69809247

It's Time to Renew Your (MOTOR - PRIVATE CAR PACKAGE POLICY) Insurance
Intermediary Code : 2001555321940001 Date : 28-01-2024
Intermediary Name : ARUN KUMAR VERMA Customer Id : 102069879570
GSTIN Number :

Dear MR. SOURAV VERMA,

We wish to inform you that your captioned Policy is falling due for renewal on: 25/03/2024
Please pay the renewal amount of *Rs. 14206/- Your Policy
Expires on
25/03/2024
If there is any revision in Motor Third Party (TP) rates, the difference in premium due to the revised rates will be payable by
the policyholder immediately, and if such revised premium is not paid then the motor insurance policy will not be valid.

You can pay your premium in any of the following ways

Visit our website or login to Pulz App Visit our website to find our Nearest Branch

Call us on: 1800-22-4030,1800-200-4030 Epay link shared on your registered mobile number and
Email us: contactus@universalsompo.com email id.
Our customer service team will help you to get answer of your Daily Renewal SMS for 30 days so that you may not miss the
queries. renewal date.
The Premium Payable for the renewal, may be remitted to us before the expiry of this Policy to maintain continuity of your insurance.

The renewal coverage is based on your current claim status, as on 22/01/2024 which may alter in case of any claim lodged on us after this date.

For any changes/ corrections in the policy and/ or to discuss the rates/ terms/ conditions/ coverage before renewing the Policy to know about other products offered
by Universal Sompo General Insurance Co. Ltd, please contact our executive/ your Insurance Agent or our Call Centre.

You may alternatively courier the premium instrument and Renewal Notice duly signed to the following address:
Universal Sompo General Insurance Co. Ltd. (Renewal Section)
Unit No 601/602, A wing, 6th Floor, Reliable Tech Park, Cloud City Campus, Gut No. 31
Thane-Belapur Road, Airoli Navi Mumbai-400708 Maharashtra

Thanking you for placing your trust and confidence in Universal Sompo General Insurance Co. Ltd. and always assuring you of our best attention.

Version No. Version Date

1 22/01/2024

Authorized Signatory
Your Renewal Details
Make and Model HYUNDAI GRAND I 10 SPORTZ 1.2 Manufacturing Year 2017
BSIV
Registration Number UP-14-DK-9122 Engine Number G4LAHM326474
Chassis Number MALA851CLHM597071 CNG/LPG Kit Value 23270/0
Electrical Accessories Value 0 Non-Electrical Accessories Value 0
No Claim Bonus 20% Amount 318938
(Insured Declared Value)
NCB Recovery Amount 0 CPA 1500000
Cover COMPREHENSIVE Car is financed/mortgaged YES BANK LTD
Policy Number 2311/69809247/00/000 Online Policy Number AVO/2311/10514509
Special conditions

Nominee Details of compulsary PA for owner driver

Name SPOUSE Age Relationship Spouse
Add On Covers
COST OF CONSUMABLES Depreciation Plan A

For any correction in above details, Please feel free to write back to us at contactus@universalsompo.com
Scan this QR Code to pay your renewal premium Scan to download USGI Pulz App
Name.........................................................................

Insured Signature.....................................................

Place.........................................................................

My Updated Mobile No.............................................

Toll Free No:1800-22-4030, 1800-200-4030 | www. universalsompo.com Renewal Section:Unit No. 601 & 602, 6th Floor, Reliable Tech Park, Cloud City Campus,
Gut No. 31, Thane-Belapur Road, Airoli, Navi Mumbai 400708 Maharashtra
 2311
Inland Letter Card

To,
MR. SOURAV VERMA
E-70-C-TILAK-NAGAR TILAK-NAGAR
10233 CENTRAL DELHI - 110059
DELHI
Mobile No.8920179936

If undelivered, please return to:

Renewal Section: Unit No. 601 & 602, 6th Floor, Reliable Tech Park, Cloud City Campus, Gut No. 31, Thane-Belapur Road, Airoli, Navi Mumbai - 400 708

24/7 Assistance | For any help please contact: Customer Care 1800224030, 18002004030 | Email: contactus@universalsompo.com

Regd. Office: Ackruti Star, Unit No.103, 1st Floor, MIDC, Gautam Nagar, Andheri (E), Mumbai - 400093, Maharashtra. | CIN# U66010MH2007PLC166770. | Email:
contactus@universalsompo.com. | Insurance is the subject matter of solicitation. | For more details on risk factors, terms and conditions please read policy documents carefully
before concluding a sale. UIN : IRDAN134RP0004V02200708 IRDAI Registration No. 134

Cheque/DD/EFT (Drawn on Universal Sompo General Insurance Co. Ltd) ___________________________________Dated ______________

Drawn on Bank: ______________________________________________________________________________________________________________

For Amount Rs. ____________________________________________________________________________________________________________

My Mobile / Telephone Number is: ___________________________________________ EmailId________________________________________

My PAN Card Number is: _________________________________________________________________________________________________

Points to note:

In the event of a claim being reported, subsequent and prior to current policy expiry date, then the No Claim Bonus (NCB) would be withdrawn.

If the policy is not renewed within 90 days past the policy expiry date, the No Claim Bonus (NCB) would be withdrawn.

Renewal Premium mentioned is inclusive of all taxes and discounts (if any).

You may also send your premium cheque/DD in favour of Universal Sompo General Insurance Company Limited before renewal due date.

Note : This Renewal Notice is issued subject to Third Party Upward premium revision by IRDAI w.e.f. 1st April 2022 which has not been declared as yet;

The revised premium will be notified as per the Final Notification from the Government.