BAJAJ ALLIANZ GENERAL INSURANCE COMPANY LIMITED (Campane enn Compu a EERE sn Heatry a Demon Aunty of Regd. Office: GE iss, erat Pune-t11006(ndia) - iid whan amrateanneonicy scum oly avuing | SCO-HT, ez Gand Wa, Laan TOOT POST 1SUTOOSOTOTES oitce INSURED DETAILS POLICY DETAILS. Tnsured Name ~[AVIARSNGH ley Number [0617-120 1802 000108 SoS SD “AR SINGH, #135-4 ‘l Insured (ODEL TOWNEXINLOCK-A. Lup) | Polley¥ssued | 29 n4an.2017 11:07 AM MANA. LUDMENA PONIAB TAGE] |_on Address t ; —— peiohar [Rem i9MAR 2017 15:10) Sener plot [Tos 1B MARZOIS Midagi GasiomerTD | rpsapn Cover Note | DYISOS26SOUTEMAR2OT7 Deals [1539 Tank Relea Feber 1 Not Paley No Registration Number] Place of Regstrauon | EapineNumber | Chass Number PMS¥*& MO] susrype TERO rarocsexe | LUDHIANA oxrasa ois | HONDA. [pruwsezs| cuaNou NCB% | CO | SeangCapacry | FOF OFM ypothecaton Duals | 7 7 = 3 Nouelecral | HetrcalEee Wala aF ONG] Vehicle IDV Value For Side Car ‘aaandle ices — ct Total Value 20 a 7 2080 a Damage Prem) Tey —— am Damage Fenn 60 Bas Ta Py iy 5 oul om PR Cover for Oe Dave 3 eal OD Retin = 360[ foal Re Penton 8 383 (Total Premium (Net Premium) (A+B) 1023) Seve Tax oH Sac ar Oa 3 [Rashi Ratyan Coss BR Fal rts (Rapes One Toma One HORST | TTBS ighty Three Only ) ‘Tice The above Teal OD Prem i inclove ofall aplicsble Loading [Discounts vie (Awtomotle sxroiton memberstip, Volury ces, Ans Thef, Handicap Person, Dever Tution, Fiber Glas, CNGILPG Ur, Geographical Exension, Imported Veblla Ee wherever Aplicable) Agency Code ]55555559 ‘Contact No. _|9730079444/0 Agency Name~ |BAJAJ ALLIANZ FINANCIAL DISTRIBUTORS LTD- E-Mail ID. Fetal ttn Comat ae Cal Cure 8025808280, 180228, Tal Fr SBN haga ae caf mie cafe cll aac ‘mason Vou Wee tjeeasee