Go Digit General Insurance Ltd.

Schedule/Certificate
Digit Commercial Vehicle Package Policy - Miscellaneous & Special Types of Vehicle UIN No.: IRDAN158RP0003V01201819

Name NAYAGPARA LALJIBHAI AVACHARBHAI Vehicle Registration No. NEW

VAIBHAVKUMAR RAMNIKLAL
AT-12 CHHELU PLOTING BHAVPAR ROAD MOTA Partner Name PATEL
Address
BHELA MORBI,Morbi-363641
KFZ Partner Code 1074428
Misc Mobile xxxxxxxxx3424 Partner Email vaibhavpatel3132@gmail.com
Email vxxxxxxxxxxxxxx2@gxxxl.com Partner Mobile No. 8000123424

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PAN (POSP) DBUPP0241J

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FH Aadhar No. 0820 For claims,contact us at 1800-258-5956

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Policy No. D107594342 / 30062023 Policy Issue Date 30-Jun-2023 Invoice Date 30-Jun-2023

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From 30-Jun-2023 17:41:58

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Period of Policy To 29-Jun-2024 23:59:59

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DBU

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NCB % (Current Policy) 0% Policy Type Private Carrier

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Compulsory Deductible 2735 Voluntary Deductible --

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YOUR VEHICLE DETAILS

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POSP
Make ESCORTS LTD Trailer Reg. No. RTO Location Morbi,GUJARAT

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FARMTRAC CHAMPION F2 Year of Regn. / / 2023 Licensed Seating

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Model/Vehicle Variant -- 1
(Sub-Type) 2WD/TRACTOR Manufacturing Capacity

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Engine No. E25911030 Chassis No. T052599522CL Cubic Capacity 2400 CC

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107 Fuel Type Diesel Gross Vehicle Weight 2520KG Vehicle Body Type Tractors

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G0 Goods Type -- Permit Type Private Carrier Wheels 4
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Odometer FASTag Number NA Financier Details

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Agency
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KFZ FASTag NUMBER DECLARATION
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29 POSP
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The Policy has been issued subject to your affirmative declaration that a valid FASTag has been affixed on the insured vehicle.
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G01 YOUR VEHICLE IDV (THE MAXIMUM MONEY YOU CAN GET IN CASE OF A CLAIM)
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65 Vehicle IDV IDV of Electrical IDV of Non-Electrical CNG/LPG KIT IDV Trailer IDV Body IDV Total IDV
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(`) Accessories (`) Accessories (`) (`) (`) (`) (`)

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547000 -- -- -- -- -- 547000.00
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OWN DAMAGE PREMIUM [A] (`) LIABILITY PREMIUM [B] (`)

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Own Damage Premium (`) 1122.86 Basic Third-Party Liability (`) 7267.00
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Add-Ons Premium (`) 0.00
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PA cover for Owner-Driver (`) 330.00

NCB Discount Amount (`) -0.00
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Legal Liability to Paid (`) Driver (Persons:1) 50.00

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Total OD Total Act

(`) 1122.86 Premium (`)
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Premium 7647.00
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76 Net Premium [A+B} (`) 8769.86

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.0 CGST @ 9% = (`789.29) + SGST/UTGST @ 9% = (`789.29) 1578.58

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Total Premium (`) 10348.44

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Note: The above total OD premium is inclusive of all applicable loading / discounts viz (automobile association memberships, voluntary excess, anti-theft
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Privat handicap person, driver tuition, fiber glass, CNG/ LPG unit, geographical extension, imported vehicle etc., wherever applicable).
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If the “Own Damage Cover” under your policy is cancelled during the policy period, then your policy shall be governed by the standard terms and conditions
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of “Act only” policy for the Third Party Cover during the remaining period of policy.
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ENDORSEMENT
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Invoice Number Invoice Date Net Premium Igst Cgst Sgst Utgst Cess Gross Premium
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0.00 0.00 0.00 0.00 0.00 0.00 0.00

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Policy No: D107594342

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Go Digit General Insurance Ltd. Address: Atlantis, 95, 4th B Cross Road, Koramangala Industrial Layout, 5th Block, Bengaluru, Karnataka 560095. IRDAI Reg
No. 158 CIN U66010PN2016PLC167410, GST Reg. No.: 24AACCO4128Q1Z6 HSN: 997134/General Insurance Services, GSTIN Address: Rajkot Business
Centre,Office No 615 to 626, 6th Flr, The City Centre, Old Amrapali Cinema, Raiya Road,Rajkot,Gujarat,PIN-360007
 Go Digit General Insurance Ltd. Schedule/Certificate
Digit Commercial Vehicle Package Policy - Miscellaneous & Special Types of Vehicle UIN No.: IRDAN158RP0003V01201819

OTHER DETAILS
Previous Insurer --
Previous Policy No. -- Previous Policy Expiry Date --
IMT - Endorsements IMT-21,IMT-23,IMT-28

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Invoice Number IA100334447

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GSTIN/UIN No. Unregistered State Code 24

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Payment Mode Cheque Cheque/Transation No 000022

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Bank Name IFSC/MICR No HDFC0003100

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Premium Payment Details Receipt No. RA112147186 Receipt Date 30-Jun-2023

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Nominee Details --

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Details of Existing Damages --

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Other details --

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Follow these rules like you follow the rules of the road.

