Policy
Policy
Policy
Period of Cover
From: 08/12/2015
To: 07/12/2016
Insured Details
MR. KUNDAN KUMAR .
To: NR SYNDICATE BANK,BIJWASAN, ,NEW DELHI ,DELHI, 110061
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Insured's Name:
Customer ID:
Insured's Details
MR. KUNDAN KUMAR .
PO24643334
Insureds Address:
Prev. Policy no.
Email:
Phone Number :
Address
NR SYNDICATE BANK,BIJWASAN,,
NEW DELHI ,DELHI, 110061
32320231140100005351
[email protected]
/ / 9013286394
Issuing office
DARYAGANJ (323202),
Daryaganj DAB, 23/4767, Pratap Street, Ansari Road,
D.Ganj, , , ,
DELHI , 110002.
Phone no
Fax no.
Email
23267736
NA / NA
[email protected]
Claim
Contact
DRO II (320001)
Registration no.
Policy Details
32320231150100003989
08/12/2015 12:00:01 AM to 07/12/2016
11:59:59 PM
DL-7S-BS-5905
Make/Model:
Receipt no.
Fax Number :
BAJAJ/DISCOVER
10000089151100093716 - 28/11/15
NA / NA
Policy number:
Period of cover:
Policy Details
Year of manufacture:
Chassis no./Engine no.:
India/A
Type of fuel:
Type of body:
Seating capacity including
Driver:
Automobile Association
membership:
Cover Note No/Cover Note Issue
Date:
Petrol
Metal
2
none
Vehicle
39582
Trailer
0
2013
MD2A52BZ2DPG41867/JEZPDG7
1095
125
DISCOVER 125T DISC
Red
Non-Elec Acc
0
IDV (in `)
Electrical Acc
0
Bi-fuel kit
0
Total Value
39582
Schedule of Premium
Own Damage
Liability
Basic TP Cover
Compulsory PA cover for Owner
Driver
Basic OD Cover
NCB(25%)
OD Premium in `
305
TP Premium in `
588
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Net Premium in `:
Service Tax in `:
Total Payable in `:
893
130
1023
Limitations as to use
The Policy covers use of the vehicle for any purpose other
than: a)Hire or Reward b)Carriage of goods (other than
samples or personal luggage) c)Organized racing d)Pace
making e)Speed testing f) Reliability Trials g)Any purpose in
connection with Motor Trade
Limits of Liability
Limit of the amount the Company's Liability Under Section II
1(i) in respect of any one accident: as per the Motor Vehicles
Act, 1988. Limit of the amount of the Company's Liability
Under Section II 1(ii) in respect of any one claim or series of
claims arising out of one event: Up to ` 1,00,000
For individual covers (OD) in`:
39582
Imposed excess in `:
0
Voluntary excess in `:
0
Compulsory excess in `:
100
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: DARYAGANJ (323202)
: Daryaganj DAB, 23/4767, Pratap Street, Ansari Road, D.Ganj,
,110002
NEW DELHI
Phone
Email
Fax
: 23267736
: [email protected]
:
Collection Number
Collection Date
Business Source Code
: 10000089151100093716
: 28/11/2015
: 1D7842764
Amount`
1023.00
A/C Code
9100.100000
Total = ` 1023.00
Your Payment/Adjustment Details are as under Mode
Amount ` Cheque
Cheque
No.
Date
EPG
Credit
Advice
1023.00
ESBI41 N.A.
4061
7594
Drawee Bank
Drawee
Branch
N.A.
N.A.
Reference No.
3232021510009164
Scroll/BG/
APD
Balance
N.A.
Total = ` 1023.00
Utilization details of the Collected Amount :
Premium
Service Tax
893.00
130.00
Sl no.
Agency Code
1
NIA1D11085511
Stamp Duty
0.00
Excess Amount
0
Department Code
31
Agency Name
RAJU AGGARWAL
Revenue Stamp
__________
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Date of Issue: 05/12/2015
FAIRDEAL AUTOMOBILES
Cashier's Initial
Authorized Signatory
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Note 1.Please quote the Policy Number, Collection Number and date in all future correspondence. .
2.NIA shall not be liable for any claim arising out of sales made during the period between the due date and date of
payment of the installment if the premium paid has been exhausted by turnover declarations/if there is insufficient
premium balance.
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IMT 22A. VOLUNTARY DEDUCTIBLE (For private cars/motorized two wheelers other than for hire or reward)
It is by declared and agreed that the insured having opted a voluntary deductible of ` a reduction in premium of ` under
Section 1 of the policy is hereby allowed.
In consideration of the above, it is hereby understood and agreed that the insured shall bear under Section 1 of the policy in
respect of each and every event (including event giving rise to a total loss/constructive total loss) the first `100 (or any less
expenditure which may be incurred) of any expenditure for which provision has been made under this policy and/or of any
expenditure by the insurer in the exercise of his discretion under Condition no 3 of this policy .
If the expenditure incurred by the insurer shall include any amount for which the insured is responsible hereunder such
amount shall be repaid by the insured to the insurer forthwith.
For the purpose of this Endorsement the expression "event" shall mean an event or series of events arising out of one cause
in connection with the vehicle insured in respect of which indemnity is provided under this policy.
Subject otherwise to the terms conditions limitations and exceptions of this Policy.
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