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Go Digit General Insurance Ltd.

Schedule/Certificate
Digit Private Car Policy
UIN No.: IRDAN158P0005V01201718

YOUR DETAILS PARTNER DETAILS

Name: JAIVEER SINGH RAWAT POLICYBAZAAR INSURANCE BROKERS

Partner Name: PRIVATE LIMITED

Registration Number: UK08AD2781

N Partner Code : 1000158 / 1000158

Policy Number: D036846430 / 08092021

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Partner Mobile Number: +9118002585970

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Mobile Number: xxxxxxxxx8762

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P Partner Email : crtmotor@policybazaar.com

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Email: jxxxxxxx5@gxxxl.com
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YOUR POLICY DETAILS

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1149 Policy Issue Date 08-Sep-2021 Invoice No. IA038740732 Invoice Date 08-Sep-2021
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From 12-Sep-2021 00:00:01 NCB % (Current Policy) 25%

Period of Policy for
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Own Damage Cover To 11-Sep-2022 23:59:59 Additional Excess (`) --
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Period of Policy for From 12-Sep-2021 00:00:01 Voluntary Deductible (`) 0.00
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A Third Party Liability To 11-Sep-2022 23:59:59 Compulsory Deductible (`) 1000

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Period of Policy for

From -- --
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796
459 PA Owner-Driver
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22 To -- --
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Add-Ons Opted -- Coverages Opted Package Policy

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Address Q no 16 type 2 police station Ranipur sec. 03 Bjel Haridwar,Haridwar-249401

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YOUR VEHICLE DETAILS

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Haridwar,UTTARAKHAN Model/Vehicle Variant (Sub-

RTO Location Make MARUTI SUZUKI ALTO 800/LXi
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D Type)
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4906 Year of Regn./

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Seating Capacity 5 Fuel Type Petrol 2013/--

Manufacturing
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Engine No. F8DN4962791 Chassis No. MA3EUA61S00174949 Cubic Capacity 796 CC

FASTag Number. NA

FASTag NUMBER DECLARATION

The Policy has been issued subject to your affirmative declaration that a valid FASTag has been affixed on the insured vehicle.
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Call us at 1800-258-5956 to update your contact details. This will help us give you a smooth claim process.

Policy No: D036846430

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Go Digit General Insurance Ltd.
Schedule/Certificate
Digit Private Car Policy
UIN No.: IRDAN158P0005V01201718

YOUR VEHICLE IDV

Year Vechicle IDV Non-Electrical Electrical CNG/LPG Trailer Total PA Owner

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Accessories IDV (`) Accessories IDV (`) IDV (`) IDV (`) IDV (`) Driver

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(`)

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Year 1 144000 -- -- -- -- 144000.00 --

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Year 2 0 0 0 0 0 0 --

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Year 3 0 0 0 0 0 0 --

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OWN DAMAGE PREMIUM [A] (`) LIABILITY PREMIUM [B] (`)

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Total Basic Own Damage Premium (`) 4595.00 Basic Third-Party Liability (`) 2072.00
NCB Discount Amount -1149.00 PA cover for Owner-Driver (`) --

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(`)

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Others (`) -2775.35 Legal Liability to Employees (`) --

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Own Damage Premium (`) 670.65 Legal Liability to Paid Driver (`) --

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Add-Ons Premium (`) 0.00 PA cover for 5 passengers 0 (`) --

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CNG/LPG Premium (`)

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PA cover for Paid Driver (`)

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Total OD Premium (`) 670.65 Total Act Premium (`) 2072.00

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Net Premium (`) 2742.65 671

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493.68 223.55

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IGST @18%=(`493.68) 21 670.65
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Final Premium (`) 3236.33

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For any 24X7 on-the-spot help/support that you require while on road, please call us on 1800-258-5956.
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Note: The above total OD premium is inclusive of all applicable loading / discounts viz (automobile association memberships, voluntary excess, anti-theft
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handicap person, driver tuition, fiber glass, CNG/ LPG unit, geographical extension, imported vehicle etc., wherever applicable).
If the “Own Damage Cover” under your policy is cancelled during the policy period, then your policy shall be governed by the standard terms and conditions
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of “Act only” policy for the Third Party Cover during the remaining period of policy .
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ENDORSEMENT
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Invoice Number Invoice Date Gross Premium Igst Cgst Sgst Utgst Cess Net Premium
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IA038740732 2021-09-08 3236.33 493.68 0.00 0.00 0.00 0.00 2742.65

