UNITED INDIA INSURANCE COMPANY LIMITED . WARJE MALWADI, OPP. SANJEEVANI HOSPITAL PUNE, PUNE, MAHARASTRA. PUNE - 411052 MAHARASHTRA. PH: (.) 25291117 FAX: EMAIL: MISCELLANEOUS AND SPECIAL TYPE OF VEHICLES LIABILITY ONLY POLICY POLICY NO,:1624813123P100236598 VEHICLE NO.:MH - 12 - TH - 2748 PERIOD OF INSURANCE From 00:00 Hrs of 04/04/2023 ‘To Midnight of 03/04/2024 Insured MR PRATHAMESH PRAKASH DORAGE, SR NO: 15/2/14 , DATTA APT , FL.NO: 15 BLDG NO: 5, MANIK BAUG , WADGAON BK , PUNE 411041 PUNE MAHARASHTRA CONTACT NUMBER: 8275758891 (M) Agent Name 1: BADHEK M ‘Agent Code + AGDOLOTSAS Mobile/Landline Number/Email — : 9763639697 ‘The genuineness of the policy can be verified throug! ‘Verity Your Policy” link at wwrw.ule.co.in For any Information, Service Requests, Claim intimation and Grievunces please write to 162481 @uilc.codn ro) ME, 8 EAD FE, 24 UTES RHE, HM eH rinted By + PYA35262 © 03/04/2023 4:48:22 PMNITED INDIA INSURANCE COMPANY LIMITED MISCELLANEOUS AND SPECIAL TYPE OF VENICLES < LIABILITY ONLY POLICY (FORM 51 OF CENTRAL MOTOR VEHICLE RULES 1989) Paley We (6240191 337100236598 ‘enificate Number (2481S DIP IODEIESES ustomer Td issuing OIce Adcrass ode [162481 husme of the Insured T5/2/1A, DATTA APT, FLNO: 15 WARE MALWADI, OPP. SANJEEVANI HOSPITAL PUNE, PUNE, fstoe no: s, Mauix BAUG, WADGAON Bk, MAHARASTRA pune 11052 ress ofthe Insure UNE 22041 LRHARASHTRA pune [rslephone Tasman usinass/Occupation Nene Hobie Ne = 6275755597 fective date of commencamant af Insurance for the purpose of Act from 00/00 Hrs on_04/04/2023 ate of Expiry of he Insurance Midnight on 03/08/2026 Beghralw ye Obsolete | Engine Year offP/Cubic ms rare —] bsotate | enaine [enasae no.] maxesmodes [iype of aoayivencn) "at PRICE cay Asnox | wountebyrirreD MH -12- TH 2748 No M55 [Nae-424772] penenee! is9a| 0 500 invents [Cranes ana Oring Saga ea] Sesame TE asand nine hunarad Sighiy-nine rupees only Persons or classes of parsons entitled to drive ny peson including Insured proviced that a person hold an effective diving licence at the time af accident ang is net disqualified fron] holding or obtaining such a licence, Provided also that the person hoiding an effective Learner's Licence may alsa drive the vehicle and uch a person satistles the requirements of Rule's of Central Motor Vehicle Rule, 1985. Note he pally doesnot cover Tab fo eth, Boal Injury OF damage as fxluaea TFECUGR TSO CN) ana (UY: (BY ANE) OTe freplcycavarsure only unger a permit within the meaning of Sas.0 ote veces Ac 1988 or such a Carag fling under Subsection Ses.a4 a poley doesnot caver use for tei Rounded om 4,985.0 ) organi Racing Beceint Num sotie2est23100%877 B) Pose waking Brceint Sete ‘D3/00/202 ) Ry at Pesta wnser: fmt srunbay geney/broker Code acpors7eed finder Section te) Death or bos njry i respec of any one PAB cin Ae por tor vhs Aa 1998 iret susiness Lier Section fet (i) Dnnage to tnd party oroperty in respect of evclopmenGtcer Code yer com or sures of lan aiing outshone even soca Subject to INT Endorsement Now, terms an condone printed Wersin atached hereta 2037.47 iia hersoycorty tna oe poly co amich the conte rier av al ot For and on behalf of the caries of surance ae Issued in atcordance wth prowsons oF United ina nouraren oy La Ghopter 8 taf he 988, Date of issue! 