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Insurance KWID
Insurance KWID
Insurance KWID
GENElW,1
TOTH.. IWl.lRAHCE SOl.1/Tn.S
Date: 08/10/2022
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INDIA PRIVATE LIMITED - BRR
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[I will always be our endeavour to constantly better your experience by innovating and evolving our basket of conveniences. We strive to
deliver service which is personalized and is totally transparent. It is our aim to be with you in your time of need.
The policy has been issued on the basis of the information provided by you. The extract of the information has been enclosed for
your reference. We would request you to peruse the policy and satisfy yourself that it meets with your requirement fully.
Please note : Transfer of benefits under this insurance policy is not automatic on the sale of the vehicle. The transferee must apply
within 14 days from the date of transfer of vehicle in writing to the insurance companywi0, full details in a duly signed fresh proposal
form alongwith evidence of sale and transfer fees of t. 501- + Goods and Service Tax.
We would like t.o assure you that the electronic copy of your policy is as unthcntic 11ml vali,I us the physical copy and it cun be used usu
proof of insurance wherever required.
As a part of the government's Digital India drive, you can now store your insurance policy documents digitally and securely under
DigiLocker . Download and install the App "DigiLocker" from Playstore and with your Aadhaar number and mobile number create a
User ID using an OTP. Under Banking and Insurance submenu, you will find Future Generali Total Insurance Tab wherein when you
can select the product and update our 8 digit policy number, the Policy PDF of the active policy can be viewed. For more details on
DigiLocker. visit https://digitallocker.gov.in/
Once again. thank you for choosing to insure your vehicle with Future Generali and we look forward to being of service to you.
Future Generali India Jn5urance Company Limited, Registered and CorporatcOffici: address: 801 and 802, 8th Floor. Tow~r C, Embassy 24X7 Park,
L.8.5. Marg, Vikhroli - West, Mumbai, Maharashlra• 400083 Care Line:-1800-220-233, 1860-500-3333,012-67837800,Email: fgcarc@futurcgcncrali.in,
Wcbsi<c: www.futurcgcncrali.in. lRDA Regn.No. 132, CIN-U660J0MH2006PLCl652R7
TOTAL INSUIWjCf WWTOIS
Tax Invoice
INSURED DETAILS
Policy Number : VA726631 Address of Service Provider: Off Codc• 12,Futurc Generali India Insurance Co
Lid, 303-310. 3rd floor, Kailash Building, K.G.
Invoice Number : 202207PNT0078780 Marg, Connaught Place, Delhi, Pineo de 11000 I
Received with thanks from a sum oft 27,050.00 towards Premium on the above mentioned policy.
NOTE:
I. In case of payment by cheque, in the event of dishonour of cheque for any reason whatsoever, insunmce cover provided under this receipt automatically stands
cancelled from the inception irrespective of whether a scperate communication is sent or not.
2. Excess amount, if any, wiU be adjusted against subsequent policies, or will be refunded on demand.
3. We hereby declare that though our aggregate turnover in any preceding financi al 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 tenns of the provisions of the said sub-rule.
(Authorised Signatory)
Note:This document is digitally signed by Mr Vaibhav Risbud, Authorised Signatory of Future Generali
I India Insurance Company Limited on 08/10/2022
Cil9
Fulure Generali India Insurance Company Limited, Rcgistcn:dand Corpor.itc Offici: address: Im I and 802, 8thFloor. Tower C, Embassy 24X7 Paric.
