MAGMA HOUSE, 24 Park Street , Kolkata – 700016

COMMERCIAL VEHICEL LIABILITY ONLY POLICY

CERTIFICATE OF INSURANCE CUM SCHEDULE
Policy Servicing office NO.202/B,2ND FLOOR, MANDANA TOWERS AT 7-1-59/2 & 59/6, AMEERPET HYDERABAD – 500016 TELANGANA PH: (0) 9030004167FAX:
Policy No P0019300034/4103/569652
Insured MR.MOHD IMRAN KHAN Period of Insurance 00:00 Hrs of 08/03/2023
Address S/O: MD SALEEM KHAN,H.NO 27-245, To Midnight of 07/03/2024
FEROZ NAGAR BADEPALLY Agent No.: Direct
JADCHERLA,MAHABUBNAGAR, Agent Contact No No
TELANGANA
Hypothecation With VAISHNAVI AUTO FINANCE
Contact Number
Email ID:
GST Number Unregistered
INSURED MOTOR VEHICLE DETAILS AND PREMIUM COMPUTATION
Registration mark & PASSENGER
Year of CUBIC VEHICLE SUB SEATING
No. &RTA Loction Engine No. Chassis No. Make/model/Type of body CARRYING
Mnufacture CAPACITY CLASS CAPACITY
CAPACITY

AP 09 V 5306 / ASHOK LEYLAND LTD /

ASHOK LEYLAND GOODS
MAHABUBNAGAR 1988 VSE302806 MSE415647 6540 2 2+1
CARRIAGE

LIABILTY
LIABILITY (B) `
Basic – TP 42,732.00
PA Owner Driver – SI Rs.200000 100.00
LL to Paid Driver IMT 28 50.00
Legal Liability Passenger 2,487.00
Sub Total 43,379.00
Premium Computation
Total Liability Premium 43,379.00
CGST @ 9% 337.50
SGST @ 9% 337.50
TOTAL 44,420.00

LIMITATION AS USE – The Policy cover use only under a permit within the meaning of the Motor Vehicles Act 1989 or such a carriage
Falling under Sub-section 3 of Section 66 of the Motor Vehicle’s Act 1988.
The policy does not cover use for a) organised racing b) pace making, c) Reliability Trials, d) speed testing, e) Use While Drawing a trailer
Except the towing (other Than for reward) of an one disabled Mechanically propelled vehicle (only for Passenger Carrying Vehicle).
Persons or classes of persons
Any person Including Insured:
entitled to drive:
Provided that the person driving holds an effcetive driving license at the time of the accident and is not disqualified from holding or
Stage Carriage/Contract Obtaining such a license. Provided also that the person holding an effctivie learner’s license may also drive the vehicle when not used
Carriage/Private service Vehicle For the transport of passengers at the time of the accident and that such a person satishies the requirements of Rule 3 of the central
Motor Vehciles Rules, 1989.
Provided that the person driving holds an effcetive driving license at the time of the accident and is not disqualified from holding or
Obtaining such a license. Provided also that the person holding an effctivie learner’s license may also drive the vehicle when not used
Non-transport Vehicle
For the transport of passengers at the time of the accident and that such a person satishies the requirements of Rule 3 of the central
Motor Vehciles Rules, 1989.
LIMITS OF LIABILITY
In respect of any
Under Under Damage to Third Party Property PA Owner – Driver as
Compulsory excess in respect of each and every One accident – As Under
Under Section I Section Section Rs.750000/- in respect of any Per premium
claim under Sec I of motor Policy Per Motor Vehicle Section III:
II-I (i) II-I(ii) Arising out of one event computation table
Act
NOMINATION DETAILS
Name Of the Nominee Date of Birth of the Age of Nominee Relationship Percentage
Nominee
AZMATH PASHA 08/01/1970 53 FATHER 100
I/We hereby certify that the Policy to which this Certificate relates as well as this Certificate of Insurance are issued in accordance with the provisions of chapter X and chapter CI of
M.V. Act, 1988

Premium Collection Details :- [Collection No/ReceiptDate / Amount] : P0019300034/4103/569852-08/03/2023, ` 44,420.00

In case of Claim, please contact us at 1800 – 3002 – 3202 For Magma HDI General Insurance Co.Ltd.

Date of Issue : 08/03/2023

Place : Kolkata

Consolidated Stamp Duty on the Issue of General Insurance policies Paid vide G.O No. 0, dated
Service Tax Registration No : AAGCM1685CSD001 Authorised Signatory
IMPORTANT NOTICE
The Insured is not indemnified if the vehicle is used or driven otherwise than accordance with this schedule. Any payment made by the Company by reason of wider terms appearing
in the 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”. For legal interpretation English version will be good.

For complete details of coverage, terms , conditions & exclusion please refer the standard policy wording attached with this schedule.

IMPORTANT – 1) The Validity of this certificate of Insurance cum Schedule is subject to realisation of the premium cheque.
2) No Claim Bonus will only be allowed provided the Policy is renewed within 90 days of the expiry date of the previous policy.