‘se Pooy Scheie - Meer Mscelaneous and Special Type of vehicle - Package win don Paley magber: seve te Business Source 088818 ‘560200812310000068 ‘rte! we fssulng Otice ‘hss ter we Sales Channa! Cos: 9000137312 ‘tre OMCs Code 560200 ‘Name Mr A Kumar Pas National Insurance ‘se wm Ofc Across VISHAKAPATNAM ak ee Conc! Number 9648046705 TRUSTED SINCE 1906 DIVISIOW 1 Tee Fear Signeture Towers, 10-1 531 Sitpram Road ASTLMETTA Usaktepatnam 10003, ‘Customer Care Toll Free Number: State Code: 37, Anata Pradesh 1800 348 0330 “tevtmteuGS TIN I7AARCNDEZERZZ polgtaaiaedlirhlash sustomer.support@nic.co.in stew sefoble Mander 7789503838 [rem m Cuter Name: WS PBL TRANSPORT CORPORATION PVT oy wha Guamer0: 8108409 | PAN: ARGPS AR ‘at Adress: 47-10REONAM PLAZA _OWARAKANAGAR DIST. se Phone VISAKHAPATNAM, ANDHRA PRADESH, eC: VISAKHAPATNAM Distict VISAKHAPATNAM, mua: ANDHRA PRADESH PIN 630018, tn Eel: reddy@ptieanspor.co in ‘ater 9049407477 _fet mur re, of Policy Enectve trom 0000 hous, on 0104/2023 # sat = to midnight of 3082024 ser Prem T4486 | ew Be te Cover NleNunbe and De NA seeencest csani00 | cotter SOSTUTOST sa0100 aeietlast (00) er Wont mtuPropel Nunberand ate 8052909280 16088 Of 2403/2928 secede ea ieest 108 oe me eres {000 ste wun ene RacaptNaneerané Date $8020001221000787 ot. 280872028 are ropnr.99 PO AA we iB Press Poy Eee eerie Number and Expiy Dato “* “ag Fre Vehicle Dota = pT atWeideioy | € sane 90000 | fon Regn. umber | G1688.2000 SE AIV gecrate) ‘eve Mengre ore |Sa54700TDHIT him ieeParzecoor.2 | Reefer seein Cecio WA ‘Regn. Auhriy | Bharuch aaa a aH Geographical Aa uinda ae “erent fPeONGILPG Ut NA Fre nie owe ‘"eaep0p0000 ‘rior Other Torna NA crane nae Cane sails | ‘ah aa oy CC Gow | Cres | ese tevem/typectrut | 2 ne aeéeiieveer a oerent 2 ewe ay Type | Openvetow | tenes Seng caro Soon een Voor is 18 ‘he ats Dateot | 1000 l ws ooo os [Re ster ogg Schodl of Prom veh Own Damage o fer Legal Labi ©, Sa aa eee wien sop te eeLega Unb Cover 720709 Covert of aon werve oan) 700100 Tol 7000 Loge sbi (WT 4) 12000 ‘ster rnPeronsacodet mM Tea! Tait 00 ‘ae ee Ree Vehlee Own Damage Insurance Detalls [Abra SoHo Clam Boruass 25.00 IMT 23 Includes ‘eet ete Compusory Exess 1,5000000 | Ovetring Risk Covered ‘hu fo Third Party neuranc ar IH) & ara Be Hone exe aw 1968 ae oats fH Su Fara Seay ar fas ‘Nationa? Ineurance: Comrzany-Linitety 0 58307, een AD CIN : Ur0z00WB1906G01001713, IRDA Regn. No-58Moor Ascotaneous and Spi Type of vehice Package Se er Oley Hy sews tr Business Source! 058076 1560200312310000086 srt srs lesving Office ‘hex toy se See Chane! Cose: 9000197812 ‘re Scrce Code 862200 sare An Kumar Pak ‘rire er Offce Agarose: VISHAKAPATNAM Ak He Conlct Number: 9640945785 DIVISION Tid Poa, Signature Towers, 10 ‘StSinpuram Reed ASKMETTA, sehhopstnam = nce ances made ‘Customer Care Toll Free Number: ‘ArvomteGSTW s7AnACHOBETEAzZZ 1200 588.0590 merece ‘omail:customer.support@nic.co.in ‘ae te Mie hurber: 7789503650 abit ender section 0) hilo At 1988 ‘eH ay en eon | EZPSPDRON Dew ml @ oS ee # He AHirepctt eee cor ‘mune