03/08/2083 a ADP Duly Constituted Attorney audPTET aaaaTTTTIRTOORTESaT Praviaus Paty NE [ea frsured betas fet Ea a al ble BZ 7STSOES Ted oR From [ooioo res of oa7o4/2025 Te [pian of 0370472024 ‘o-Insurance pe T T As aTN WS Suu vue Trae resoiete | engine no. | chassis no, | make/sode | vear of wtp cea) aaron Taya wn -a2-TH-2748 wo | mce-aiasre | xce-zarza [Vumenian | 1999 Te of Body/vehce eae ew ublicernate HIG HOUNTED/FITTED WITH COMPRESSORIMGBTe Cranee] ——"g - and bring Rigs 000 Reginraion Aatoriy [Auto Arvocation Membership No, | Geograghieal Area Tanah HD PINE Tio ‘lasses of persons entitled to drive ‘olding or ableining such s licences. Provided sige that the person halding an effective Leerner’s Licence may iso crive the vehicle snq sch a persan satisfies the requirements of Rule 3 of Central Motor Vehicle Rule, 1385. 2) Use for hire or reward or for racing pace making relabilty tral or speed testing ) Use for Carriage of passengers for hire or wars } use whilst drawing 8 Kimits of in eater number of trailers In all than permitted by [aw ty Linder Section 1-1 () De or bodily injury n respect of any one accident; As per Mot Vehicles Act 1988 1 (i) Damage to third party property In respect of any one claim ar series of claims arising out of one event: & 750000 "Thi poliey ia subject to terms and conditions and IMT Endorsement Now. ated herein 7 attached hereto 26,3747Polen.: 15248151257100236598 SuEDULE OF paEmiUM GN weasie TP z 767.00 Teta! z pasra0 Ute Paid orver tm 28 z 50.00 Lagat Lai to Non-Fare Paying Passanger-Employen z 0.00 suv Total (Adations) z 50.00 cross T(8) z 7,817.00 tat ain Premium z 2617.00 ‘TERMS AND CONDITIONS [As per tha Indian Motor Tariff. Personal copy of the same is avallable free of cost on request. Further, the Indian Motor Tarif Is also ‘allable and aisplayes at all United India Ingurance Company affies and on UIIC website“ www ule-cai8 Disclaimer "The Polley stands cancellea or void In the event of Cheque Dishonor. The Company may cancel the policy by sending 7 days notice In case of any fraud of mistepresentation, non-disclosure of material factor nan-co-operatan ef the insured The Insured is not indemnified Ifthe vehicle is used or driven otherwise than in accordance with this Schedule. Any payment made by the Company by reason of wider farms appearing in the Cerificate in order to comply With the Motor Vanicles Act, 1988 ls racoverable from the Inguresy See the clause headed “AVOIDANCE OF CERTAIN TERMS AND RIGHT OF RECOVERY", For Legal interpretation, English version wll nale good! GST (9%): 666.00 Receipt Date T37ae7aoaspirect Business: i ae eae @s989.oopacument [We hereby declare that though our aggregate turnover In any preceé sagregate turnover notified under sub-rule (4) of rule 48, we are nt berules WWote:-With reference to IRDAK circular no IRDAI/NL/CIR/MOTP/170/ 10/2018 dated 09/10/2018 and a posal form by owner driver Compulsory Personal Accident (CPA) cover Is removed, since he/she 13 financial year from 2047-18 onwards Is more than the ired to prepare an invoice in terms ofthe provisions ofthe sai er the deciaration ‘not holding a valld driving fanti Money Laundering Clause:-tn the avent of a claim under the polly exceeding & 1 lakh or a claim for refund of premium exceeding @ [riakh, the Insured wil comaly with the provisions of AML policy of the company. The AML policy s avallable in all ur operating offices 2 ll'as Company's web ste pte of sropesel and Declaration: 03/04/2023 lOnived india Insurance Co. Led stamp here Ade bouly constituted attorney: lOnderwritten By - PYA35262 ( MO INCHARGE )