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CreateDS - PDF (2) Hdjs
CreateDS - PDF (2) Hdjs
MOTOR 2 WHEELER (PACKAGE POLICY) - UIN NO. IRDAN137RP0017V01200809 - SAC Code. 997134
CIN No. U66010RJ2006PLC029979
Issue Office: 10021 - Address:- E - 8, Riico Industrial Area Sitapura -Jaipur Rajasthan 302022 Tel
Policy No : 10021/31/23/036821 Prev Policy No - Geographical Area INDIA
Insured's Code/ Name: 179458037 Mr.Rizwan Anwarulla Baig Mirza
Address: Bldg
: No 9 Room No 6 Lucky Compound 18 Water Street Agripada
Mumbaimumbaimumbaimumbaimumbai-Mumbai Maharashtra 400011
Executive: NA0000000100 Agent Details: / / Contact No:
Period of Insurance : From 00:00 on 17/02/2023 To Midnight of 16/02/2024 Prop No. - Issue date
Gross Premium: 1,068 S Tax: 0 GST:192 Cess : 0 Total: 1,260
Registration Engine No Make - Model Type of Body / Cubic Capacity / Date Of Seat Cap
Regn / Delivery
Mark & Place Chassis No Fuel Type Year of Manf (Incl Driver)
MH 01 CN 8945 ME4JF493AH8336022 HONDA-ACTIVA 125 SCOOTY 124 04-03-17 1+1
Mumbai Central JF49E81394002 DLX DISC ALLOY PETROL 2017
IDV For the IDV For side Non Electrical Electrical SI for Named CNG/LPG KIT SI Total Value
Vehicle car Accessories Accessories Persons
28,974 0 28,974
Driver's Clause
Any person including the insured,Provided that a person driving holds an effective 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 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.
Limitations as to Use
Use only for social, domestic and pleasure purposes and for the insured's business or profession. The Policy does not cover use for hire or reward, tuition, racing, pace making, reliability
trial, speed testing, carriage of goods(other than samples or personal luggage) in connection with any trade or business or use for any purpose in connection with Motor Trade
The insurance under this policy is subject to conditions, clauses, warranties, endorsements as per forms attached.Warranted that in case of dishonour of premium cheque(s) the Company shall
not be liable under the policy and the policy shall be void abinitio (from inception). I/We hereby certify that the policy to which the certificate relates as well as this certificate of insurance are
issued in accordance with the provision of Chapter X and Chapter XI of Motor Vehicles Act, 1988.
In witness whereof the undersigned being authorised by and on behalf of the company has/have herein to set his/their hands at Head Office - 21
IMPORTANT NOTICE
The Insured is not Indemnified if the vehicle is used or driven otherwise than in 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 MVAct, 1988 isrecoverable from the Insured. See the Clause headed "AVOIDANCE OF CERTAIN TERMS AND RIGHTS OF RECOVERY".
POLICY IS SUBJECT TO EXCLUSION OF DAMAGES NOTED DOWN BY OUR AUTHORISED REPRESENTATIVE DURING THEIR INSPECTION.
Place : Jaipur
We will contact you through phone,e-mail, letters, registered AD, sms, etc for renewal before/after the expiry date of
your policy. If you do not want us to contact you, kindly send an e-mail for the same on dnd@shriramgi.com
Consolidated Stamp Duty paid vide Inspector General Registration and Stamp Ajmer order No. F7(77)Gen/2022/3332 dated 11/03/2022.
All the Amounts mentioned in this policy are in Indian Rupees Note :-Claim intimation after 48 hours will be Authorised Signatory
GSTIN No. - 08AAKCS2509K1Z3 considered as delayed intimation. ***DIGITALLY SIGNED
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