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HDFC ERGO General Insurance Company Limited Certificate of Insurance cum Policy Schedule HDFEC ‘Standalone Motor Own Damage Cover - Private Car ERGO ici Fae es evi snc bes vous sys — aaa saa 3a NOLEENS ts dour rawcanaveenean can wu as Xo3086 NSCRE-TON Feetot From. 229 6001 he NACARHPAL BHOPAL evstoen no Messe fsvoree — Fowpouanzezn TievnPrabeS S208 fe nootaes re farce Tomsk ruse YnFsTenenit lm no 2eSsosrt00 sn capacy ats oto Sea 7 Jowonerstoareeco besettacine 2022 SeeyType SW lawn tyunssera Jrone ‘tusato lean, Neto sere og [ame xn TEES Gane BZOREST nat: potlgeaaniiegyratcon—— CSTH 70 VOPESTENES Foie Yor ele Porod ——[ Forteveii | —Troar (0 [Non Ewes ase (0) [Bectin Ace. [enero RR |Toalov eur! | Femasoranz Teosevaeit | S200 c 3 3 oar ean oie Feed Fie Tine ee arma ‘ramon oe) SnD ea {| Us Prem) H encom bre soon ast TestarecPreses saan ‘ese Lentocarsne cts ‘ar Yaa ‘sie? Tetcndowens Zon depen FONE DARIO sore egy Aken oer FONTS MONETNOTE 230 yetomtamencroneroanercmrnocwarareie ee UprencCerims nai roaenrenncrmenacesime ea coeComatn oe non ene aera tore Exegesis ce NTS OORT. ooo Uaretrona og OA ONO TNACE aL ~ senskise cores one Pei 146055 |r Pion sr (Geegapnes es Tra [Eason onan ura) [2000 Va Doc = | ar 7 aid sereranwosoraeRs oN cs c icy Hier dese tno coms ben made Be ren er poy Hdecron turd mere rls dre eset poy eget ou soe econ wl rd ibd epuey PA cv ome vet hes ben poceds Be nred Bass hshe cers lel og a live Gv iene Chang Alas PA Sane acne CPA ply wit TUR Sa Jerod ane (pothecstod TT) wi IANHIU & KASHMIR BANK LTO TT Noga Bhopal LUMTATIONS AS TO USE: The Poy cover ue he wie kr sy purer cha: | Her Reward) Crag gcd (oer han srl prt] nganedracng Pace mating ') Seed tering 1) Relat Tl g) Any puree in conection wi er Tre, Person or Clee of Parone ete ove: Any peta cvgheievted roves Bat pron rr han ‘etecsve ching kanse athe te oe acer and srt sca om king cian su alcnse Proce aso al pre hg 2 eecie eaters ansemay asa ee wie rd {hat sch a perio cases te equramers of Ful} of Be Centl Mee Vehicles Rule, 189 Lite of Lily 1. Une Secon I (of Be pliy- Ds of bday -Suh amour ss cesar mele equtemets oe cVeices e T88 2 Under Sots te pole Doge Tic Paty Peper. € 750003 PA Cove ude Secon Ouer- ive) NA Teens, Cendions&Exclsons: Aspe ern Mtr Tol Apion copy le sane sala costo acest ard sane ao aval ato webste 17 Wie bry cy fate ply iow eta een wel sth crs Lnane ae snd soar wih he vl el hale XK Xt VAl 888 The stump daly R080 fi by Donan ret, de RecoptCnsan n LONSOIS7202545222 ea 27122022 a pecrbedin Gover of Naan rr. Mark IICR STA, late 0 Janey 201 Winkereby cacy tt ugh cer agg trey ese fancy Ko 217 18 oma eros than he gegevens ancr ube) nde 8 we me reo ppt tn vee nes ef Be poses esl table IMPORTANT NOTICE: The rads et ened te wince abe erven ces arn sz wih Bs Sense. Ay Foyer mace bythe Canpany by reason owt as gperegin he Cs in reo conly wh fe Mr Vobl At 188 rewrote clase ade AVOIDANCE OF CERTAN, TERNS ANO RIOHT OF RECOVERY" Dacianer: The Pole shal te vit tom replant semi nM nt reales by be company Ine ee of nsession Revd nondaconue ct tert. the Congay revere ei ncn te ley Pete cel he sie ie ae pete’ ans ep mts prepa aca The eng samage othe vtice a melons inte rr sont be bye Copan. The poly sued taste ation rove by you whch saab whe company nese cl saeancy oon ecg eaten nthe fey, te sed