This Document is Digitally Signed

The Oriental Insurance Company Limited

Signer: SUNITAGUPTA
Date: Tue, Feb 13, 2024 15:56:15 IST
Location: NOIDA
Reason: Signing Policy for OICL
MOTOR INSURANCE CERTIFICATE CUM POLICY SCHEDULE
POS-MOTORISED TWO WHEELERS-(5 Years) BUNDLED POLICY - ZONE A
UIN:IRDAN556RP0004V01201819
Road Side Assistance included in this policy - Toll free No. 8447642311 *Conditions Apply
Policy No : 272300/31/2024/25036 Prev Policy No : -

Cover Note No : - Cover Note Dt :

Insured's Code : 178663875 Issue Office Code : 272300
Insured's Name : MR KARAN MALIYA (GSTIN: ) Issue Office Name : BO CONNAUGHT PLACE DELHI (GSTIN:
07AAACT0627R1Z1)
Address : SHIV VIHAR E 57 E BLOCK J J COLONY Address : K-37, CONNAUGHT CIRCUS,
West Delhi
NEW DELHI-1

DELHI DELHI 110059 NEW DELHI DELHI 110001

Tel /Fax /Email : / / 9971209445 / karan0101@gmail.com Tel /Fax /Email : 01123418242 / 011-23413527 /
272300@orientalinsurance.co.in
Lead/Breakin No : /
POSP/Broker Details
Dev.Off.Code : LC0000000170 M/S LANDMARK INSURANCE BROKERS PVT LTD
Broker PS0000036213 Seema Rajender

POSP :
Address : DELHI,DELHI,DELHI,110081
Tel /Fax /Email : 9818826775//vkrmshrm483@gmail.com
Policy Period FROM 15:57 ON 13/02/2024 TO MIDNIGHT OF 12/02/2025
(OWN DAMAGE):
Policy Period FROM 15:57 ON 13/02/2024 TO MIDNIGHT OF 12/02/2029
(LIABILITY) :
Compulsory PA : FROM 15:57 ON 13/02/2024 TO MIDNIGHT OF 12/02/2025

Collection No & Dt : CC 2321027427 - 13/02/2024 GST INVOICE NO :0722439614545 UIN :0

Gross Premium : 9,063 GST : 1,632 Stamp Duty : 1 Total : 10,695

Geographical Area : IND Area Extension :

Particulars of Insured Vehicle:

Registration Mark Engine No. & Year Of Type Of Body Seating Cubic
& Place Chassis No. Manufacture Capacity (inclu Capacity
Make - Model Type Of Fuel

NEW J3A5FAR2008091 ROYAL ENFIELD-BULLET 350 2024 SOLO 1+1 350

- STANDARD BLACK MAROON
ME3J3B5FAR2016 PETROL
623

Limitations as to use:
The Policy covers use only under a permit within the 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.

Limit of Liability:Under Section II-I(i) in respect of any one accident: as per Motor Vehicles Act, 1988.
Under Section II-I(ii) in respect of any one claim or series of claims arising out of one event is Rs. 6000
P.A. Cover under Section III for Registered Owner Cum Driver (CSI) : Rs. 1500000
*This insurance excludes all pre-existing damages

Insured's Declared Value

Non Electrical Electrical

For the Vehicle For the Side Car Accessories Accessories Value of LPG/CNG Total Value

1,87,200 0 0 0 0 1,87,200

Place : NEW DELHI

Date : 13/02/2024
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 This Document is Digitally Signed

The Oriental Insurance Company Limited

Signer: SUNITAGUPTA
Date: Tue, Feb 13, 2024 15:56:15 IST
Location: NOIDA
Reason: Signing Policy for OICL
Attached to and forming part of policy number 272300/31/2024/25036

SCHEDULE OF PREMIUM

A. OWN DAMAGE B. LIABILITY

BASIC OD COVER 3,356.50 BASIC TP COVER 7,365.00

MOTOR OD BASIC - NEW 3,356.50 LESS :TPPD COVER-GR39A 250.00
LESS :Discount 2,518.00 BASIC TP TOTAL 7,115.00
BASIC OD TOTAL 3,356.50 ADD :PA FOR OWNER DRIVER-GR36A 360.00
ADD :ADD-ON COVER NIL DEPRECIATION 749.00 TP TOTAL 7,475.00
POLICY
OD TOTAL 839.00 TOTAL PREMIUM 9,063.00
MOTOR TOTAL OD 1,588.00 ADD :CGST 816.00
ADD :SGST 816.00
STAMP DUTY 1.00
TOTAL AMOUNT 10,695.00

Deductibles under Section-I : COMPULSORY DEDUCTIBLE Rs.100

Subject to IMT Endorsement Printed herein/attached to : IMT-22 , IMT-20

Details of IMT Endorsements are also available on the Company¿s Web Portal www.orientalinsurance.org.in

Hypothecation Agreement with: - L&T FINANCE LTD, DELHI, DELHI, DELHI, Pin Code - 110059

Hire Purchase/Lessor Agreement with: -

In the event of a claim under the policy exceeding Rs.1lac or a claim for refund of premium exceeding Rs1lac,the insured will comply with
the provisions of the AML policy of the Company.The AML policy is available in all our operating Offices as well as company's website.
The insurance under this policy is subject to conditions, clauses, warranties, exclusions, IMTs and OIC endorsements mentioned
herein above which are available on Company's website: www.orientalinsurance.org.in or on demand from the policy issuing office
Warranted that in case of dishonour of premium cheque(s) the Company shall not be liable under the policy and the policy shall be void
abinitio (from inception).
Claim is not admissible if Driving Licence is found fake or is not valid whether or not in the knowledge of the insured.
I/We hereby certify that the policy to which the certificate relates as well as this certificate of insurance are issued in accordance with the
provision of Chapter X and Chapter XI of Motor Vehicles Act, 1988.
In witness whereof the undersigned being authorised by and on behalf of the company has/have herein to set his/their hands at NEW DELHI
on 13-FEB-24
IMPORTANT NOTICE
The Insured is not Indemnified if the vehicle is used or driven otherwise than in accordance with this Schedule. Any payment
made by the Company by reason of wider terms appearing in the Certificate in order to comply with the MVAct, 1988 is
recoverable from the Insured. See the Clause headed "AVOIDANCE OF CERTAIN TERMS AND RIGHTS OF RECOVERY".

Entered By : PS0000036213

Policy Printed By : OICL Digitally Signed

By
Policy Printed On : 13-FEB-24 15:57:49
Authorised Signatory

This is an electronically generated document (Policy Schedule). The Policy document duly stamped will be sent by post.
In case of any query regarding the Policy please call Toll Free No. 1800 11 8485 and 011 33208485.
CIN: U66010DL1947GOI007158 All the Amounts mentioned in this policy are in Indian Rupees
IRDA Regn. No. 556 - Now you can buy and renew selected policies online at www.orientalinsurance.org.in and through other digital
platforms including Whatsapp (Send "Hi" to 9560711200)

Place : NEW DELHI

Date : 13/02/2024
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