Cal yu aj Alianz Conera surance Company Ld REGRET BAIAI ALLinz ic TD INTERNATIONAL TRADE TOWER 2ND FLOOR, 1 OLD SURVEY ROAD DEHRADUN UTTARARHAND State Code), STN: OsAABC57306 129 ROA einen amber 13 Proposal No. Policy Effocve Dato Paley Expry Date OD Policy Toure TP Policy Etfoctve Dato Prowasosert 00. fenton 023 se 1 Pelicy Expy Dato TP Proper Date Proposer Type Proposer Name -Adsress of he Proposer Vehicle Class Trade RAINGRAKAR —_SO.SAREE CUNO GUPTA oUSE NO A cowT ‘vate Invoice Oat Chassis No, Engine No. Make Model & Varant cc Pace of Registration Rogisvaton No. Exshowroom Price Year of Manufacture Seating Capacty ner uct 10 Venicie Electrical Accessories Non-Elctrcal cneites ‘olalibv france ° ‘Recessores . rae ment with BranchiOfice of HP/Leaseline ‘Agrooment Type Branch city Purcnaser Typotecet ranorur ‘sry ‘own Domoge Premium Aout) SubTotal (Bane Premium) 2 nt ° ‘ceoarapicl Aes Extension © Sub etal icourts) ons J 5 NetOws Gamage PremianiA) ve Datei Proposer Signature! Thunb nprsson