TATA AIG GENERAL INSURANCE COMPANY LTD (ISO 9001:2015 Certified Company)

AUTO SECURE - STANDALONE OWN DAMAGE TWO WHEELER POLICY - CERTIFICATE CUM POLICY SCHEDULE
(FORM 51 OF THE CENTRAL MOTOR VEHICLE RULES *,1989)
UIN No: IRDAN108RP0002V01201920 GSTIN: 19AABCT3518Q1ZT PAN No: AABCT3518Q
IRDAI Registration No: 108 Description of Services: Motor Vehicle insurance services
Toll Free No.: 1800 266 7780 Contact No.: 2266930000 Website: www.tataaig.com Email: customersupport@tataaig.com

Policy & Owner Details Policy Type- Renew Product Name- Auto Secure - Standalone Own Damage Two Wheeler Policy

Policy Number Proposal Number & Date Insured GSTIN Number

064001/0174279030/000000/00 P/NO/3122/0000807019 & 04/01/2023
Policy Tenure (OD Tenure) Policy Issued On
1 YEAR 04/01/2023 12:31:20
Period Of Insurance (OD Tenure)
From: 05/01/2023 00:00:01
To: 04/01/2024 23:59:59
Previous Policy Effective Date Previous Policy Expiry Date Previous Insurer Previous Policy Number
05/01/2022 04/01/2023 TATA AIG GENERAL INSURANCE COMPANY LTD 064001/ABIL/3205073911/000000/00
TP Policy Effective Date TP Policy Expiry Date TP Insurer TP Policy Number
05/01/2022 04/01/2027 TATA AIG GENERAL INSURANCE COMPANY LTD 064001/ABIL/3205073911/000000/00
Insured Name Insured Address
Mr. YILIYAS SK VILL-SITANAGAR PO-PS-RANINAGAR DIST-MURSHIDABAD Murshidaba west bengal 742308
Nominee Name Nominee Relationship Appointee Name Relation with Appointee
- -

Vehicle Details
Make Model Variant Cubic Capacity Seating Capacity Body Type
TVS APACHE RTR 160 2V DISC TVS APACHE RTR 160 BSVI 2V DISC 160 2 SOLO
AP RED -
Manufacturing Year Registration Date Fuel Type RTO Registration Number Chassis Number
2021 05/01/2022 PETROL WB-58 WB 58 BQ 2708 MD634AE84M2L14775
Engine Number CNG Elec.Accessories Non-Elec.Accessories Carrier Type CNG/LPG Kit
AE8LM2514291 0 0 0 PRIVATE No
Vehicle IDV Hypothecation/Lease/HP* (IMT-7) Hypothecation City Hypothecation Institute Financier Branch Geographical Extension
₹ 90000 HYPOTHECATION Berhampore TVS CREDIT SERVICES BERHAMPORE -
LIMITED
Schedule Of Premium (Amount In Rs.)
OWN DAMAGE PREMIUM (A)
Particular Total
Basic Own Damage 1267.2
Non-Elec. Accessories 0
Elec. Accessories (IMT-24) 0
CNG / LPG Kit (IMT-25) 0
Geographical Extension (IMT-1) 0
Sub Total (Basic Premium) 1267.2
ADD ON COVERAGE
Zero/Nil Depreciation 594
Sub Total (Addons) 594
DISCOUNTS
AntiTheft Discount (IMT-10) 0
AA Membership Discount (IMT-8) 0
Handicapped Discount (IMT-12) 0
No Claim Bonus (20%) -253.44
Sub Total (Discounts) -253.44
Net Own Damage Premium (A) 1608
GST Of Net Own Damage Premium (18%) 289.4
SGST Premium (9%) 145
CGST Premium (9%) 145

