https://

PO Go Digit General Insurance Ltd.

Schedule/Receipt
Digit Two-Wheeler Liability Only Policy
UIN No.: IRDAN158RP0003V01201718

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Name SANDEEP KUMAR Vehicle Registration No. UP65BN6031
Address C/O S. KUMARI, N-9/38 A/54 SANT GOPAL Partner Name SHIVAM GUPTA
NAGAR BADI PATIYA BAZARDIHA UTTAR 1096260
PRADES,Varanasi-221002 Partner Code

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xxxxxxxxx2245 7355213016

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Mobile Partner Mobile No.

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Email sxxxxxxxxxs@gxxxl.com Partner Email shivamgupta890@gmail.com PB

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PAN (POSP) BJSPG0844C

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Aadhar No. For Claims, contact us at 1800-258-5956

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YOUR POLICY DETAILS
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Policy No. D093297226 / 07022023 Policy Issue Date 07-Feb-2023 Invoice No. IA087153675
08-Feb-2023 20:24:06

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Period of Policy Policy Term

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1 Year
IGS To 07-Feb-2024 23:59:59

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From -- 07-Feb-2023

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Period of Policy for PA Owner Driver Invoice
PB To -- Date

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YOUR VEHICLE DETAILS

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Varanasi,UTTAR Model/Vehicle PASSION PRO/IBS DRUM

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RTO location PRADESH Make HERO MOTOCORP Variant (Sub- BRAKE
POS Engine No. HA10ENDHL77810 Chassis No. MBLHA10AWDHL43700 Type)

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G01
128.5

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Body Type Motor Cycle Fuel Type Petrol Year of Regn 2013

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Seating
2

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Capacity Cubic Capacity 97 CC Year of Mfg. --
Odometer
FASTag 2 Financier
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Number Details
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PR

ENDORSEMENT
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Invoice Number Invoice Date Net Premium Igst Cgst Sgst Utgst Cess Gross Premium
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IA087153675 2023-02-07 714.00 128.52 0.00 0.00 0.00 0.00 842.52

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PA

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IGS LIABILITY PREMIUM (`)
RP

Dire 714.00
Basic Third-Party Liability (`) PA cover for Owner-Driver (`) --
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PA cover for 2 unamed passengers each 0 (`) -- PA cover for Paid Driver 0 (`) --
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Legal Liability to Employees (`) -- Legal Liability to Paid Driver (`) --

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Net Premium (`) 714.00

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IGST @ 18% = (`128.52) 128.52

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Final Premium (`) 842.52

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OTHER DETAILS
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Previous Insurer -- Previous Policy No. --

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Previous Policy
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Te IMT - Endorsements -- Expiry Date --

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xt Unregistered 9
State Code
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GSTIN/UIN No.
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Receipt No. RA095687994 Receipt Date 07-Feb-2023

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Nominee Details --
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Other Detials --
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Geographical Area: Any liability 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
http 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 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 and any subsequent amendment as applicable. 2) Under Section II - 1 (ii) of the policy: Damage to Third Party Property - (`
100000) 3) P.A. Cover for Owner Driver under Section III (CSI) -(`)(per annum).

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: Go Digit General
Insurance Limited,Atlantis No 95, 4th B Cross Road 5th Block Koramangala Industrial layout,Bengaluru,Karnataka,PIN-560095
https://

PO Go Digit General Insurance Ltd.

Schedule/Receipt
Digit Two-Wheeler Liability Only Policy
UIN No.: IRDAN158RP0003V01201718

PA Owner Driver Declaration: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 Policy / already have an
alternate Personal Accident insurance cover of Rs. 15 Lakhs
Important Note: Please inform the Company in case of change on account of addition of CNG/PNG kit.

PUC Declaration:The Policy has been issued subject to valid Pollution Under Control (PUC) Certificate disclosed by you as an insured on or before

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the date of commencement of the Policy .Cheque dishonor / Non-receipt of payment premium paid through Cheque, the policy is void ab-initio in

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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

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Chapter X and Chapter XI of MV act, 1988 and any subsequent amendment as applicable. Any violation will forfeit all benefits and coverages

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under the Policy. The insured is not indemnified if the vehicle is used or driven otherwise than in accordance with this Schedule. Any payment

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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

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the insured. See the Clause headed (Avoidance Of Certain Terms And Right Of Recovery) in the policy. This policy is subject to the standard

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policy wordings, warranties and conditions applicable for this product in addition to coverages and exclusions specified in the motor vehicle tariff

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published by IRDAI. Policy would be void on the ground that it was obtained by non- disclosure of material fact or by a representation of fact

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Note: The policy is issued in utmost good faith, relying on the information shared by insured at the time of obtaining the policy. 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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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-

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258-5956 or email us at hello@godigit.com Praveen Bhat
Senior Vice President – Customer Experience

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or visit our website www.godigit.com. praveen.bhat@godigit.com
Authorized Signatory
Printed, Signed, and Executed at Bengaluru

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Consolidated Stamp Duty has been paid as per Letter of

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Authorization No.67-B/04/2017-18 Date: 30th May 2017
issued by Department of Stamps and Registration ,

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Bengaluru- 560009 - KARNATAKA.

Hey, our document is now digitally signed

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Click here to view the certificate.
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on 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: Go Digit General
Insurance Limited,Atlantis No 95, 4th B Cross Road 5th Block Koramangala Industrial layout,Bengaluru,Karnataka,PIN-560095