Great Choice!

Your Insurance Advisor is our

10 Preferred Partner part of ‘Silver Club FY22-23’

Go Digit General Insurance Ltd. Schedule/Certificate

Digit Commercial Vehicle Package Policy - Passenger Carrying Vehicle UIN No.: IRDAN158RP0002V01201819

OEM Name MANU RAM Vehicle Registration No. UP16ET1987

Inbuil B- 4/12, FIRST FLOOR, SEC- 71 , NOIDA,G.B. NAGAR, Partner Name KISHAN KUMAR
t AC Address
U.P., -999999,Noida-201301 Partner Code 1043974
KFZ Mobile xxxxxxxxx1707 Partner Email rajeshprasad82@gmail.com
Pass Email rxxxxxx5@gxxxl.com Partner Mobile No. 9899396332
PAN (POSP) DOCPK4577M

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

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YOUR POLICY DETAILS
N Policy No. D089110692 / 28122022 Policy Issue Date 28-Dec-2022 Invoice Date 28-Dec-2022
From 03-Jan-2023 00:00:01
Period of Policy To 02-Jan-2024 23:59:59
DOC NCB % (Current Policy) 20 % Policy Type Public Carrier

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Compulsory Deductible 500 Voluntary Deductible

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YOUR VEHICLE DETAILS

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POSP Make MARUTI Trailer Reg. No. RTO Location

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Noida,UTTAR PRADESH

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Model/Vehicle Variant WAGON R/LXi CNG SE Year of Regn. / Licensed Seating

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2017 / -- 5
(Sub-Type) Manufacturing Capacity

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Engine No. K10BN7828941 Chassis No. MA3EWDE1S00B49722 Cubic Capacity 998 CC

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Fuel Type CNG Gross Vehicle Weight 960KG Vehicle Body Type OEM Inbuilt AC

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Goods Type -- Permit Type Public Carrier Wheels 4

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LXi Odometer FASTag Number NA Financier Details AU FIN INDIA LTD

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FASTag NUMBER DECLARATION
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KFZ
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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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YOUR VEHICLE IDV (THE MAXIMUM MONEY YOU CAN GET IN CASE OF A CLAIM)
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Vehicle IDV IDV of Electrical IDV of Non-Electrical CNG/LPG KIT IDV Trailer IDV Body IDV Total IDV
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19 (`) Accessories (`) Accessories (`) (`) (`) (`) (`)

-0
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200000 -- -- 0 -- -- 200000.00
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ADD-ONS (THE EXTRA COVERAGE FOR YOUR VEHICLE)

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3

Add Name Other details

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01

OWN DAMAGE PREMIUM [A] (`) LIABILITY PREMIUM [B] (`)

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Own Damage Premium (`) 2010.24 Basic Third-Party Liability (`) 10748.00
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Add-Ons Premium (`) 0.00

PA cover for Owner-Driver (`) 330.00
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28 NCB Discount Amount (`) -402.05

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Legal Liability to Paid (`) Driver (Persons:1) 50.00

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11 Total OD Total Act

12 (`) 1608.19 Premium (`) 11128.00
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Premium
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Net Premium [A+B} (`) 12736.19

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Public
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IGST @ 18% = (`2292.51) 2292.51

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Total Premium 15028.70

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(`)
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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
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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N ENDORSEMENT
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Invoice Number Invoice Date Net Premium Igst Cgst Sgst Utgst Cess Gross Premium

IA083494228 2022-12-28 12736.19 2292.51 0.00 0.00 0.00 0.00 15028.70

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Policy No: D089110692

Page No: 1 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.: 07AACCO4128Q1Z2 HSN: 997134/General Insurance Services, GSTIN Address: NEHRU PLACE
BUSINESS CENTRE,5th Floor, B Wing, IFCI Tower, 61, Nehru Place,New Delhi,Delhi,PIN-110019
 Great Choice! Your Insurance Advisor is our
10 Preferred Partner part of ‘Silver Club FY22-23’

Go Digit General Insurance Ltd. Schedule/Certificate

Digit Commercial Vehicle Package Policy - Passenger Carrying Vehicle UIN No.: IRDAN158RP0002V01201819

OTHER DETAILS
Previous Insurer Reliance General Insurance Co. Ltd.
Previous Policy No. 991792123380011465 Previous Policy Expiry Date 02-Jan-2023
IMT - Endorsements IMT-22,IMT-40,IMT-7

Invoice Number IA083494228

GSTIN/UIN No. Unregistered State Code 9

Payment Mode Float Cheque/Transation No
Bank Name IFSC/MICR No --
Premium Payment Details Receipt No. RA091146881 Receipt Date
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 - The policy covers use of the vehicle only under a permit within the

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meaning of the Motor Vehicles Act 1988 or such a carriage falling under sub-section (3) of Section 66 of the Motor Vehicles Act, 1988. The policy

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does not cover use for Organised racing, Pace Making, Reliability Trials, Speed Testing, Use whilst drawing a trailer except the towing (other

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than for reward) of any one disabled Mechanically propelled vehicle (only for Passenger Carrying Vehicle). Person or Class of persons entitled

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to drive - Any person including the insured 1) Provided that a person driving holds a valid & effective driving license at the time of the accident

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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

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also drive the vehicle and that such a person satisfies the requirements of Rule 3 of the Central Motor Vehicles Rules, 1989 and any subsequent

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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
(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
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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.

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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
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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-
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
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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
in Certificate in order to comply with the Motor Vehicle Act, 1988 is recoverable from the insured. See the Clause headed (Avoidance Of Certain
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Terms And Right Of Recovery) in the policy.

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
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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
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Authorized Signatory
Printed, Signed, and Executed at Bengaluru
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Consolidated Stamp Duty has been paid as per Letter of

Authorization No.67-B/04/2017-18 Date: 30th May 2017
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issued by Department of Stamps and Registration ,

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Bengaluru- 560009 - KARNATAKA.

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Hey,our document is now digitally signed

Click here to view the certificate.
For instant resolution, you can ping us “Hi”
on WhatsApp at 702 606 1234

Policy No: D089110692

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.: 07AACCO4128Q1Z2 HSN: 997134/General Insurance Services, GSTIN Address: NEHRU PLACE
BUSINESS CENTRE,5th Floor, B Wing, IFCI Tower, 61, Nehru Place,New Delhi,Delhi,PIN-110019