a ' scrci Lombard Product Code: 3005 UIN: IRDAN11SRPOO19V01202122 Nibhaye Vaade —————— darren xe COON 230223808705 FOST22240N1 ‘TANDEL DHVANI DAVARAMEHAI (ANOMARK=DIST,, HOUSE=14, STREET-RAMKABIR NAGAR, STATION ROAD ‘ATNPOST VYARA, CITY-TAPI, STATE=GWJARAT, COUNTRY-INDIA} SURAT ‘GULARAT 394650 ole No: 8728604445, ‘Sub: Risk Assumption Letter Dear TANDEL DHVANI DAYARAMBHA Wie valve your retatonship wih ICICI Lombard General nsrance Company Limited and tank you fr choosing us as yr prefered neurance prover Please find enclosed Polcy No, 30828134384800000, The samo has boon sued based on below mentioned det, red by you te te of oh purchase ‘Name of sures Period of Insurance -Own Damage | Period ot insurance - Third Party ‘TANDEL DHVANI DAYARAMBHAL Feb 22,2023 Feb, 2008, eb 2, 202810 Fet 21,2028 Nance! Moo Saveizorvc) st \feto cm, SWARATAPMEDRBAD [rosea eoseain No NeW. Neti Reto Dae Feva am trgre ne Nesrorawoas Chasen rssnemnceionst [caren Year nce of “The commencement of coverage of isk under he poly is sitject to eaeaton ef payment of premium in Rin case he premium i no realed cue to heque dhonou or ary oer reason the surance cover shal bo void 2b i. ‘We have issued he poly basis your conan that you hod a valid PUC andlor Fines certificate 2s pica “Updating your hark deals with us woul hep faking hare ransactons, Bark deals can be easy pdt using. ~Take car” Ap Dowriod be app sow fra your insurances wetness noods and fr faster resto So nae Bea pease check he poly da fr szracy. Shak! ya any derepanc /reque ay changes ne Cea narance cum Pole hee, pase aoe cree rates out tol ree nb 180) 23% or ema us at eustomersuppori@icalombard.com, so fist we can recy be same, Absence of ry earn atin gpa of 18 day be dle mentonedon teller, wouk mean tat he lssued poy isin order ard as pe yourpncsa “Te infomation provided is merely lusratve a sha ret be cnstued be an evden of exsence of a contr nance. The Risk Assumption Later irtobe adi conjunction win fhe poly a sale considered nu and voi route same. -te Compulsory Personal Aco! covr has ro been cele in his poly en acount th. he Owner diver has a separate eisng Perc Acer over paint Death and Permanent Dsabity (Total an Pat for Sum insured f atleast R15 cs Sincerely, For ICICI Lombard Genera insurance Company Ls. x Authorised Sonstoy en 75 2028 conpisupiopia0¥e777 Scanned with CamScannerca CERTIFICATE OF INSURANCE CUM PoLIC: Y SCHEDULE =! [olf Bundled = Two Wheeler Policy sc1ci@Lombard Product Code: 3005 VIN: IRDANT1SRPODI9VO1202122 Nibhaye Vaade Yat “Hae OTERO ae ee ee oe (avounneosr-rovcentcartecrramunn [fone ernest Teontonee vento: araotis—||reedetbmurmen= + faz. a (3366 ove SENeeaoe J lensnacirne oT er sgn et SUT ace. 1 fare mae note | “Thied Party are et pa Fl ecthee ; von eg | Ere ere | sce : : [$teSson | Raman |fe feast nade £5 (emer sone Seo eaame aS a ee oleh ee ace cane | Stang arenas Lon USE, EER SAAR ARG EAH HUTA TPLE WAN ATE RADIA HORN [Are you or any ofthe proposed applicants a PEP" ora dose relaive of@PEPP zi ed) auekamtey e SS SRS Se | ee arate Es ie cone NEW OLA ELECTRIC st Leg 9 | 203 2 Ps3aBocBoceAo0361 | — M2SAD'28A09803 Tas BY — | — wa ear — pa Rosca} TSS Tearoom ae Need ae eel aaa et ri |i Sorter Ocoee sweets ene soso a a a sales | SEES | em conreoo ome tar PATT] Sasa | Wee — — Op PRAT ron mere + | Sr oes ii 7 7 i = ‘OBD Device | Past Telematics Score | Opening KM for PHY, 8 ‘OWN DAMAGEIA) Bane 00 Premier "1740 | Bone Td Pay Lin 20000 Zewbepresaton Sine) 208.00 [Toul Saso0e [Fisbmates oy errs) Py | tsematis [pay nowseurae) % | Stet sa7000 | Tota wm Damage Prom) | 4370.00 | ret sbi Premium 200.00 “eal Pchage rom ASB Fas = [a0 ea [ars tax Pyatnint 4.37500 oa Pron Poy int atase ‘Uwe Wenication Naber (UN) Details Zoro Deprcaion iz TRDANTTERPO0G7V01 2016 1ADUROVOT2OTETS ‘Appa IMT Causes: 72 Voluntary Deduct € 0.00 ‘Geographical Ara: din ‘Compulsory Deductible: € 70000 Fe aie ove: Zro Depeiaon coves Gly he depron on he eles prs, Consumables ar at cover under Zr Daprecaton uns opted a8 [separate add-on Ei Prem Colin