Nissan Renault Financial Services India Pvt. Ltd.

MR. SHARANABASAPPA BHl!EM

PATIEPUR KEMBHAVl,YADGIR. KARNATAKA,
YADGIR , KARNATAKA-585216

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We thank you for purchasing your online policy from our portal.

Your Vehicle Insurance Policy number P00U200001/4111/503847 through your preferred Insurance Partner Magma HDI
General Insurance Company LTD has been successfully generated and it is attachedfor your reference.
.. In case ofany queries or assistance, please call us on our Helpline No 044-6175 4860 or write to us at
c11stomenervice.ins11rance@nrfsi.com

We thank you for choosing NRFSI and take pride in having you as our customer.

Assuring you ofour best services at all times.

Warm Regards,
Team Nissan Renault Financial Services India (P) Ltd.

Dladalmer.
Plnuant to sec 54VB olthe /nsunJnQJAct 1938, your policy will only be trr.ctivo a/ftrll!e '""""'""' n,ce/ved the pram/um for the policy In dHt9d funds
.,_J_n cao oldilhonor ol the premium ct,-que , your policy Is eulomal/caly cancelled ab lnitio ( I.e. from the beglnnk,g)
For i.r,.i ;,,.p,lllalion , Enga/1....,., d pnwel . The eltached cerli/;ca/e cum achedule is to be read with the policy WMl/ngs terms and conditions QOwm/ng the
- , wllkh can b e - f r o m the lnwnK's M>b lli11:www.magmehdl.com
Neb: This/s.,, _ _ _ .,,,,,,_,,,,.._Do no/,wply to this.,..,,,
TIiis .mail end eny Illes transmitted with n are for the IOle use of lhe intended recip/ent(s} end may cootefn coolidenllel end privi/Bf18d informeUon. Nyou .,. no1 the
inlended f80pOtll. pieese dellroy ell copies end lhe orlglnet messege. Any unauthorized r&lliew, use, disclosure, dissemineUon, fOIW8rding, printing o, copying of this
eme/1 o, eny ectlon taken In re/lence on I/Iii IHnlJil is llncl/y pmhlblted end mey be udewftJI.

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Nissan Renault Financial Services India Pvt. Ltd
IRDA License No. CA0604; Category of License : Corporate Agent
(Composite)

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MAGMA HDI General Insurance Co.Ltd.
GMAGMAHDI Private Car Pollty •Buadlod • 3 yt■r Ad Oaly and I yt■r Ow■ D•••c• CUM RECEIPT
IRDANl49RPO OOJVOl2018l 9
IRDAI Recutratloa No. 149
VIN:

General Insurance Company Ltd (FORM SI OF TIii! CENTRAL MOTOR Vl!IIICLI! RULES. 1989)
Stntd■& Offkt tfl■su,.r: ◄th floor. SlllVey No. IWJ. Plot No. 16, Trecber71Colo
ny. ClUIUNANAJC.
ROAD PATAMATA Kri1hn> Andh,- Pnd<>h 520003 KRISHNA ANDHRA PRADESH-5200
03 S..., Codo-37

I
PAN: AAOCMl685C ! GSTIN: )7AAOCMl 68SCIZI CIN NO: U66000WB2009 PLCIJ6327
hlky No. A Polley 1....i 0. P0024200002/◄ 111 /S038◄7 , 07 Jun 2023 S:36PM Proposal Nt. I, Dalo PDOPRODIOI 509◄2, 07 Jw, 2023
lmal'NIN- MR. SHARANABASAPPA BHl!l!M Porlod of On Da••P 07 Jun 2023 5:36PM to 06 Jw, 2024 11:59PM (Midoipl)
Cenr
Ptriad tf Uablllty Co... : 07-Jun.2023 lo 06-Jun-2026 (Midnight) rtrlod of Coapellory
07 Jun 2023 5:36PM to 06 Jm 2026 I l:S9PM(Mi<nslll))Yrs.
PA. Conr
lmaffllAdd. PATTEPUR KEMBHAVl,YADOIR. KARNATAJC.A, rr,vlous Ow• Daaac•
YADOIR KARNATAJC.A-S8S216 NA
Pollcv No.
rrrv1oia o-n Da•qe NA
ln111ttr
Nollllatt Name BHAOYASHREE Aet 23 Rd.- SPOUSE
~

