CERTIFICATE OF INSURANCE
MOTOR INSURANCE - GCV PUBLIC CARRIER OTHER THAN 3 WHEELER PACKAGE(UIN. IRDAN545RP0048V01199900) POLICY
(FORM 51 OF CENTRAL MOTOR VEHICLE RULES 1989)
Policy No. 2901023122P100840695 Certificate Number 2901023122P100840695
Customer Id 23144052596 Issuing Office Address Code 290102
Name of the Insured MR JAGDISH VISHNOI MOTOR DEALER BRANCH JODHPUR, 74/A,FIRST FLOOR, BHATI-N-PLAZA,MAIN PAL ROAD
S/O RATNA RAM R/O 7/212, K K COLONY SANGRIYA ROAD
342003
Address of the Insured 342001 JODHPUR
JODHPUR RAJASTHAN
RAJASTHAN Telephone (291) 2772750
Business/Occupation None Mobile No.-
Effective date of commencement of Insurance for the purpose of Act from 00:00 Hrs Insured's Declared Value 600000
on 26/04/2022
Date of Expiry of the Insurance Midnight on 25/04/2023
Particulars of Vehicle Insured
Registration No.
Obsolete HP/Cubic
Trailer Engine No. Chassis No. Make/Model Type of Body Year of Mfg GVW
Vehicle Vehicle Capacity
(if any)
Tata Motors /
MAT457010D7C07900 11990
RJ - 19 - GE - 6745 No 497TC92CWY813395 LPT 1109/42 Open 2013 3783
1109/42
Registration Authority Geographical Area Financier Public / Private
RJ19 JODHPUR INDIA Public
Amount in words: Thirty-two thousand three hundred rupees only
Persons or classes of persons entitled to drive
Any person including Insured provided that a person holds an effective driving licence at the time of accident and is not disqualified from holding or obtaining such a licence. Provided also that
the person holding an effective Learner's Licence may also drive the vehicle and such a person satisfies the requirements of Rule 3 of Central Motor Vehicle Rule, 1989.
Note:- The policy does not cover liability for death, bodily injury or damage as excluded in section 150 (2) (ii) and (iii); (b) and (c) of the Motor Vehicles Act, 1988.
Limitations as to use Premium: 28,742.00
The policy covers use only under a permit within the meaning of Motor Vehicles Act,1988 or CGST-Others(9%): 163.00
such a carriage falling under Subsection 3 of Section 66 of the Motor Vehicles Act, 1988.
SGST-Others(9%): 163.00
The policy does not cover use for:
a) Organized Racing CGST-Basic TP(6%): 1,616.00
b) Pace Making SGST-Basic TP(6%): 1,616.00
c) Reliability Trials Stamp Duty: 1.00
d) Speed Testing Total(Rounded Off): 32,300.00
Receipt Number: 10129010222100873779
Receipt Date: 26/04/2022
DebitNote Number:
Document Date:
Limits of Liability Agency/Broker Code: AGN1012333
Under Section II-I (i) Death or bodily injury in respect of any one accident; As per Motor SUMITRA DEVI , Mobile:
Vehicles Act 1988 9828086629
Under Section II-I (ii) Damage to third party property in respect of any one claim or series of Dealer Name/Code:
claims arising out of one event: 750000 /-
Direct Business:
Development Officer Code:
Subject to IMT Endorsement No.s, terms and conditions printed herein / attached hereto 21,23,28
I/We hereby certify that the policy to which the certificate relates as well as the certificate of insurance For and On behalf of
are issued in accordance with provisions of Chapter X & XI of M.V Act, 1988. United India Insurance Co. Ltd.
Date of Issue: 26/04/2022
Amount Subject to Reverse Charges-NIL
IMPORTANT NOTICE: KINDLY UPDATE YOUR AADHAAR NO. AND PAN/FORM 60. PLEASE
IGNORE IF ALREADY UPDATED.
The genuineness of the policy can be verified
through "Verify Your Policy" link at
www.uiic.co.in.
Duly Constituted Attorney
LET US JOIN THE FIGHT AGAINST CORRUPTION. PLEASE TAKE THE PLEDGE AT https://pledge.cvc.nic.in.
This is a system generated document and any manual alteration / correction / overwriting in the document will make it invalid.
2/2