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Broker - Policy Details
Broker - Policy Details
Broker - Policy Details
Vehicle IDV Trailor IDV Vehicle Type Non-Electrical Electrical Accessories CNG/LPG/Bi- Total IDV
Accessories IDV IDV Fuel IDV
760000.00 0.00 Tractor-Agriculture 0.00 0.00 0.00 760000.00
Place of Regn. Body Type HP/Lease/Hire- Branch Office of Seating Capacity Premium
Purchase Agreement HP/Lease/Hire-
With Purchase
TS 25 Jayashankar INDUSIND BANK LTD,
--- --- 1 11093.00
Bhupalpally HPA
A. Own Damage Premium Computation (Section 1) in Rs. B. Liability Premium Computation (Section II) in Rs.
Basic Premium On Basic Premium Including Premium for TPPD
Vehicle : 1809.00 Vehicle : 7267.00
Accessories : 0.00 CNG/LPG/Bi-Fuel Kit/Trailor : 0.00
Electronic & Electrical Accessories : 0.00 Add
Bi-Fuel Kit : 0.00 a) Compulsory PA Cover (Owner Driver) : 325.00
Total : 1809.00 Legal Liability
Add Extras: d) Legal Liability Cover (Paid Drivers, Cleaners) : 0.00
Geographical Extension : 0.00 e) Legal Liability Cover (Other then Paid Drivers, Cleaners) : 0.00
For any other extra : Sub-Total Additions : 325.00
Sub Total : 1809.00 Total Liablity Premium (B) : 7592.00
Less Discounts Total Premium (A + B) : 9401.00
For anti-theft devices : 0.00 For any other extra : 0.00
Voluntary Deductibles : 0.00 SGST@ 9% : 846.09
AA Membership : 0.00 CGST@ 9% : 846.09
NCB : 0.00 Gross Premium : 11093.00
Total Deductions : 0.00
Net Own Damage Premium(A) : 1809.00
1.RegistrationNo.:146 || 2.CINNo.:U66030MH2007PLC177117 ||4.GSTIN No.36AABCL5045N1Z9 ||UIN No.-IRDAN125P0005V01200203
CPA (1) Rs. 15 lakhs.
LIMIT OF LIABILITY: Limit of the amount of the Company's liability under the Section II-I(i) in respect of any one accident as per M.V. Act 1988. Limit of the
amount of the Company's liability under Secion II-I(ii) in respect of any one claim or series of claims arising out of one event : Upto Rs
I/We certify that the policy to which the certificate relates as well the certificate of insurance are issued in accordance with the provisions of Chapter X & XI
of M.V. Act 1988
Hero Insurance Broking India Pvt. Ltd.
Premium of Rs. 11093.00 Received Vide
Cash/Cheque No.
The policy is subject to a compulsory excess of Rs. 2000/-
& Depreciation is applicable as per policy terms &
Dated Nominee Name RAMANA conditions* (Please turn overleaf for details)
Drawn on Nominee Age 60 Consolidated Stamp Duty Paid
Endorsements: IMT - 21,36,5
Acknowledgement Dt 16-05- Nominee Relation Father
2023
FOR RENEWALS CONTACT: MALLISHWARI BANKA Ph.No- 09390- On behalf of HDFC ERGO General Insurance Company
101202 Limited.
16-May-2023
Date & Signature of
proposer