ioe Cites, Endorsements and WaranosApplaie IMT 21,227.48, tr eLitatons a8 to Use: Use cancion wih he insured of passenger for hit reward, 2) Use wit ong ness, Te Pay dooe not over (1) Ue fo rasig ace making rela ilo spec testing, (2)Use fo the carage eater umber of wars nw than i permite yl row race = ftw Persone or Clase of Persone oni to erve:Any person Inang the insted Provited hat parson ning ol an 1 tre soscert and ie not sues from folsng or ataining such @Icerse, Proved sao that I person holo on oth veel wher nl used fr the ienspor of goods at ihe ne of te acide and Wa such a person salient ‘Snuremens of Ru 8 tha Gon! Motor Veuoes Rules, 1980 The pacy dove nal covery for dost by nso mage a exudos in secon 1502) (a) anh) an) of he Motor Veh Ac. 1888" ‘ee ee re, ana 532) aE 9) IE TR Hy wa we 0 wT Fe Rae wee we I ‘el yemportantNotce: The insured is nt idem he veh used or cian teri than in accordance with ths schedule, Any payment trode ty the sary bythe reason of wider fem appearing inte cericate In ores to comaly wit the Motor Vehise Act 1888 ecaverabe om the MRowed See te caves headed "AVOIDANCE OF CERTAN TERMS AND RIGHT OF RECOVERY” ‘eae Reon not: Fara pols hevng an eftcve date ono alee Api 223, he TP premium subject revion 8 may {eoted by te MDA The Insued snaud cones and submit Stlrence of rams the ply weung oc on uae (of auen nateeaton by IRDA. ‘hw Remraiks: THE FOLLOWING VEHICLE DETAILS HAS BEEN WRONGLY MENTIONED IN THE POLICY AND SHOULD BE READ AS VEHICLE VARIANT: XCMG QAY220 MOBILE CRANE. DATE OF PURCHASE o+c2-2010 ce sf wine st oc Arr re A aOR selene)

VSHAKAPATNAM DIVISION H Tid Floor, Signature Towers, 10-1-31,Srpuram Read ASILMETTA Visakhapatnam ~ 530003 ‘ea aits/State Code : 37 tia a =TH/State Name : Andhra Pradesh ‘StrqwétangU4/GSTIN : 37AAACN9967E4ZZ ‘Gv em/Contact Number n Receipt ‘wii W./Receipt No: ‘GHB. (ake BIE B) /Scroll No(iF any) '560200812210004797 ‘whe i FARR a a/ Receipt Date & Time ‘aie FAFA Cale aE eH) /Scroll Datel if any) 28/03/2023. 15:42 hours aft M/S PBL TRANSPORT CORPORATION PVT LTD & Seve ea Rs. 76,057.00 Prafetfite eats & anger emuere afte ora gam Received with thanks from M/S P B L TRANSPORT CORPORATION PVT LTD a sum of Rs. 76,057.00 (Rupees Seventy Six ‘Thousand Fifly Seven Only ) by way of EFT/UPU/Bharat QR Code towards the following transactions. ‘grat faeR/Paymode Details fyrers its ear =TH/Paymode Name : EFT/UPI/Bharat QR Code iwee &./Ref NO: ‘den! fAFA/Ref Date : 27/03/2023 loseaz62374 jam ant ame (aft at @)/Bank Name(if any) ‘ta aren Cafe aig @)/Bank Branchiif any) Viste Bank ot neta : SBI-Visakhapatnam ~ Akkayyapaler | Rr fee gate ‘ara. att as eae a eet a Dept PolicyEudorsement__ | Biz Source Code| Class of Business/Narvation aft ey wo et | wt ten Rava Stay tan Perea ‘Amount Rs. BL | vear umber Sales Channel ‘Account Deseriptton [51 [2028 |sso200stzsto00006s —_ossoi6 Motor Miscellancous and Special a s000137312 _frype ot vehicle . Direct Premium 64,455.00 ‘cast 401.00 sosr 5,801.00 - 16,057.00) ®. {¥. /For National Insurance Co. Ltd, ‘BesFa/Cashier ;