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    Vignesh Kanagaraj
    - This document is an insurance policy schedule and certificate for a two-wheeler package policy. - It provides details of the insured (name, address), vehicle (registration number, make, color), policy number and period of coverage, premium amounts, and limits of liability. - The policy covers the vehicle for use by any licensed driver and provides compulsory personal accident coverage for the owner as required by law, up to a liability limit of Rs. 6000 per event.

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    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd

    Bike

    Uploaded by

    Vignesh Kanagaraj
    27 views1 page
    - This document is an insurance policy schedule and certificate for a two-wheeler package policy. - It provides details of the insured (name, address), vehicle (registration number, make, color), policy number and period of coverage, premium amounts, and limits of liability. - The policy covers the vehicle for use by any licensed driver and provides compulsory personal accident coverage for the owner as required by law, up to a liability limit of Rs. 6000 per event.

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    - This document is an insurance policy schedule and certificate for a two-wheeler package policy. - It provides details of the insured (name, address), vehicle (registration number, make, color), policy number and period of coverage, premium amounts, and limits of liability. - The policy covers the vehicle for use by any licensed driver and provides compulsory personal accident coverage for the owner as required by law, up to a liability limit of Rs. 6000 per event.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    27 views1 page

    Bike

    Uploaded by

    Vignesh Kanagaraj
    - This document is an insurance policy schedule and certificate for a two-wheeler package policy. - It provides details of the insured (name, address), vehicle (registration number, make, color), policy number and period of coverage, premium amounts, and limits of liability. - The policy covers the vehicle for use by any licensed driver and provides compulsory personal accident coverage for the owner as required by law, up to a liability limit of Rs. 6000 per event.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
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    THE NEW INOlA ASSURANCE COMPANY liMITED


    (Wholl ~

    own;:d by the Govt. 01 India)

    POliCY SCHEDULE CUM CERTIFICATE OF IN SURANCE

    Two Wheeler PackagePolicy

    tn5ur.d, Name:
    In.ured's Add"ss:

    tn l "ntd '. Dllt.fI,


    MR SHAS HtKANT. J. MULGOANKAR(1D7919248)

    Policy number:
    Period o f cover:

    62SCNR. $ANTO SHI MATA TEMPLE NEWVAODEM VA SCO


    Ois\. : GOA , SOUTH , Goa. H. Goa ..

    "'egist.... tion no :

    141 304311 00100002800


    2310 1/201112:00:01 AM
    2210112012 '1 ;5\1:59 PM
    0 .0.-06,8 ,1086

    v_,

    KINETICMOT

    ,,0
    Email :

    Receipt no.

    141 ~ 11 00000002947

    Pho ne Number :

    Fax Number:

    NA/ NA

    Ge og r. phlc~1

    "
    Indla

    Aru / Zone:

    fl U

    Hypothe c ated with (HirelHypILu se ):

    Type of luel :
    Type o f body :
    NUmb, r 01 passenger ;neld. Driver:
    Auto.nobilit Anociatio" membershIp :
    Cover Note NolC ove r Hote lu uI 0.1t:
    Vehicle

    "'"

    Chlills nolEngine no.:

    66003594
    68004097

    Cuhle U p ac,ty (cel:

    11 5

    Varl ~nt:

    Colour:
    Hame of reg istration authority:
    DVI" fb
    Hon-Elec Ace

    T.. ~er

    H"'"

    of """nul~ctur e:

    - 12J0 1/l l

    Electrical Ace

    BI.lu el kit

    REO
    V;soo

    TotoIl

    V~ 'ue

    ' 0000

    Schedule of Pnmium
    Ba ~ TP

    Co ver
    Compulsory PA oover fOt Owner O,ive '

    NC6i5O%)
    00 P remium In Rs

    15

    TP Pnmium In Rs

    '"

    Ne l Pr. mlum In Rs:


    S. ",lce Tn In Rs;
    TeX.1 Payable in Rs:
    llmttatlon ~
    T~

    u to

    "'"