Make Moclol Cable Capadty/GVW

Varlaal Stalla&capdy
NISSAN MAONrra TURBO MT XV PREMIUM 999 s
Vnlclcl')'po Vtbk:le Sub Cius Carrier Type Feell'ype Eapae No. ~Nt./VIN
PRIVATE STATION WAOON Petrol 06◄766C MDHFBADDOP4093012
Muof-rla& Year RTO RepolnllH Nt. RqblnllH Dale CNG/LPCKII
202) YADOIR New 07 Jun2023 0
VebldtlDV No■-1:ltc. A t t , _ IDV Eitt.A..-I DV Ttlal IDV
923◄00 0 0 923,400.00
S<,hedule of Premium (Amount In Rs.)
OnDaiiaceP rellllui(A)" ""~~ •..-.:;;i,.'l,,-:{.·: ·:a.
· ··" .. ·-·• f:
BultPffllliaa
Ded■ctlbla
Vehicle 9,823 Volunury Deductibles (0) (1MT-22A) 0
Non-Elec. Accenories
0 Anti Theft Device (IMT-10) 0
Elec. ACCOIIOries (IMT-24)
0 AA Membership (IMT-8) 0
CNG/LPG Kit (1MT • 25)
0 No Claim Bonus (O'/o) 0
Sab Total (Buie Pftmlam) 9,123 Handicap Discounl(IMT-12) 0
Gc:oerapbical Ara Extawcn (!MT-I)
lamp.Tyre Mudguards (!MT - 23)
0 Sub Tolal (Dtd■ctlbles)
0
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Add On (Coosumables.Engine Protection.z.,n,
n.nreciation \ 6925
Sub Tolal-Addllloo 16,741 Ntl Owo Damac• Premium (A) 16,7..
LlabW,., l'remlliii (B).1;"r< • ""'' i.i" ., ', ., ~ . . <~·-. ~ --~,fo .,,.... --~ '.A~~• . ~.·.:! -~•'; ,, _, . ..
_
·-·•- .. -.-,
U!uic Thin! Party Liability (including TPPD) 6,521 PA Cover (100000 per penon) for Driver(() (IMT-17) ISO
Third Party Liability For Bi-Fuel Kil 0 PA Cover (100000 Per Pcnoa) for OUnnamed Penom(IMT-16)
Lcpl liability to llriv«(l) (IMT-28) 0
ISO Third Party Liability Clcographical Ara Extensioa 0
PA Cov« For Owner Driver (IMT-15) 97S Nd LbbWty hemlua, (B) 779'
Tolal Prrml■m (A+B) :W,5«
I I IGSTlll.00%\
I I ◄◄II
I Cross l'rtmlam Paid I 211,962
Netc:: Lhlty 111a11aer illNjcd .. ruli&adNI •I c:Mq■elUTR NO 2.Contolidl!cd atamp
duty pakt to llale achcqua'l.Thepo licy issubjctt lOcompulsory diccb:tible oCRs.1000
•Sub"tt:t torMTc-. NosA Mcmonndum:.17 '2"11 7 $. :" _n i11ion" um1bi.-r. En• inc Ptnlcction (IMT•ll) 4. GooanpucaJ A.rt»-lndil
Fl■■■clcr Delalls: NISSAN RENAULT nNANCIAL SERVICES INDIA
PVT. LTD. (NRl'SI), T NACAR· CHl:NNAI
Pa)'IH9C Mede: Online Paymcnl Addoa Cffff(1) : 1.- If opted, tM beadltl ud t:1d■doD1 appUcablt
u per lu■nare compa■y'• rala & rqulllttons.
LtmJladouul aue: 1kP0Hcy.....,_ of,._vd>lclefo r,.y.,.._odlerlh oA~)llln,orhw
Rd iabilicyTNkJ) Aay,-pmein ~wilh Molor"Trade.
wdbJCuriq,,o f...,.t,(odlerlb ooamptaor,... ...i'-)•)O,poa, odrxmad)hoo --...c~"""'&
Driver's aaue: Jurypcnoa ncludiaa 1k Jomrcd: Provided lbal a pawia driviacboklt • valid driviat
lic:CDIC
~"I• valid lcama"I Ucealc 1n1y~ lhe whic:lcand &NI tueha pcnon a&isries lhe ftqlliremenu ofRulcl It 1hc time of the accidcnl and i, DOC dilqualiticd from hoLdia1 of llUQ a licmR. Provided tba1 die pcnoa
ofdlc: u::fthl MOIOl'Vc:hicks Rwe&,1919
Um1t1 el lJaMMy Clalllie: Ulllk:rSa:tioa moflbcpolicy• PA covu forowncr«ivcrCSI IS00000.0/. (•) Under
~o(6c-Vd oldcAd, 1911. (b) U.S..Sodioo DCIXi~oflllc hlicy-Oolm&c to propc,tyodler lhoo Scc:ticm n (l)(i)ofthc Poticy--Ocamoforbodily injmy to-, pcnoe, to &r • it a. accc:...y to meet dtc
~jf,c,d.(T1PD 1 - -• 7.S0,000'.).
propc,ty bdoeaiot to lhc .......torbcld in INll or in lllcCUIIOdy oleoollol ollhc .......t up IO lhc limill
,-,rlna■tt Oaut: F a r ~ olany quay« s,irvmce. lftlWCd r-