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OTHER DETAILS
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Previous Insurer Go Digit General Insurance Limited

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Previous Policy No. D017100613 Previous Policy Expiry Date 11-Sep-2021

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IMT - Endorsements IMT-22

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GSTIN/UIN No. Unregistered State Code 5

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Payment Mode Online Cheque/Transation No 19_dp-DIB9060835AB67-4

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Bank Name IFSC/MICR No --

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Premium Payment Details Receipt Number RA040871858 Receipt Date 08-Sep-2021

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Financier Details -- Nominee Details --

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Other Details --
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Details of Existing Damages --

Policy No: D036846430

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Go Digit General Insurance Ltd.
Schedule/Certificate
Digit Private Car Policy
UIN No.: IRDAN158P0005V01201718

Follow these rules like you follow the rules of the road.
Geographical Area: Any accidental loss, damage and/or liability caused, sustained or incurred within India shall be covered subject to Policy Terms and Conditions, unless specifically agreed and endorsed.. Limitation as
to use The policy covers use of the vehicle for any purpose other than hire or reward, racing, pace making, reliability trial, speed testing and use for any purpose in connection with the Motor Trade. Person or Class of
persons entitled to drive: Any person including the insured 1) Provided that a person driving holds a valid & effective driving license at the time of the accident and is not disqualified from holding or obtaining such a
license. 2) Provided also that the person holding a valid & 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 and
any subsequent amendment as applicable. Limits of Liability: 1) Under Section I of the policy _ IDV as shown in the schedule. 2) Under Section II - 1 (i)of the policy: Death of or bodily injury _ Such amount as is necessary to
meet the requirements of the Motor Vehicles Act, 1988. 3) Under Section II _ 1 (ii)of the policy: Damage to Third Party Property _ ` 4) P.A. Cover for Owner Driver under Section III (CSI) - `

NCB Declaration: The premium has been charged and policy has been issued subject to NCB declared by you as an insured. In the event of NCB found wrongly declared at any point of time during policy period, all
benefits and coverages under the Policy in respect of section I of the Policy will stand forfeited. If there is any disagreement, write to us within 7 days from the date of issuance of policy or before the start date of period of
insurance whichever is earlier.PUC Declaration: The Policy has been issued subject to valid Pollution Under Control (PUC) Certificate disclosed by you as an insured on or before the date of commencement of the Policy .
Cheque dishonor / Non-receipt of payment premium paid through Cheque, the policy is void ab-initio in case of dishonor of Cheque or non-receipt of payment. Violation of Motor Vehicle Act: This policy is issued in
accordance with the provision of Chapter X and Chapter XI of MV act, 1988 and any subsequent amendment as applicable. Any violation will forfeit all benefits and coverages under the Policy. The insured is not
indemnified if the vehicle is used or driven otherwise than in accordance with this Schedule. Any payment made by the Company by reason of wider terms appearing in Certificate in order to comply with the Motor Vehicle
Act, 1988 is recoverable from the insured. See the Clause headed (Avoidance Of Certain Terms And Right Of Recovery) in the policy. Pre-existing Damages: All types of pre-existing damages or cost of repair of such
damage will be excluded at the time of claim settlement,as per the attached images. Important Notice: The company may cancel the policy by sending 7 days notice in case of fraud, misrepresentation, non disclosure of
material fact or non co-operation of the insured. This policy is subject to the standard policy wordings, warranties and conditions applicable for this product in addition to Indian Motor Tariff. Break in Insurance: The policy

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is issued subject to acceptance of risk after evaluation of the Vehicle Inspection report. Own Damage cover (Section - I) would not commence unless the satisfactory Vehicle Inspection report has been received by us. If the
Company does not receive the Vehicle Inspection report or the report is adverse, the Company, at its discretion, will cancel Policy as per the Motor Tariff. Important Note:Please inform the Company in case of change on

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account of addition of CNG/PNG kit.
Note: The terms and conditions detailed in this policy schedule as well as the policy document sent by Digit shall prevail in case of any dispute.