Gross Premium 1898

• Policy insurance is subject to realization of premium/payment. • Consolidated Stamp duty Paid vide Letter of Authorization No: N/A dated: N/A The policy is subject to compulsory deductible (IMT-22) of Rs.100. •
NOTE: Geographical Area-India. • You agree to receive the policy document (without enclosing the terms & conditions) from the company and the company will display terms & conditions on its website which can be
accessed by you online. * Subject to IMT Endt. Nos. & Memorandum: 22,7.
Limitations as to use: The policy covers use of the vehicle for any purpose other than
(1) Hire or Reward (2) Carriage of goods (other than samples or personal luggage) (3) Organized racing (4) Pace making (5) Speed testing (6) Reliability trials (7) Any purpose in connection with motor trade (8) Tuition.
Drivers Clause: Any person including the insured: Provided that the person driving holds an effective driving license at the time of the accident and is not disqualified from holding or obtaining such license.Provided also that
the person holding an effective learners license may also drive the vehicle & that such a person satisfies the requirements of Rule 3 of the Central Motor Vehicle Rules *, 1989.
No Claim Bonus : No Claim Bonus will only be allowed, provided the policy is renewed within 90 days of the expiry of the previous policy. No Claim Bonus is subject to no claim on the previous policy. Benefits under the policy
stands forfeited if claim is/was made in previous policy.
Geographical Area: Any accidental loss damage and/or liabilty caused sustained or insured within India shall be covered subject to policy Terms and Conditions, unless specially agreed and endorsed.
Important Notice: The insured is not indemnified if the vehicle is used or driven otherwise than in accordance with the schedule. Any payment made by the company by reasons 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 & RIGHT OF RECOVERY" For legal interruption, English version will hold good.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 XI of Motor Vehicle Act *, 1988. "As per section 146 of
the motor vehicle act *, 1988 it is mandatory to have your vehicle insured against third party risk". As per section 196 of the above act,driving a vehicle without valid insurance is punishable with fine upto Rs 2000/- or
imprisonment upto 3 months or both. Pre-existing Damages: All types of pre-existing damages or cost of rapair of such damage will be excluded at the time of claim settlement. Updating Registration Number of vehicles within
15 days of policy inception is MANDATORY as per IRDAI. Kindly provide the same to your Agent/Our Call centre/Policy issuing Branch (Applicable for policies booked without Registration No of vehicles).
Grievance Clause: Insured is advised to go through the policy schedule cum certificate of insurance which is issued based on your declaration and if any error/ discrepancy is found in respect of vehicle details, No Claim Bonus
or any other material information, it should be brought to our notice within 15 days of receipt of this policy for necessary correction along with the supporting documents, otherwise it will be deemed correct. In the unfortunate
event of a claim, please call quoting your Policy No. on 1800 266 7780 (toll free) and register your claim immediately within 7 days from the date of loss. You may visit company website at www.tataaig.com for detailed
benefits, terms & conditions & exclusions of the policy. You may also reach us at our 24*7 helpline 1800 266 7780 or customersupport@tataaig.com in case you desire to have a printed copy of policy wording or any other
assistance required. Our grievance redressal procedure and details about ombudsman is also available in our policy wording and company website. Please note that any misrepresentation, non disclosure or withholding of
material facts will lead to cancellation of policy void ab initio with forfeiture of premium and non consideration of claim, if any. In the event of unsatisfactory response from the Head Grievance Officer, he/she may, subject to
vested jurisdiction, approach the Insurance Ombudsman for the redressal of grievance. Details of Insurance Ombudsman are available at IRDAI website www.irdai.gov.in or on company website www.tataaig.com or on General
Insurance Council: http://www.cioins.co.in/ombudsman.html
 
MISP:BERHAMPORE MOTOR CYCLE | HIB/TVS/20058 | berhampore.motorcycle20058@gmail.com
DP:SUJOY
 
SAHA | HIB_002685 | berhampore.motorcycle@yaho.co.in | 8116633855
Broker Name & Address: Harita Insurance Broking LLP, Jayalakshmi Estates, No.29, Haddows Road, Nungambakkam, Chennai,TN-600006 | Broker Code : 31378000

For & On Behalf of

TATA AIG GENERAL INSURANCE COMPANY LTD
Policy has been signed at MUMBAI

Authorized Signatory

For Renewal/Claims assistance - please contact Insurance.Co./HIB through : BERHAMPORE MOTOR CYCLE at 8116633855