Go Digit General Insurance Limited Schedule/Certificate

Digit Commercial Vehicle Liability Only Policy

UIN No.: IRDAN158RP0001V01201718

Policy Number D102644993 / 15052023 Issue Date 15-May-2023

Period of Policy From 16-May-2023 17:46:24 Mobile xxxxxxxxx4309

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To 15-May-2024 23:59:59 Email sxxxxxxxxxxxxx3@gxxxl.com
CGST GSTIN Unregistered GST State Code 29
Name SURYAKANTHA K Partner Code 1000087
GIRNAR INSURANCE BROKERS PRIVATE
NO.218 Partner Name
548 LIMITED
Address BANAHALLI,CHANDAPURA,KARNATAKA,56009 Partner Contact 7551196989
9,Bengaluru-560067
AN Partner Email support@insurancedekho.com

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FH Registration, Policy Type
Make CubicCapacity/Power Registration/ Trailer Reg.

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1 Engine, Model Fuel Type GVW IMT Endorsements

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G01 Manufacturing No.
Chassis No. Variant Body Type Licensed Capacity Year

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KA05AH8323 BAJAJ AUTO 198 CC 2018

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Carrier
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AZYWJH63118 RE COMPACT LPG 672 Kg IMT-20,IMT-40

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Premium Details

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Third Party Liability Premium

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(Bi-Fuel premium) (`) 6091.00

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MAKL

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Legal Liability for Paid Driver (Persons:1)(`) 50.00
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Net Premium ` 6141.00
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Pri 1
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CGST @ 9% = (`552.69 ) + SGST/UTGST @ 9% = (`552.69 )

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` 1105.38
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501
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Total Premium ` 7246.38

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ENDORSEMENT
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Invoice Number Invoice Date Net Premium Igst Cgst Sgst Utgst Cess Gross Premium
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IA095704706 2023-05-15 6141.00 0.00 552.69 552.69 0.00 0.00 7246.38

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Nominee Details
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Previous Insurer Go Digit General Insurance Policy Exp.

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-- Name: Limited Policy Number: D061018113 Date: 29-Mar-2023

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CGST
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Other Details
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Odometer
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FASTag Number
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Financier Details
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Receipt Details
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Receipt No. RA106331369
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Invoice No. IA095704706

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Receipt Date
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Invoice Date 15-May-2023

PolicyNumber :-D102644993
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 Go Digit General Insurance Limited Schedule/Certificate
Digit Commercial Vehicle Liability Only Policy
UIN No.: IRDAN158RP0001V01201718

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 only under a permit within the meaning of the
Motor Vehicles Act 1988 or such a carriage falling under sub-section (3) of Section 66 of the Motor Vehicles Act, 1988. The policy does not cover use for
Organised racing, Pace Making, Reliability Trials, Speed Testing, Use whilst drawing a trailer except the towing (other than for reward) of any one disabled
Mechanically propelled vehicle (only for Passenger Carrying Vehicle). Person or class of persons entitled to drive - Any person including the insured 1)
Provided that a person driving holds an valid and 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 an vaild and 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 - Under Section II - 1 (i)
of the policy - Death of or bodily injury: such amount is necessary to meet the requirements of Motor Vehicle Act, 1988 and any subsequent amendment as
applicable Under Section II - 1 (ii) of the policy - Damage to Third Party Property ` 6000 P.A. Cover under Section IV for Owner - Driver (CSI): ` 0
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

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Important Notice : 1) *Cheque dishonor / Non-receipt of payment: If premium paid through Cheque, the policy is void ab initio in case of dishonor or non-

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receipt of payment. 2) Violation of Motor Vehicle Act: This policy is issued in accordance with the provision of Chapter X and Chapter XI of MV act, 1988

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subsequent amendment as applicable. Any violation will forfeit all benefits and coverages under the Policy. 3) This policy is subject to the standard policy

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wordings, warranties and conditions applicable for this product in addition to Indian Motor Tariff 4) Policy would be void on the ground that it was obtained

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by non- disclosure of material fact or by a representation of fact which was false in some material particular. 5) The insured is not indemnified if the vehicle is

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used or driven otherwise than in accordance with this Schedule. Any payment made by Company for reason of wider terms appearing in Certificate in order

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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

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the policy.

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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

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commencement of the Policy.

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For & On Behalf of Go Digit General Insurance Ltd.

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Consolidated Stamp Duty has been paid as per Letter

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of Authorization No.67-B/04/2017-18 Date: 30th May

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Authorized Signatory 2017 issued by Department of Stamps and

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Praveen Bhat Registration , Bengaluru- 560009 - KARNATAKA.
Senior Vice President - Customer Experience HSN: 997134/General Insurance Services In

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praveen.bhat@godigit.com

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Printed, Signed, and Executed at Bengaluru Hey, our document is now digitally signed

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Click here to view the certificate.
5 For instant resolution, you can ping us “Hi”
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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. A
Company incorporated under Indian Companies Act, 2013 and licensed by Insurance Regulatory and Development Authority of India [IRDAI] vide Reg No.
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158, Corporate Identification Number U66010PN2016PLC167410 | GST Reg. No.: 29AACCO4128Q1ZW GSTIN Address: Bengaluru Retail Business
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Centre,Atlantis No 95 4th B Cross Road 5th Block Koramangala Industrial layout,Bangalore,Karnataka,PIN-560095

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In case of claim or any other query, please contact our 24-hour Call Centre at 1800-258-5956 or email us at hello@godigit.com or visit our website
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www.godigit.com.
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PolicyNumber :-D102644993
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