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Geographical Area -Any accidental loss damage and/or liability caused sustained or incurred within India shall be covered subject to and

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Conditions, unless specifically agreed and endorsed. Limitation as to use - Use only for agricultural and forestry purposes.The Policy does not

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cover (1) Use for hire or reward or for racing, pace making, reliability trial or speed testing.(2) Use for the carriage of passengers for hire or
reward.(3) Use whilst drawing a greater number of trailers in all than is permitted by law. Person or Class of persons entitled to drive - Any

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person including the insured 1) Provided that a person driving holds a valid & effective driving license at the time of the accident and is not
disqualified from holding or obtaining such a license.2) Provided also that the person holding a valid & effective Learner's license may also drive

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the vehicle and that such a person satisfies the requirements of Rule 3 of the Central Motor Vehicles Rules, 1989 and any subsequent
amendment as applicable. Limits of Liability: 1) Under Section I of the policy - IDV as shown in the schedule. 2) Under Section II - 1 (i) of the

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policy: Death of or bodily injury - Such amount as is necessary to meet the requirements of the Motor Vehicles Act, 1988. 3) Under Section II - 1
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(ii) of the policy: Damage to Third Party Property - `750000 4) P.A. Cover for Owner Driver under Section III (CSI): ` 1500000
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PUC Declaration:The Policy has been issued subject to valid Pollution Under Control (PUC) Certificate disclosed by you as an insured on or
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before the date of commencement of the Policy . NCB Declaration: The premium has been charged and policy has been issued subject to NCB
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declared by you as an insured. In the event of NCB found wrongly declared at any point of time during policy period, all benefits and coverages
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under the Policy in respect of section I of the Policy will stand forfeited. If there is any disagreement, write to us within 7 days from the date of
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issuance of policy or before the start date of period of insurance whichever is earlier.
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Important Note: Please inform the Company in case of change on account of addition of CNG/PNG kit.
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Break in Insurance: In case of a break-in, the company may conduct pre-inspection of the vehicle and in such a case, Own Damage cover
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(Section -I) of the policy would not commence unless the pre-inspection of the vehicle has been done and the acceptance of risk is subject to
evaluation of the vehicle inspection report. In case of any adverse findings in the report, the Company, at its discretion, may cancel the Policy as
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per the Motor Tariff.

Pre-existing Damages: All types of pre-existing damages or cost of repair of such damage will be excluded at the time of claim settlement.
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Policy would be void on the ground that it was obtained of material fact or by a representation of fact which was false in some material
particular.
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Cheque dishonor / Non-receipt of payment premium paid through Cheque, the policy is void ab-initio in case of dishonor of Cheque or non-
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receipt of payment.
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Violation of Motor Vehicle Act: This policy is issued in accordance with the provision of Chapter X and Chapter XI of MV act, 1988 and any
subsequent amendment as applicable. Any violation will forfeit all benefits and coverages under the Policy. The insured is not indemnified if the
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vehicle is used or driven otherwise than in accordance with this Schedule. This policy is subject to the standard policy wordings, warranties and
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conditions applicable for this product in addition to Indian Motor Tariff. Any payment made by the Company by reason of wider terms appearing
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in Certificate in order to comply with the Motor Vehicle Act, 1988 is recoverable from the insured. See the Clause headed (Avoidance Of Certain
Terms And Right Of Recovery) in the policy.
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Note: The policy is issued in utmost good faith, relying on the information shared by insured at the time of obtaining the policy. The terms and
conditions detailed in this policy schedule as well as the policy document sent by Digit shall prevail in case of any dispute.
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For & On Behalf of Go Digit General Insurance Ltd.

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In case of claim or any other query, please contact our 24-hour

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Call Centre at 1800-258-5956 or email us at hello@godigit.com

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or visit our website www.godigit.com.

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Praveen Bhat
Senior Vice President - Customer Experience
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praveen.bhat@godigit.com
Authorized Signatory
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Printed, Signed, and Executed at Bengaluru

Consolidated Stamp Duty has been paid as per Letter of
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Authorization No.67-B/04/2017-18 Date: 30th May 2017

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issued by Department of Stamps and Registration ,

Bengaluru- 560009 - KARNATAKA.
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Hey,our document is now digitally signed

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Click here to view the certificate.

For instant resolution, you can ping us “Hi”
on WhatsApp at 702 606 1234

Policy No: D107594342

Page No: 2 of 2
Go Digit General Insurance Ltd. Address: Atlantis, 95, 4th B Cross Road, Koramangala Industrial Layout, 5th Block, Bengaluru, Karnataka 560095. IRDAI Reg
No. 158 CIN U66010PN2016PLC167410, GST Reg. No.: 24AACCO4128Q1Z6 HSN: 997134/General Insurance Services, GSTIN Address: Rajkot Business
Centre,Office No 615 to 626, 6th Flr, The City Centre, Old Amrapali Cinema, Raiya Road,Rajkot,Gujarat,PIN-360007