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are simpler
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Edelweiss Private Car Liability Only Insurance Policy Schedule

We know you just want to see what date your policy is valid till. But it will take just a little longer
to go through the rest of it. Also, it would be great if you saved a soft copy to your phone.

Intermediary Name: Policybazaar Insurance Brokers Private Limited (2210002570)

Aadhaar No: NA Contact No: 1800-208-1155

Policy Details

Policy Servicing Office: MUMBAI Policy No. 820153257

Period of Insurance: From [00:00] of 23/01/2023 to [23:59] of 22/01/2024

Insured Name: Mr. Papon Roy Dakua

Insured Address: ashokbri lamldaha mthabhang Cooch Behar West Bengal 735303

Customer ID: NA Policy Issued On: 22/01/2023

Co-insurance Details: NA Proposal No.: PBPC708PG00303924

Premium Payer ID: NA Zone: B

Geographical Area: India Customer GST No.: NA

We love your car, too.

Here are your car’s important details. Please check if you’ve provided the correct
ones?
Vehicle Details
Seating
Registration Mark & Place of CC / Year of Capacity
Engine No. Chassis No Make Model Variant
Registration GVW Manufacture including
driver
8
WB64N7006 F8BIN4917055 MA3EVB11S01706493 MARUTI OMNI 796 2016 8
SEATER

Edelweiss Private Car Liability Only Insurance UIN No.: IRDAN159P0001V01201718

Edelweiss General Insurance Company Limited, Registered Office: Edelweiss House, Off CST Road, Kalina, Mumbai 400 098
IRDAI Reg No: 159. CIN: U66000MH2016PLC273758
Reach us on: 1800 12000 Email: support@edelweissinsurance.com Website: www.edelweissinsurance.com
Trade logo displayed above belongs to Edelweiss Financial Services Limited and is used by Edelweiss General Insurance Company Limited under license. Insurance is the
subject matter of the solicitation.
 How have we
worked out your premium?

Liability (damage to someone else)

Basic premium including premium for TPPD ₹ 2,094.00
CNG / LPG Bi- fuel kit ₹ 0.00
Total ₹ 2,094.00
Add:
PA
a) PA Unnamed Passenger ₹ 0.00
b) PA Owner-Driver ₹ 0.00
Legal Liability
c) Legal Liability To Paid Driver ₹ 0.00
Sub Total (additions) ₹ 0.00
Total ₹ 2,094.00
Add: IGST @18% ₹ 376.92
CGST @9% ₹ 0.00
SGST @9% ₹ 0.00
FINAL PREMIUM ₹ 2,471.00

Did you love someone else before we met?

It’s OK, we’ll deal with it. Here are the details of your last insurer.

Previous Insurer’s Name: Icici Lombard General Insurance Co. Ltd.

Previous Policy No.: ABC123 Previous Policy Expiry Date: 23/10/2022

It’s always good to have a nominee!

Name of Appointee Appointee’s

Nominee Name Age Relationship Percentage
(If nominee is minor) Relationship
Dakua 52 Mother NA NA 100

Edelweiss Private Car Liability Only Insurance UIN No.: IRDAN159P0001V01201718

Edelweiss General Insurance Company Limited, Registered Office: Edelweiss House, Off CST Road, Kalina, Mumbai 400 098
IRDAI Reg No: 159. CIN: U66000MH2016PLC273758
Reach us on: 1800 12000 Email: support@edelweissinsurance.com Website: www.edelweissinsurance.com
Trade logo displayed above belongs to Edelweiss Financial Services Limited and is used by Edelweiss General Insurance Company Limited under license. Insurance is the
subject matter of the solicitation.
 Red, orange or green?
What kind of loss/damage is covered, and what isn’t? As a thumb rule here are a few
things you should remember.
● Use of the vehicle:
Your Policy covers the use of your vehicle for any purpose except Motor Trade, Hiring or Reward, Carrying Goods (other than samples
or personal luggage), Organized Racing, Pace making, Speed Testing, Reliability Trials etc.
● Who can drive?
The driver can be anybody including the insured, provided he/she holds an effective driving license at the time of the accident and is
not disqualified from holding a driving license. However, the driver must satisfy the requirements of Rule 3 of the Central Motor Vehicles
Rules, 1989.
● Loss/damage to others:
Your policy covers you from (i) liability of ₹ 7,50,000.00 in case of loss/damage caused to someone else’s property and (ii) unlimited
liability (as per Motor Vehicles Act 1988) for injury / death to any third party in case the vehicle meets with an accident.

This is most important! Slow down here

Although we’d love to cover your vehicle without exception, we can’t. Your policy covers loss to your vehicle only if all the terms are
met.

And any payment we make because of terms appearing in this Schedule or to comply with the Motor Vehicles Act, 1988, is recoverable
from you. You should definitely read the clause, ‘Avoidance of certain terms and right of recovery’ in your Policy Wording.

Subject to IMT - 30 , IMT - 20 , IMT - 25 , IMT - 1 , IMT -16 , IMT - 32 , IMT - 28 , IMT - 29 , IMT_7 Endt. Nos. &
Memorandum.....printed/herein/attached

Date of duly signed proposal 22/01/2023

This Policy has been signed at MUMBAI on date 22/01/2023

Received premium payment of Rs 2,471.00 Vide instrument / reference number 820153257 Dated 22/01/2023 against receipt number
820153257

Consolidated Stamp duty Paid vide Letter of Authorisation No. CSD/191/2020/2941 dated 11-Dec-2020 at General Stamp Office,
Mumbai.

It is certified that your Policy and this Schedule have been issued according to the provisions of Chapter X and Chapter XI of the Motor
Vehicles Act, 1988.

Address of Issuing Office: Edelweiss House, Off CST Road, Kalina, Mumbai-400 098
Date of Issue: 22/01/2023

For more details

scan this QR code

For Edelweiss General Insurance Company Limited

Authorized Signatory

Tax is not payable under reverse charge by the recipient

GST Registration No.: BIJORNGSTN123 HSN/SAC Code: 9971
Description of Good or Service: General Insurance Service
Place ofPrivate
Edelweiss Supply Car :Liability Only Insurance UIN No.: IRDAN159P0001V01201718
Edelweiss General Insurance Company Limited, Registered Office: Edelweiss House, Off CST Road, Kalina, Mumbai 400 098
State:
IRDAI RegWest Bengal
No: 159. CIN: U66000MH2016PLC273758 Code: 39
Reach us on: 1800 12000 Email: support@edelweissinsurance.com Website: www.edelweissinsurance.com
Trade logo displayed above belongs to Edelweiss Financial Services Limited and is used by Edelweiss General Insurance Company Limited under license. Insurance is the
subject matter of the solicitation.