C Lombar 1CICI Lombard General

Bundled-Two whecler Policy

Insurance Co. Ltd.
ICICILombard-GENE RAL LNSU RANCE
Policy No (FORM S1 OF THE CENTRAL MOTOR
3005/RF-15329844/00/000 VEHICLERULES, 1989) UIN: IRDAN115RPO007VO1201819
Poliey Issued On 22 May 2020 5:55PM Proposal No. & Date P9447243, 22 May 2020
Period of Linbility Cover Period of
22 May 2020 5:55PM to 21
May 2025 Own Damage Cover 22 May 2020 5:55PM to 21
May 2021 11:59PM(Midnight) 1 Year
5 Years 11:59PM(Midnight) Period of
Compulsory PA 22 May 2020 5:55PM
nsured Name MR. ARVIND Cover to 21 May 2021 11:59PM(Midnight) 1 Year
Insured Add HOUSE NUMBER 66 VPO
Previous Policy No. NA
PANJ KOSI TEHSIL Previous Insurer
ABOHARPANJKOSHI, FAZILKA, PUNJAB-152128
GSTIN NNA
NA
Nominee Name
JEET RAM
Servicing Oice of Insurer Third Flor, Kannankeri Estate,
Age S Relntion FATHER
PAN: NG
Shanmugham Road, Cochin Kerala 682031, COCHIN, KERALA-682031 State Code-32
Makë GSTIN:
Royal Enfield Motors Inda Mode Variant Cubic Capacity 32AAACI7904G1ZW
Ltd. CLASSIC 350-CLASSIC 350 EFT SIGNALS Manufncturing Year Seating capacity
5ody 1yPe Registration No. 3S0 2020
BIKE RTO ypothecation/Lense
KOLLAM Fuel Type Chassish
Vchide DV Elec. AccessoriCS N o PETROL
170,304 Non-Elec. Accessories CNG/LPG Kit ME3U3S5F2LB887788
0 Total ID EngineNo,
n Damage Premium (A) Schedule of Premium (Amount in Rs. I70,304 U3SSFILBS023711
Basic Premium
Amount (Rs. Discounts
Vehicle Amount (Rs.
Non-Elec. Accessoric 1,350 Voluntary Deductibles (0) (IMT-22A)
Elec. Accessories (INM-24) 0 Anti Theft Device (IMT-10)
Sub Total(Basic Prenmium. AAMembership (IMT-8)
IMT 33 1,350 No Claim Bonus (0o)
Add On OSubTotal (Discounts)
Geographical Area ExtensIon (IMI)
Sub Total-Addition
a bility Premum (8) 1,350| Net Own Damage Premium (A)_
Basic Ihird Party Laability (tncluding TPPD)
Gcographical Areas Extention 5,453 PA Cover For Owner Driver Of Rs. 1500,000
O PA For Paid Driver
PA Cover (0 Per Person) for 0 Persons
Sub Total (PA Cover)
Net Liability Premium (B)
LGSTA O02 Total Premum (A+B)_

