Ref.

No…………………………… Date: 02nd November 2022

TO WHOM SOEVER IT MAY CONCERN

This is to certified that Sh. Manvinder Singh S/o Darshan Singh resident of
Vill: B adala, PO: Salala, Distt. Jalandhar, Punjab.

The above said member is policy holder of our organization i.e Royal
Sundaram General Insurance in respect of his vehicle Registration Number
PB08 DA 9244, Make TATA INDOGO, Engine Number GPCA414457 and
Chassis Number MA1XX2SDFK2A1022414, Vehicle Class LMV.

The Policy Number is being issued to the said policy holder as follows:
Policy Number Valid upto
0187014551141552 02 November 2017
th

0187014551244001 02th November 2019

0187014551355417 02th November 2021
0187014551455845 02th November 2022

Apart from that, we hereby certify that the said member had not availed any
claim under this insurance policy.

This certificate is being issued to him on his request.

Thanking you,
For Royal Sundaram General Insurance Limited

Authorized Signatory

# 37/2B, Singasandra, Near Kaveri School, Hosur Main Road, Bangalore 560068.
Mob :9632177070, Web : www.royalsundaram.in E-mail: avinash.bcom@gmail.com