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The Policy has been issued without Compulsory Personal Accident Cover to Owner Driver on the basis of your declaration that you do not hold a valid Driving License on or before the date of commencement of this

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Policy / already have an alternate Personal Accident insurance cover of Rs. 15 Lakhs

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For & On Behalf of Go Digit General Insurance Ltd.

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In case of claim or any other query, please

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contact our 24-hour Call Centre at
1800-258-5956 or email us at

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hello@godigit.com or visit our Praveen Bhat

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website www.godigit.com. Vice President - Customer Experience
praveen.bhat@godigit.com

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Authorized Signatory

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Printed, Signed, and Executed at Bengaluru
Consolidated Stamp Duty has been paid as per

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Letter of Authorization No.67-B/04/2017-18 Date:

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30th May 2017 issued by Department of Stamps

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and Registration , Bengaluru- 560009 -
KARNATAKA.

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Hey, our document is now digitally signed
Click here to view the certificate.

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For instant resolution, you can ping us “Hi” on

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21 WhatsApp at 702 606 1234
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Go Digit General Insurance Ltd. Address: Atlantis, 95, 4th B Cross Road, Koramangala Industrial Layout, 5th Block, Bengaluru, Karnataka 560095. IRDAI Reg No. 158 CIN U66010PN2016PLC167410, GST Reg. No.:
29AACCO4128Q1ZW HSN: 997134/General Insurance Services, GSTIN Address:Bengaluru Retail Business Centre,Atlantis No 95 4th B Cross Road 5th Block Koramangala Industrial layout,Bangalore,Karnataka,PIN-
560095
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This is the end of the document and the beginning of a wonderful relationship.
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We hope that you do not get in a situation when you have to file a claim. However, if that happens, we are always there
for you. That’s a promise!
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Stay Calm and just relax! We will take care of everything!

You can take your car to any of the listed network garages in case anything happens, and we assure you a hassle-free
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claim process.
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• Complete cashless facility • 6 Months warranty on repairs • Complimentary Pick-up & Drop
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*Facilities mentioned above are offered by the garages. List of garages is subject to change in future. Please
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call on 1800-258-5956 in case you require further help.

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Workshop Name Address Phone Number

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KUBER AUTOMOTIVE PRIVATE LIMITED (WINDSHIELD SHIV LOK, NEAR BHAGAT SINGH CHOWK, RANIPUR MORE, HARIDWAR-
9897319457
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WELD) 249401, UTTARAKHAND 122001

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DPM AUTO SALES ARYA NAGAR CHOWK, NEAR WADHERA NURSING HOME, NEAR 7017254903

SG MOTORS 0, BY PASS ROAD, JWALAPUR, HARIDWAR, UTTARAKHAND 249407 9837035887

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JANPATH SHOPPING COMPLEX, CHAKRATA ROAD, DEHRADOON-248001

SHIELD AUTOGLASS LTD ( WINDSHIELD EXPERT) 9818866364
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248001
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Mahant Motors M-73, Shivalik Nagar, Bhel, Haridwar, Uttarakhand 249403 8791600314
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GAYATRI ENTERPRISES NOOR PUR,PANJANHEDI,HARIDWAR UTTARAKHAND 249408 9027835113

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LANE NO.16, AMIT GRAM, BYPASS ROAD, GUMANIWALA, RISHIKESH,

GUSAIN AUTOMOBILES 9634772215
UTTARAKHAND 249203
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OPPOSITE NUNNWALA GURUDWARA HARIDWAR ROAD, BHANIYAWALA,

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MAA PARMESHWARI MOTORS 9897636789

DEHRADUN 249404

R AND R MOTORS NEAR-ENTERTAINMENT HUB,R R CJNEMA,BHARAMPUR, RORKEE 247667 9760380046

Policy No: D036846430

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