Go Digit General Insurance Ltd.

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

Name SANKALP SURESH NIGUDKAR Vehicle Registration No. MH48AX5069

202 ROYAL APT B/5 NANA NANI PARK,MANVEL POLICYBAZAAR INSURANCE
Address PADA RD VIRAR EAST,VASAI,401305,Mumbai- Partner Name BROKERS PRIVATE LIMITED
400010 Partner Code 1170700
KFZ
Mobile xxxxxxxxx3208 Partner Email customerservice@pbpartners.com
Pass
Email dxxxxxxxxxxxxxxxxx4@gxxxl.com Partner Mobile No. --

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

ve
N

si
FH

en
1 YOUR POLICY DETAILS

eh
Policy No. D147428803 / 15052024 Policy Issue Date 15-May-2024 Invoice Date 15-May-2024

pr
N

m
From 16-May-2024 00:00:01

Co
Period of Policy To 15-May-2025 23:59:59

e
cl
NCB % (Current Policy) 20 % Policy Type Public Carrier

i
eh
Compulsory Deductible 500 Voluntary Deductible --

lV
ia
YOUR VEHICLE DETAILS

c
Vasai

er
Make BAJAJ AUTO Trailer Reg. No. RTO Location

m
MAKL

om
Model/Vehicle Variant RE COMPACT / Petrol Year of Regn. / 2018 / Licensed Seating
(Sub-Type) Manufacturing -- Capacity 4

tC
Engine No. 24YWJK02071 Chassis No. MD2A47AY3JWK13930

i
Cubic Capacity 145 CC

ig
D
Fuel Type Petrol Gross Vehicle Weight 672KG Vehicle Body Type PCV -3W

15
117 Goods Type -- Permit Type Public Carrier Wheels 3

5-
-0
G0

25
Odometer FASTag Number Financier Details
Pe

20
KFZ
YOUR VEHICLE IDV (THE MAXIMUM MONEY YOU CAN GET IN CASE OF A CLAIM)
Prime BrokerMAKL
2
- 16
59
05

Vehicle IDV IDV of Electrical IDV of Non-Electrical CNG/LPG KIT IDV Trailer IDV Body IDV Total IDV
-
24

(`) Accessories (`) Accessories (`) (`) (`) (`) (`)

20

G01 94500 -- -- 20000 -- -- 114500.00

IG
CT

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

PA

10
M

Own Damage Premium (`) 333.55 Basic Third-Party Liability (`) 5833.00
CO

Add-Ons Premium (`) 0.00

PA cover for Owner-Driver (`) 330.00
RE

NCB Discount Amount (`) -66.71

TO

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

U

9
JA

Total OD Total Act

266.84 Premium (`)
JA

(`)
Premium 6213.00
BA

Net Premium [A+B} (`) 6479.84

9

48
06

IGST @ 18% = (`1166.37) 1166.37

X5
A
48

62 Total Premium (`) 7646.21

13
H
M

.0 CSC ID
R

Public
KA

VLE / RAP Name

D
U

VLE / Mobile Number

IG
N

Note: The above total OD premium is inclusive of all applicable loading / discounts viz (automobile association memberships, voluntary excess, anti-theft
SH

handicap person, driver tuition, fiber glass, CNG/ LPG unit, geographical extension, imported vehicle etc., wherever applicable).
RE

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
SU

of “Act only” policy for the Third Party Cover during the remaining period of policy.
In case of an accident to your vehicle, please intimate us immediately for SPOT SURVEY. Failure to intimate in time could prejudice your claim.
LP
KA

N ENDORSEMENT
N
SA

Invoice Number Invoice Date Net Premium Igst Cgst Sgst Utgst Cess Gross Premium

IA133652833 2024-05-15 6479.84 1166.37 0.00 0.00 0.00 0.00 7646.21

MA
K

Policy No: D147428803

Page No: 1 of 3
Go Digit General Insurance Ltd, GST Reg No 07AACCO4128Q1Z2 , PAN No:- AACCO4128Q, HSN: 997134/General Insurance Services, GSTIN Address
:RAJINDER PLACE BUSINESS CENTRE,5th Floor, B Wing, IFCI Tower, 61, Nehru Place,New Delhi,Delhi,PIN-110019. Website : www.godigit.com.
Corporate office Address : Atlantis, 95, 4thB Cross Road, Koramangala Industrial Layout, 5thBlock, Bengaluru, Karnataka, PIN – 560095, IRDAI Reg No. 158,
CIN – U66010PN2016PLC167410
 Go Digit General Insurance Ltd. Schedule/Certificate
Digit Commercial Vehicle Package Policy - Passenger Carrying Vehicle UIN No.: IRDAN158RP0002V01201819

OTHER DETAILS
Previous Insurer Go Digit General Insurance Limited
Previous Policy No. D102599465 Previous Policy Expiry Date 15-May-2024
IMT - Endorsements IMT-21,IMT-23,IMT-25,IMT-40