sreqaedta bre be sare oe nce fe conmpany wih 1 as GST ar ths voce a pyeleunder vse hare bas Ingeran Note The poy coverage ery tr Gn Dariae and Tr Pry Lyn comnecion to wei te covered ne ley ‘ete TP Poy No: PIUTSG64 Vl Fre (6077202 050772005 o BAG Branch 208 ec bopper Far CaP tc quis ca ws a 226204 6238 120624 E24 eV Hel Secon cn when com br ply cpa ttle cangeshi akc ‘Goods 8 Serves Tax Regain Ne PaAABCLSORENIZE [HSN Goda —[oaTi3e OFCERGO Genel race Conpey Lmtd. FAIR No ‘UN :ROANTZERPOIO'VOTZOIGG Case Seve Aes D301, rf, (ON UsIBONHGOOTFLOTTTIT_Repshsed &Copacte Ox st Flu, HFC Hose, nom Busines Dstt Vagal) LBS Moy Brad (Wes, Mara -400078 ‘6165 kta Racor HT Pah Mog, Curl, Mo 4D 020 ‘uno Sen No 9122675573810 629624 | ww ero foe HDFC ERGO General Insurance Company Limited Certificate of Insurance eum Policy Schedule Standalone Motor Own Damage Cover - Private Car [Sean he ade stan Pai InRegister Cla, Renewal and Medien’ policy Explore any of our advanced digital options below and get quick assistance for your policy servicing queries eC onl @ Cy RIVATE LIMITED For HOFC ERGO General insurance Company Ud] po uty Const toe (3) ca ee ene] @: Cede eC a nod For detailed polsy terms and conditions please visit our website bps June OFCERGO Gora rarance Crpony Urea RON Rey No ‘UN IRORNT2SRPOOI VOTO (ON USISONFCIOTPLCITI"T Reged Cape Oe st Fo HOFC Hose, Citar Seve ater D301 Ft lan Buses Disc age Ma) 35 Vary Blan (es, Manel -(00078 1616 Baoty Recon, 1 Pare a, Cena Mant 40002 (anton Save No 991 22624523491206254 629 | eo cm ree HDFC ERGO General Insurance Company Limited lal ged ERGO Proposal Form cum Transcript Letter For Standalone Motor Own Damage Cover - Private Car Vehicle Dias Proposal Deals hake Veuvo 'roposa No. 202307O4007S002 T IModet 000-86 INSCRIPTION Post From (6 Ju, 2023 00:0 hrs DANO fcumtorne unancrans aa \RTO BHOPAL Jssvanoe Date 04 ul 2023 een (Chassis No ‘Ywiurosronteoot7t Invoice Ne. 20850575400000 [HOUSE NO-USEOUTHTTNAGAR AMBEDKARNAGARHUZUR [CUBECAEEGIY 1888 Seats 7 ee ECT RAGA BHOPAL BHGPAL saat0s WYear ot Manure 2022 Body Type SUV [PANNo _LYUPSSA7O, 'WADHVAPRADESH- Te 0900014285 lenge No dus4e0 losemeter san Payment Details: PVTI4S9"4AS4TOE5 , Bark Name BIZDIRECT EmaliO premalgoswarst6@gral em (GSN. 25LYUPSSA7SIZS Policy Your Policy Period Forthe vehicle (@) | Teale (®) [Non Electrical Ace_(@) [ElecticalAce_(@) [ONGILPG Ki(®) | Total OV Yeort | Framosorancs Tooso7a0m | etzeooo | OO ° ° o anze000 f ‘Own Damage Policy Period [ From Date & Tine T 072625 0001 Ws [To ato & Time I anrateA a Premium Daas (2) ‘Gam Damoge Premiums) @)_ Labilty Prom ur) @ es Oun Damage 95336 | Tot Pramium 0), ‘ose Tel Bac Preniom 95336 | rapt To 15 24 Las Na Cis Bone (20% 18207 Tea-Lese 19287 ‘aden Coveger 2a Decor ROANT25RP00010201ZOADOVVEHNTED 25126 Erne setae Cover RAN 2ROOS1VO10SAADOVO120120 350 | ‘pe Senre For Prat Car Cont RDANIZSRPUDOVIZZOAISAGNZTVOTOI¢@0 16056 | rps Gert Prin DAN ZERPEOG V0 20 ZANE 20529 oe Corto Cena ons ROAN ROOD 1012182020007 201820 028 ‘Eerpeny sce Wt ROANT2SRPOODVO20S2NAD0 2020 ca eso Perser Seng - ROANRPOIOWO TO SMARSVOz122 198 “eal Adt on ores etn Damage Premium 146855 | Tot Pram rseo (Geographical Ares [nda [Eompulsory Oedvetbie (mT-22) 2000 Vowntary Deductibe (wT-228) 10. ] revious Policy No _(PITISI64 [Wat [os72027 051772025 of BAIA ALLIAN? 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