IFFCO - TOKIO GENERAL INSURANCE CO.

LTD Servicing Office:

Regd. Office: IFFCO SADAN,C1 Distt Centre,Saket,New Delhi- 110017 IFFCO TOKIO General Insurance Co. Ltd

Endorsement Commercial Vehicle Package Policy 1187/88, 3rd Floor badshah Plaza

Policy Schedule Cum Tax Invoice Chanchala bai college road

ORIGINAL FOR RECIPIENT Wright town Jabalpur - 482002

GST Applicable State Code: 23, GSTIN: 23AAACI7573H1ZK

General Insurance Services:- 997134

Insured's name: MR MANOJ GUPTA Original Invoice No. 1-2L7BG9Z3

Address: WARD NO-21 H NO-276SAMSAN GHAT ROAD PATELPUL KOTAHA Unique Invoice No. 1-2L7BG9Z300002

SIDHI Policy No……………………. : MR680904

MAJHIGAWAN MADHYA PRADESH 486881 Date of Issuance : 10/11/2022

State Code/ Place 23 Country Name: India GSTIN: Endorsement Effecitve Date : 09/11/2022

of Supply:

Phone Number: XXXXXXX999 Agent No. 88000745 Policy effective from 1707 hrs 09/11/2022

To MidNight 08/11/2023

Insured Motor Vehicle Details & Premium Calculation

Registration Mark & No Year of Type of Body CC Coverage IDV(Rs.) Engine No. Chasis No.

Manufacture

MP53HA2094 2018 LPK 2518 CR 5000 Comprehensive 2193000 81B84452675 MAT448854JAC06753

BS4

Seating Capacity 2 Make of Vehicle 2018 Geographical Area Within India Only

Registration Authority
Insured Declared Value
Vehicle Trailor Non Electrical Acc. Electrical Acc. Bi Fuel Kit Total Value Gross Premium

2193000 0 0 0 0 2193000 0.00

Not withstanding any thing contained to the contrary,it is hereby declared and agreed that

CORRECTION OF REGISTRATION NUMBER

NOTWITHSTANDING ANY THING CONTAINED TO THE CONTRARY, IT IS

HEREBY DECLARED AND AGREED THAT WITH EFFECT FROM 09.11.2022

THE POLICY HAS BEEN ENDORSED FOR THE Correction of

Registration TO BELOW MENTIONED OWNER.

Wrong Registration no---MP53H2094

Correct Registration No-MP53HA2094

OTHER TERMS AND CONDITIONS WILL REMAIN SAME.

Signature Not Verified Commercial Vehicle - Package Policy (UIN : IRDAN106RP0005V01200607 )

Digitally signed by SUBRATA MONDAL Attaching to and forming part of Policy Number MR680904
Date: 2022.11.10 12:16:38 IST
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Reason: Valid Policy Copy
Location: IFFCO Tokio General Insurance Company Ltd, India Trusted Certificates'-->Click on 'OK'-->Click on 'Close'
Subject otherwise to the terms,conditions and exclusions of the policy,upon which this endorsement has been issued

Transfer Fee Taxable Value CGST SGST IGST K.F.CESS

Rate 0.00 0.00 0.00 0.00

Amount 0 0.00 0.00 0.00 0.00 0.00

Total Tax ₹0.0 Total Value ₹0.0

Whether GST is Payable on Reverse Charge Basis - No

We hereby declare that though our aggregate turnover in any preceding financial year from 2017-18 onwards is more than the aggregate
turnover notified under sub-rule (4) of rule 48, we are not required to prepare an invoice in terms of the provisions of the said sub-rule.

Under Hire Purchase/Hypo/ Lease Agreement with

Subject to IMT Endorsement Nos.

The Endorsement wordings are attached (as per IMT),.Please go through your Endorsement and in case of any discrepency, Please inform us.

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 M.V.Act .1

Exclusion: Losses or damages caused directly or indirectly due to any infectious or contagious disease, pandemic /epidemics as declared by WHO and / or

Government of India will be an exclusion under this policy.

Toll Free : 1-800-103-5499 ; Other : ( 0124) 428-5499 ; SMS "claim" to 56161

Policy Issuing Office: Delhi Consolidated Stamp Duty deposited as per the order of Government of National Capital Territory of Delhi

Signature Not Verified Commercial Vehicle - Package Policy (UIN : IRDAN106RP0005V01200607 )

Digitally signed by SUBRATA MONDAL Attaching to and forming part of Policy Number MR680904
Date: 2022.11.10 12:16:39 IST
'Show Signature Properties'-->Click on 'Show signer´s Certificate'-->Go to Tab 'Trust'-->Click on 'Add to
Reason: Valid Policy Copy
Location: IFFCO Tokio General Insurance Company Ltd, India Trusted Certificates'-->Click on 'OK'-->Click on 'Close'