1Policy issuance is subject to realization of cheque

2Consolidated stamp duty paid
Gross Premium Paid
to state
cxchequcr 8471
4Ceographical
3 The pobicy Area-Indiacompulsor deductiblec of Rs.I00 (IMT-22)
Subject to IMT Endt Nos & Mcmorandum _2
lnsured Decared Value
he schedule of age-wise ed dec
t a l l i n g in the respective y e a r hicle a b o n in the below tábleis applic purpose of jotal loss inclu
IDV
e Lwherethe sssregate cost of rerieva and/or o hcesubye o t d conito aim onyo
n e poiiy excecds 7S% of
otal IDV 2May 2020 to 21May 2021
imitations as to use: The policy covers use170304
of the vehicle for ay purpose ather than )Hire or
TLaking Speed testing (6) Reliab1lrty trials (7)
(S)
Any purpose-in Reward (2)Carrmage of goods (other than samples
Driver's Oause Any person including the msured: Provided thatconnection with motor trade. luggage) )Organized racing (4) Pace
the person
ICense. PrOVIded also that the person hold1ng an effective learneris license
dreving holds an effective
driving license at the time of the accident and is not disqualified from
may also drive the vehicle & that such a hold1ng or obta1n1ng such
person satisties the requirements of Rule 3 of the Central Motor
Limits of Liability Cause: Under Section I-I0) of the policy-Death of or bodily Vehicles Rules I989.
he policy-Damage to third party property 1s Rs. 1.0 lakhs PA injury: Such armount as is necessary to meet the
Cover Under Section IIl for Owner-Driver is Rs. .1,500,000. requirements of the Motor Vehicle Act 1988.Under Section l-l
() of
No Claim Bonus: No Clam Bonus is subject to no
claim on the previous policy. Benefits
under the policy stands forfeited if
Srievance Clause: For resoution of any claim is/was made in previous policy
query or grievance, Insured may contact the respective branch office
hemant parmar@cic1lombard.com): case the nsured is not safistied with the
n
of the
of the company or may call at(18002666)or may wnte an email at
In the event of unsatistactory response from the Grievance Office, he/she response office, insured may contact the Grievance Officer of the
may, subject to vested Jurisdiction, Company at(hemant parmar@icicilombard com)
Dmbudsman offices are available at IRDA website:www.irdar.gov.in, or on approach the Insurance Ombudsman for the redressal of
ording with detailed terms, conditions and exclusions are available on our
the website of General
Insurance grievance. Details of Insurance
websitewww.icicilombard.com. Council:www.gicouncil.n
or on the
company websitewww.icCilombard. com Ihe policy
Hypothecation Details:-NA-MISP Name -UNNOONNY
MOTORS,MISP Code- AB-MRE000046
DP Name MARTIN MATHAI;DP Code: AB-DPRE000037-7857

mportant Notice: The insured is not indemnified, if the vehicle is used or driven otherwise than in
ppearing the cerificale in order to comply with the Motor Vehicle Act, 1988 1s recoverable from the
in accordance with the schedule. Any pay ment made
by the company by reasons of wider termsS
insured. See the clause headed AVOIDANCE OF
For legal interpretation, English version will hold good. CERTAIN TERMS & RIGHT OF
SAC 9754 Description of Service: Motor Insurance REOOVERY
/we hereby certify that the policy 1o which this certificate Place of Supply: PUNJAB(State Code-03) Insurer
relates as well as this certificate of insurance are issued in accordance with the Invoice Number: 1805201-40703
988 provisions of Chapter X and Chapter XI of Motor Vehicle Act
For & On
Behalf of 1C1CI Lombard General Insurance Co. Ltd.

CICI LOMBARO
Broker Name & Add Aditya Birln Insurance Brokers LImited ,Regd Oflice: Idin Rayon Compound, Veraval 362 266. FL Authorized Signatory
Compound, 841, Senapati Bapat Marg, Elphinstone Road, Mumbal-400 Tel. +91*22-3568SRS P'ax: Corporate Otice: One Indiabulls Centre, Tover t, 14th Floor, Jupiter Mill
10000001926 013. +91-22-4356 8511 License Number: 146 CIN:
U99990GJ2001 PLe062239 Broker Code
Receipt No. - 180520140702, Pay ment Mode- APD

ForRenewal/Claims Assistance -plcase contact lasurance.Co/lroker thuough: UNNOONNY MOTORS KOLLAM ot 0956-7671520
Ps

the
In case ofa claim, immediately notily ICICI Lombard General Insurance Company Limited
Toll Free Number 1800 2666 or SMS "CLAIM" to 575758
and the contact numbers 1800
on

IP4976188
2666(Toll Free)/ 8655 222 666 (Chargeablel
reference during emergencies, we recommend that you save the policy details
Forquick on your easily accessible mobile handset.