. l..8.S. Marg, Vikhroli - West, Mumbai, Maharashtra- 400083 Care Linc:- 1800..220-233, 1860..500-3333,022-67837800,Email: fgcarc@fu1urcgcncrali.in,
Wcb!-ilc: www.fu1urcgcn cra\i.in. lRDA Regn.No. 132, CIN - U66030MH2006PLC'l65287
~FUTURE
GENERALI
TOTAL tJSUIWlCESOWOONS
Policy No : VA 726631 Period Of Insurance : From 15:16 hrs of08/10/2022 To Midnight of07/10/2025
ll'ISUREDJS iDE(LARElD 'lt(Al'.JU~ = ... ,. ~;:u ¾
For Vehicle-~ For Non Elec For Side Car-~ For Elcc A;cessories-1 For Bi-Fuel Kit
(CNG/LPG) -
I Total Value-t
Accessories - _ I 551 ,950
551 ,950 I
Ill SCHEDULE 0.!flPREMIUM t
t
PARTICULARS
A-OWN DAMAGE 13,114.72
Basic Premium on Vehicle 888.00
Add : Add-on Premium 14,003.00
Total Own Damage Premium (Al (rounded oil)
B-LIABILITV 6,521.00
Basic Premium including Premium for TPPD 750.00
Add: Legal Liability to Employees of the Insured (No. of persons 5) 1,500.00
Add : PA to persons other than Owner/Driver (No. of persons 5) PA Limit Rs. 200000 per person.
150.00
Add : Legal Liability to Paid Driver/Cleaner/Employees (No. of persons I) 8,921.00
Total Liability Premium (B) 22,924.00
Total Annual Premium (A+B) 22,923.98
Total Premium for the Policy Period 4,126.31
Goods and Service Tax 27,050.00
Total Premium (rounded oil)
Class of Vehicle: Private Car Subject to Endorsement Nos. 06 ,22 ,16 ,28 ,29,
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 ofM .V. Act, 1988. \ _ ,
Corporate Ageney Reglstration No: CA0467 - - - ~ - - "For FUTURE·GEN ERALHNDIA INSUAANCcE GO. L-TDr -
SP Name ..SP Cod~: •
Receipt No:
Date of Issue : 08/10/2022
Place of Issuance : Mumbai*
Note:This document is digitally signed by Mr. Vaibhav Risbud, Authorised Signatory of Future Generali I
I India Insurance Company Limited on 08/10/2022
For registration of your Motor Claims SMS MOTORCLAIM to 9222211100 (Standard SMS char2es anplicable)
Stamp Duty ofRs. 0.50/- is paid as provided under Article Policy of insurance 478 of Indian Stamp Act,1899 and included in Consolidated
Stamp Duty Paid to the Government of Maharashtra Treasury vide Order of Addi. Controller Of Stamps, Mumbai at General Stamp
Office,Fort, Mumbai-400001., vide this Order No.( LOA NO.CSD/444/2022/(Vaiidity Period Dt. 25/08/2022 To Dt. 3i/03/2023)/3723, Dated
25-08-2022.)
Future Genen_ll lnd!a Insurance Company Limited, Rcgistc.rcd and Corporate Offil.-e add~ss: 801 and 802, 8th Floor. Tower c, Embassy 24X7 Park.
L.B.S: Marg, V1khroh- Wcs~,_Mumbai, Maharashlnl- 400083 Care Linc:- 1800.220-133,1860-500-3333,022-67837800,Email: fgcarc@fu1uregcncrnli.in,
Website: www.futurcgcncrah.m. !RDA Rc!!n,No. 132, C[N . U660)0MH2006PLCl65287
TOlAI. INSURAHCE SOUJmNS
Arincxurc-
Formin art of olic number:- VA 726631
, Motor Add-on Cover
Serial Add-on Description Premium
No. Amount-t.
I Road Side Assistance 888.00
RDAN132RP0006V02201819/A00
8V01201819
Please refer the attached detailed policy wordings for the above mentioned coverages.
Future Generali India Insurance Company Limited, Regisltrcd und Corporate Office address: 801 and 802, 8lhFloor. Tower<.:, Embassy24X7 Park,
L.8.S. Marg, Vikhroli - West, Mumbai, Maharashtra- 400083 Cnrc Linc:- 1800-220-233,1860-500-3333,022-67837800,Email: fgcarc@furun:gcncrali.in.
Website: www.futurcgcncrali.in. IRDA Regn.No. 132, CIN - U66030MH2006PLCl652R7