P
Invoice Number IA133652833

ve
GSTIN/UIN No. State Code 27

si
Unregistered

en
Payment Mode Float Cheque/Transation No

eh
pr
Bank Name IFSC/MICR No --

m
Premium Payment Details Receipt No. RA163394245 Receipt Date

Co
Nominee Details SHRAVANI SANKALP NIGUDKAR .
--

e
cl
Spouse

i
eh
31-Jul-1985

lV
Details of Existing Damages --

c ia
Other details --

er
m
om
Follow these rules like you follow the rules of the road.

i tC
ig
Geographical Area -Any accidental loss damage and/or liability caused sustained or incurred within India shall be covered subject to and

D
Conditions, unless specifically agreed and endorsed. Limitation as to use - The policy covers use of the vehicle only under a permit within the

15
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

5-
does not cover use for Organised racing, Pace Making, Reliability Trials, Speed Testing, Use whilst drawing a trailer except the towing (other

-0
than for reward) of any one disabled Mechanically propelled vehicle (only for Passenger Carrying Vehicle). Person or Class of persons entitled

25
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
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

20
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
16
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
-
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
05

(ii) of the policy: Damage to Third Party Property - `750000 4) P.A. Cover for Owner Driver under Section III (CSI): ` 1500000
-
24

PUC Declaration:The Policy has been issued subject to valid Pollution Under Control (PUC) Certificate disclosed by you as an insured on or
20

before the date of commencement of the Policy . NCB Declaration: The premium has been charged and policy has been issued subject to NCB
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
CT

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
PA

issuance of policy or before the start date of period of insurance whichever is earlier.
M

Important Note: Please inform the Company in case of change on account of addition of CNG/PNG kit.
CO

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
RE

(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
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
TO

per the Motor Tariff.

U

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.
JA

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
JA

particular.
BA

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.
9
06

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
X5

subsequent amendment as applicable. Any violation will forfeit all benefits and coverages under the Policy. The insured is not indemnified if the
A

vehicle is used or driven otherwise than in accordance with this Schedule. This policy is subject to the standard policy wordings, warranties and
48

conditions applicable for this product in addition to Indian Motor Tariff. Any payment made by the Company by reason of wider terms appearing
H

in Certificate in order to comply with the Motor Vehicle Act, 1988 is recoverable from the insured. See the Clause headed (Avoidance Of Certain
M

Terms And Right Of Recovery) in the policy.

R

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
KA

conditions detailed in this policy schedule as well as the policy document sent by Digit shall prevail in case of any dispute.
D
U

For & On Behalf of Go Digit General Insurance Ltd.

IG
N
SH
RE

Wish to go through your detailed policy wordings, click here.

In case of claim or any other query, please contact our 24-hour Praveen Bhat
SU

Call Centre at 1800-258-5956 or email us at hello@godigit.com Senior Vice President - Customer Experience
praveen.bhat@godigit.com
or visit our website Digit Insurance: Car, Bike, Health & Travel
LP

Authorized Signatory
Insurance Online . Printed, Signed, and Executed at Bengaluru
KA

For instant resolution, you can ping us “Hi” on WhatsApp at 702 Consolidated Stamp Duty has been paid as per Letter of
606 1234 Authorization No.67-B/04/2017-18 Date: 30th May 2017
N

For Claims Notification and Procedure click here. issued by Department of Stamps and Registration ,
SA

Bengaluru- 560009 - KARNATAKA.

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: D147428803

Page No: 2 of 3
Go Digit General Insurance Ltd, GST Reg No 07AACCO4128Q1Z2 , PAN No:- AACCO4128Q, HSN: 997134/General Insurance Services, GSTIN Address
:RAJINDER PLACE BUSINESS CENTRE,5th Floor, B Wing, IFCI Tower, 61, Nehru Place,New Delhi,Delhi,PIN-110019. Website : www.godigit.com.
Corporate office Address : Atlantis, 95, 4thB Cross Road, Koramangala Industrial Layout, 5thBlock, Bengaluru, Karnataka, PIN – 560095, IRDAI Reg No. 158,
CIN – U66010PN2016PLC167410
 Go Digit General Insurance Ltd. Schedule/Certificate
Digit Commercial Vehicle Package Policy - Passenger Carrying Vehicle UIN No.: IRDAN158RP0002V01201819

P
ve
si
en
eh
pr
m
Co
e
icl
eh
lV
c ia
er
m
om
tC
i
ig
D
15
5-
-0
25
20
-16
- 05
24
20
CT
PA
M
CO
RE
TO
U
JA
JA
BA
9
06
X5
A
48
H
M
R
KA
D
U
IG
N
SH
RE
SU
LP
KA
N
SA

Policy No: D147428803

Page No: 3 of 3
Go Digit General Insurance Ltd, GST Reg No 07AACCO4128Q1Z2 , PAN No:- AACCO4128Q, HSN: 997134/General Insurance Services, GSTIN Address
:RAJINDER PLACE BUSINESS CENTRE,5th Floor, B Wing, IFCI Tower, 61, Nehru Place,New Delhi,Delhi,PIN-110019. Website : www.godigit.com.
Corporate office Address : Atlantis, 95, 4thB Cross Road, Koramangala Industrial Layout, 5thBlock, Bengaluru, Karnataka, PIN – 560095, IRDAI Reg No. 158,
CIN – U66010PN2016PLC167410