may contact the rapcctive blwh office ofdlCcornipMyormay cell ll(IIOO 266 320'l)of may write ,n
_ ,.._ilaoc.ul icd,ri611oc -ofllocoffi c,c,.......t-, ...-dicGricv uoccOfficc email a(CUlloilkiicac@ s:;•1_.hdi.co.i:n). ta
) ffico, llcnbcoay, Mjo,,IO.... ..i;,.isdictio o..,..,,....llo c1-~ lordicr,dmal olsri-. rof,..C_,iy ll(~i.co.ia) .lndicnaitor- lUlacto,y,_6 -11,cGnnucc
~ 1eolGmcn.1 hml'mcc Comc:il:www.pcouDCil.in oroa lbe ~ nbsitc :www.mapahdi.c:o
llmillofl-~ offiea111:o vailoblc IIIRDA W<bsi1':www.iola.p,v.io , or•dic
m.
in,,policy/...W O.-.,-dda ikd..._..,.i ;,;,.-s...... _..,,_..,.,.. _,.,oww~c
om.
l•portulNtllc e: n......i ioaoc iadmloilicd. illbevdlicle il,-lordrivat-. ...dumio...,.,. ..,..widllhil
oenifalc in order ID c:omplywidl dw: Mot0rVdlide Act, 1911 itrecoverab~ from the iftM'Cld. Soc 1ht Schedule. M'f _.....,bydi c ~ b y , _ . , ol,ridc,....,..... ....,.indic
clt111e headed ..AVOIDANCE OF CERTAIN TERMS AND RIOKT OP RECOVERr'. For 1cp1 intcrprdltion.
Enalioh v<nioa will bold pd.
N'amatcd .._ die imuftd mmcdltcnill/owm:.-oflbc ....ck lloldl: • ftlid Poltuuoa Ullda'c.ontrol
(PUC) Ccrtifical,c ancllorvalid flltal ccrt.ifteate. u ,pplicable. on the dale of coauncnccmcNoflbc Policy
o rmn, md ..-in• nlid ad cffmivc PUC a/o, fitncM Cati6calt. • applicable. duriq lbe subtillmcc ...S IIDdalakct
U..PUCorr-.ca of the Policy. funber, dw: Company relCl'\"Ct the riaht \o l:lke tpprOp'in: ICb01I in cue of u,y dilcrc:pMcy
lil'ialc. ia
~AST■1: 0owrNncntolladit ... ~declrollclOllp aymon&,aalftlF ASTqlOrcduce
vdlicaw1nrr-.,tlO
~,_.o(W.lo aooa•Tolll 'l,mor-'-"-· "'-riulbap1 -_-..ora/lor dotoilo. llpluaa.C\IIComcnarctdviMd\ocomplywilhlhedirul.ioft o rlhepmwncn1a ndldlltcirFAST •
~arnaty Sia-I : -.........-oe11 1c...,.... ro.11111..-... bcinacaladotod • • ,...,... proporlloo
~lbpolicylilo lN,-lorapcri odoflwdvc-- .lailiaawloid ldwdifTCffl lCC_dw.,,_.. oflhc """"'1 pcani..., i1 i, bcrd,y dec:""4aad •peed by Ibo iotulod..., -capiry ofllm
,pnml.. _pudoopro-bu ilad,..pnmuna lhortpcriod-lM llbocomopa)'l bl,bylho
.,_,._ea,;__ •
~... i.a.i.,,..,,;ry NI..,_ hlicy wdl • lhio Ccmflcmc of I - ue i.ued moccordu,cc wilh 11w provi...,. ofCllapu,- X...t °"""'Xl ort,._Vclucle
Ad, 1911
IHSN/SAC : 99713◄ I Dacrlpllo■ of s...tco: Motor vehicle Insur.nee IPlact of Supply : KARNATAKA(State Code : 29\ Invoice Number : POL29062◄0002320
Wehmoy driclaft ._ "'°'ICh our . . . . . bnOWr in-,~ rlnlllcial yar from 2017•11 onwWI
in rmnsoflhe-..:hOflJ,.rrhe 11id sub-ni~ ii fflOfe than the ,arrp1e tumovcrnotiftff undeir' Dnile (4)ofNM 41. wt aro not rcqvircd to prcparc•
avoice
I
Cotpora,, Aga,I : Nill■■ -■ull Fluadal Scrvlca l■dla Seu QR Code lo >lcw lbe pt11cy
...... Lid. For I, O■ lleblf or MAGMA HDI Ctntral lu■ruct
Addras: VBC Solitairo, 5th Floor. ◄7 & ◄9 BazuUal, Road, T. Co.Lid
Napr. Cbeonai • 600017 Cotpora,, Apl (Compooik).
fRDAI Llcauc oo. :CA0604 (Valid Till : 21-10-2024)
MISP Name : VIBRANT CARS PRIVATE LIMITl!D
160-D PATNY NAOAR S. P. ROAD, HYDERABAD,
TEIANOANA
.
ho : AABCFSS89R
DP Na•: CHIRRA RAJANNA DP Code :
DPDNRSEIA2381 ◄
~"", .JL \ ~
FOR RENl:WAL/ CLAIMS ASSISTANCI: . , . _ _ . I...Co.A Dealer 160-D PATNY NAOAR S. P. ROAD , SECUNORABAD, TELANOANA- SOOOOJ
Coo11C1 No. , 9666999.146

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