Insurance Purchase Statement

Mentioned below are the transaction details for your New India Assurance policy purchased on Coverfox.com. A policy
document will be issued against these details.

Personal Details Policy Details

Name: Rajender Singh Policy No.: 13130031230100011125

Mobile: +91 94*****738 Policy Type: Comprehensive

Email: am*****com Policy Purchase 30/09/2023

Date:
Address: Flat No- 160 S.F., Gurutek City Rewari,
Rewari, Haryana, 123401 Policy Start Date: 11/10/2023

Policy End Date: 10/10/2024

Total Premium: 909.0

Payment Date: 30/09/2023

Vehicle Details

HONDA ACTIVA 4G ACTIVA 4G (110 CC) 110 (Petrol) Registration No.: HR-36-AB-9207

Engine No.: JF50E75301054 Chassis No.: ME4JF507HH7300999

Registration Date: 13/10/2017 Financier: NA

Category: Private

Coverage

Vehicle IDV: 25292.0 Owner Driver Cover: NA

Value of CNG/LPG Kit: NA Passenger Cover (per 0

passenger):
Electrical Accessories: NA
Voluntary Deductible: 0
Non Electrical NA
Accessories:

No Claim Bonus: 50%

Note:
Your new policy details will be updated within next 30 days on mParivahan.
This is only a transaction confirmation receipt and cannot be used for filing claims.
Have questions, suggestions or complaints? Connect with our Customer Service Unit:
Toll free no.: 022 4897 1018 (Mon to Sat, 9am-9pm) Email: help@coverfox.com

Coverfox Insurance Broking Pvt. Ltd. : C Wing, 6111-6118, 6th Floor, Oberoi Garden Estate, Chandivali Farm Road, Chandivali,
Andheri (East), Mumbai - 400072
IRDAI Direct Broker Code: IRDA/ DB 556/ 13, Valid till: 26/12/2025