No [1165684488 Frama Ammon) [€H0TA 00 aaa RecepiDate [Feb 72,2025 | [estiwegNe TRRACTTOOAG TZN —|FNISAC code 1571947 GENERAL INSURANCE SERVICES Seer. Jecae al rood ox eoegae wove any preceding inandal ya om 2017-18 war Taxe han he 997GH Tov Tad ude -a Wal ee ee ot equite opepare an ike Inte othe rovons of te at ube ijt he ply Dean of or body uy - Such amount as nocssary To atte oqaremanis fhe Wotr Vehicles Aa 988) ints of Laie policy, Damage fo Tid Paty Propet € 100 00000), PA Cover ov OmerDxver under Section Ii CSI € DO The Compulsory Personal er Seton rev cpte inthis ple on acz0un! Mal the nner sr Has a separate existing Personal Accident cover against Dray and Pcanent en coed Pata x Sum isu ol a est R15 os, ination as to Use: The Poy covers veo! th vehi fo any purpose her han: Hire ar Reward Pee rode (oer han sampes of ersnalejgege), Organisd acing, Pace Making, Raab Wal or Spee testing, any purpose Connection wih Motor Trade Cee eee os versn incading te eure Provided thal person drving olds an fective diving leanse al he Liv of thw accident ad is ol daqualfe rm ert autoning sucha lcense, Pronéed also ha the person holding an affective leamar’sbeanse may alo dio the vehi and ha such person satisfies Ine re te of Rule 3 of ie Contal Motor Vehicles Rules, 1969. portant Note:The insures isnot indemnified if he velvcieis used ot van cherie han in requirments in schedule Av gavmenl made y tne Comoany By reson of wide tr aobeanna In he Cerlzalel ore to como wt Ihe Moor Veil At ‘inas of Ubliy (2) Under Secon I f f ‘ ' ; H ft | | t H ' i | = ‘ ; e , ‘ ‘ ' ' ‘ \ | ' { Fat 23,2028 ‘conpssuPioPv2n141777 ————EEE Scanned with CamScanner1 CERTIFICATE OF INSURANCE CUM POLICY SCHEDULE 7 69 1C1CIEtombard Bundled ~ Two Wheeler Policy ( Product Code: 2005. UN: IRDAN' RPODIBVOT202122, Nibhaye Vaade [EEE snare Toe rod Son Tw Cus hoadedAVODANGE OF CERTAN TERS AND RIGHT OF RECOVERT™ oa en at te pontum br hs exianeon eng clase a rovala proportion of he sna premkin herby daiad and oreed byte insured at upon Ica er age ts pole) shalbe onered ora prod cl wee nen alin wh 8 atarerce etoan fe exenon Pe mi now ea on tba [5 ho eriom a ped ne shal Dace payable by ie sued | Fn tate Engisn veman wit hele goo. Disclamer Please visit woreciclomtardcom lorie pcliy wartgs compte datas on ons and | Ee ae rine cnrape and NCE. Tis dsumet eo ead wth he policy wordings The oy va Subj featzatn of agin We aca rem can eae incase ol eaorau prams etn, he company shal ot be tbl unt he oleate poly shal be wd sb nase |S anceey reine pee cio yates, i ee eae es aay ees Asongin etre win ou ar win ta poly. On ene bral rove ve oly snl nd cn of ee ee ina be rjc to change, Groves Redresak Forreston of oy aut or erance you iy cova von orl ee 0,100 cate lso wie tous at contumersuppon@sclonbaré.com Far dlaled orevanceretessal mechanism pleas vist he | 2665, or visit any of our branch offices. Sonevance Redressa secon on our wobste www cilombard com. ie noeby carily al be Policy fo which his Cerca rates, 2s wel as, is Cerificate of Insurance ae ised in aczordance wih he provisions of Chapter X and | aver x'st var Vehcte Act, 1888. In winoss whorl ths Policy has been signed at Munbat on fs date of Feb 22,2023 n eu of Covernote No, 281343045. The | Stam ary off 0.50 pad vide detace no. CSD45120223802 dates Sep 08,2022 Pally lauing Offer. ICICI Lonbord General Insurance Company Liite, ICICI LOMBARD HOUSE, 414, Veer Savarkar Mag, Near Sif Vinayak Temple, Prabhadev, ura 400 025. | Wararee ot sured named hereon of th vail hol wld Paton Under Cantal PUC) Crate anor allt fires areal ait one || | date ot commencement of tw Policy and undertakes to renew and maintain a vad and effective PUC and/or fines Cariicale, a8 applicable, during the subsistence of | te Pecy Furth Company eserves the ght oaks apprepateacton case of any dicrpancyn he PUC or ness certate | eet ee a. : Agency Name _ OLA FINANCIAL SERVICES a e PYTLTD ' Agent's Contact No: 8068964071 bering: Contact Person = Yeshu Walia g 3 ena 2003 3 Scanned with CamScanner aan ee