Go Digit General Insurance Ltd.

Schedule/Certificate
Digit Private Car Liability Only Policy
UIN No.: IRDAN158RP0002V01201718

N Name PRADEEP V AMBEKAR Vehicle Registration No. KA04ML7664

No.69, Shree Nilaya, SK layout, 8th main, POLICYBAZAAR INSURANCE

Partner Name
Address Jnanabharathi, Bangalore,university, Bangalore- BROKERS PRIVATE LIMITED
560056,Bengaluru-560022 Partner Code 1000158

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Mobile xxxxxxxxx3897 Partner Mobile No. --

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Email rxxxxxxxxxp@gxxxl.com Partner Email crtmotor@policybazaar.com

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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. D093051435 / 04022023 Policy Issue Date 04-Feb-2023 Invoice No. IA086924993

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From 05-Feb-2023 00:00:01 Invoice Date 04-Feb-2023
Period of Policy

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To 04-Feb-2024 23:59:59

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YOUR VEHICLE DETAILS
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Seating
RTO Location Bengaluru,KARNATAKA 5

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Capacity

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Make MARUTI SUZUKI Model/Vehicle Variant (Sub-Type) RITZ/VXi

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Engine No. K12MN7048845 Chassis No. MA3EDKD1S00436459 Cubic Capacity 1197 CC

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Fuel Type Petrol Year of Mfg. 2013 Year of Regn. 2013

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FASTag Financier
E Odometer NA 05
Number Details
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N FASTag NUMBER DECLARATION
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CG 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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307. ENDORSEMENT
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Web Invoice Number Invoice Date Net Premium Igst Cgst Sgst Utgst Cess Gross Premium
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IA086924993 2023-02-04 3416.00 0.00 307.44 307.44 0.00 0.00 4030.88

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LIABILITY PREMIUM (`)

Basic Third-Party Liability (`) 3416.00 PA cover for Owner-Driver (`) --
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PA cover for 5 passengers 0 (`) -- TP for Bi-fuel kit (`)

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Legal Liability for Operation / Maintenance (`) -- Legal Liability to Paid Driver (`) --
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B PA Cover for Paid Driver (`)

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Net Premium (`) 3416.00

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CGST @ 9% = (`307.44) + SGST/UTGST @ 9% = (`307.44) 3416

614.88
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Final Premium (`) 4030.88

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OTHER DETAILS
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Previous Insurer Tata AIG General Insurance Co. Ltd.

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Previous Policy No. NA Previous Policy Expiry Date 04-Feb-2023

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IMT - Endorsements
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GSTIN/UIN No. Unregistered State Code 29

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Online
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Payment Mode Cheque/Transation No PB66031425_210586473

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Bank Name IFSC/MICR No --

Receipt No. RA095411916 Receipt Date 04-Feb-2023

Nominee Details --

Other details --
 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 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. 3) Under Section II - 1 (ii) of the policy:
Damage to Third Party Property - ` 750000 4) P.A. Cover for Owner Driver under Section III (CSI) - ` 0

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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

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Driving License on or before the date of commencement of this Policy / already have an alternate Personal Accident insurance cover of Rs. 15 Lakhs

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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

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Policy .

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Important Note: Please inform the Company in case of change on account of addition of CNG/PNG kit.

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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

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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

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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. This policy is subject to the standard policy wordings, warranties and conditions applicable for this product in
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addition to Indian Motor Tariff. Policy would be void on the ground that it was obtained by non- disclosure of material fact or by a representation of fact which was false in some
material particular.
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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
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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

contact our 24-hour Call Centre at 1800-258-
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5956 or email us at hello@godigit.com or visit

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our website www.godigit.com Praveen Bhat

Senior Vice President-Customer Experience
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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 ,
Bengaluru- 560009 - KARNATAKA.
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Hey, our document is now digitally signed

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Click here to view the certificate.

For instant resolution, you can ping us “Hi” on WhatsApp at
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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
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U66010PN2016PLC167410, GST Reg. No.:29AACCO4128Q1ZW HSN: 997134/General Insurance Services, GSTIN Address:Bengaluru Online Website Business,Atlantis 95 4th B
Cross Road Koramangala Industrial Layout 5th Block,Bengaluru,Karnataka,PIN-560095
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