    Ule

    P oIic:)r COYfIfS use of the vehicle lor IIny put'POSe other thllO\: al Hire or

    Llmlu 01 Liability
    d tI"I amount the Company's liability UIIde< Section II 1(1) In <espea 01 IInV
    cn:; ,-;-..:.j..,;,: as ;>I!rlhll II.<;>I::\-,elll;l.. ~ lass. limit cI tie "","""I c:t It...
    Comp~ny's liabilit)' Under Sec1ion 11 l (ii) in "'~d 01 a ny one dam arislng 0111 01
    u.,,~

    Rew;ord b) CarriaQe of goods ~oIhilr 1h.I:: umllle'! or pe~(:f""" k.'!l;:~IIJ


    c)OrganW3d racing d) PaOlI making . ) $oeed tfllng I) Reliability Triats!il) Any
    pUrpose In connection wiIh MoIOf Tradofl

    one e vent: Up 10 Rs. 6000


    Impos.d .lens In Rs:
    Voluntary ucns In Rs:

    0
    0

    Peraon. or clusc . 01 pe~on. entitled 10 "rive


    Any Pllno" Including the Insured provld'ld thaI a peraon driving ho ld. e" . ".cllv. driving license al th. time of Ih e accident and 15 not d 'squllfied '.om
    ho ldl n!il or obtaining s uch a lice " " . Provided al.o that th. peraon holdIng an effectlve Leamer'S Llcll nse m "y "Iso drive Ihe ve hicle and that suc h . pltll On
    uu.nesthe requ'",,,,,, nl 01 Rule 3 of tile C.n tra' Mol .... Vehlcln RuIn, 1'19. HIA S,T.REGH No: AAACN4165CST178 .
    AlIdfe5S

    Inulng office
    VASCO 0 .0 - 14 1304 (141 304)
    SANTA PAlAOIA BLOG .. 1S T FLOOR OPP. KHAlAf'
    MANSION . VASCO OA GAMA , ,

    H.w India Conla ct

    Sanjay S Sandekar-

    Agent I Corp. Agllnt I


    BfQk" / Bllne
    Assurance! Referral
    Code - Name

    (2D6491822)

    Prrone no

    I I

    VASCO--OA-GAMA, GOA, 403802.

    Phone nO
    Fu No

    2514553 /2512080
    fIIA / NA

    e ma~

    F'K no.
    EmaU
    De v off Na me/Code

    MOHIT K. RAI KAR. (20649110 2)

    In wilneS5 whe re of this ""'icy has bee" .i;n ed II~ Mumbai on 1to(s 12J0112011
    WARRA NTED THA T IN CASE OF DISHONOUR OF THE PREM/UM CHE~UE. 'fHIS DOCUMENT STANDS A UTOMA TICALLY CANCELLED 'AS/NIT/D'
    This poticv is subjecl 10 the Tenn s. COI'Iditions and eXICC ptions applicable 10 PackagMJabliity poticy a nached l, vabble on the web ,~e hl\p://newindia _=_in; IMT
    Endonement Number(s l prinle4 hl!feWilkillll8d'ed 22
    Importan t noticII:
    The in,urcd ~ no! indemnified, if. the vehide Is used or driven othefWis e th~n in lICICOId......, with ItM schedUle. ""~ paymr:nl mide by 11M! comp3t1 y by ",aSDn 01 wider
    tefm$ appearing In the cr:rtlflCllte in ord.r 10 comply wi!h the MoIorVehide, Iv!t. 1988 is ~caverilble frum tI"I in....red: IoN caine iwlade d 'AVOIDANC E OF CERTAIN
    TER MS ANO RIGH TS OF RECOVERY- It is d ariroed !hil! in case the dedilratlon ~gatdinv the NCIl made by Ihe ins.ured, " found I
    incorrecl. ~ Itoe btnefl\i
    (including daim) under section-1 of tIli. poIiey, wi. ,tan<! Iorfei'.ed.
    lIWe hereby cet\if)ltllatthe policy 10 wtllch th la C.-rtificate rel~s u _II
    y LIm~.d
    as Ihl l Certlfic.tll of Insur,nce .r~ lasued In a ccordance with the

    <",';;:;'~'!;i~.O: 'f Chapter X and XI 01 M.V, ACI, 1988.

    ..

    12J0112011

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