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    HDFC ERGO General Insurance Company Limited: Policy No. 2320 1001 7259 2300 000

    Uploaded by

    Jason Rogers
    This document is a certificate of insurance and policy schedule for a two-wheeler third party liability only policy. The key details are: 1. The insured is Mr. Mohammed Moinuddin Afroz from Nizamabad, Andhra Pradesh. 2. The vehicle is a 2005 Bajaj Pulsar 150 with an IDV of Rs. 0. 3. The policy period is from March 12, 2019 to March 11, 2020. 4. The total premium paid is Rs. 809.

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    HDFC ERGO General Insurance Company Limited: Policy No. 2320 1001 7259 2300 000

    Uploaded by

    Jason Rogers
    49 views2 pages
    This document is a certificate of insurance and policy schedule for a two-wheeler third party liability only policy. The key details are: 1. The insured is Mr. Mohammed Moinuddin Afroz from Nizamabad, Andhra Pradesh. 2. The vehicle is a 2005 Bajaj Pulsar 150 with an IDV of Rs. 0. 3. The policy period is from March 12, 2019 to March 11, 2020. 4. The total premium paid is Rs. 809.

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    This document is a certificate of insurance and policy schedule for a two-wheeler third party liability only policy. The key details are: 1. The insured is Mr. Mohammed Moinuddin Afroz from Nizamabad, Andhra Pradesh. 2. The vehicle is a 2005 Bajaj Pulsar 150 with an IDV of Rs. 0. 3. The policy period is from March 12, 2019 to March 11, 2020. 4. The total premium paid is Rs. 809.

    Copyright:

    © All Rights Reserved
    Download as DOC, PDF, TXT or read online from Scribd
    Download as doc, pdf, or txt
    49 views2 pages

    HDFC ERGO General Insurance Company Limited: Policy No. 2320 1001 7259 2300 000

    Uploaded by

    Jason Rogers
    This document is a certificate of insurance and policy schedule for a two-wheeler third party liability only policy. The key details are: 1. The insured is Mr. Mohammed Moinuddin Afroz from Nizamabad, Andhra Pradesh. 2. The vehicle is a 2005 Bajaj Pulsar 150 with an IDV of Rs. 0. 3. The policy period is from March 12, 2019 to March 11, 2020. 4. The total premium paid is Rs. 809.

    Copyright:

    © All Rights Reserved
    Download as DOC, PDF, TXT or read online from Scribd
    Download as doc, pdf, or txt
    of 2

    HDFC

    InternalERGO General Insurance Company Limited


    2320100172592300000

    Policy No. 2320 1001 7259 2300 000 Certificate of Insurance cum Policy Schedule

    0
    Two Wheeler Liability only Policy

    Insured Name MR MOHAMMED MOINUDDIN AFROZ RTO NIZAMABAD KAMAREDDY

    Correspondence 9-17-380 hashmi colo ny Registration 9-17-380 hashmi colony


    Address NIZAMABAD ANDHR A PRADESH 503001 Address NIZAMABAD ANDHRA PRADESH 503001
    Mobile 9247292080 Phone E Mail [email protected] Registration No. AP-25-M-1346

    Period of Insurance From Date & Time 12/03/2019 00:01 hrs To Date & Time 11/03/2020 Midnight Policy Issuance Date 12/03/2019

    Seats(Incl.
    Make Model - Variant Engine No Chassis No Mfg Yr Body Type CC
    of side car)
    BAJAJ AUTO. PULSAR-150 DTSI BMC58081 BMC59109 2005 2 OPEN 149

    Insured's Declared Vehicle (`) Side Car (`) Non Electrical Acc. (`) Electrical Acc. (`) CNG/LPG Kit (`) (`)
    Total IDV
    Value (IDV)
    0 0 0 0 0 0

    Named Persons & Nominee (IMT-15)

    Nominee for Owner Appointee


    driver
    Premium Details (`)

    Liability Premium

    Basic Third Party Liability: 619


    50
    PA Cover for Owner Driver of `100000

    669
    Sub Total – Addition
    669
    Net Liability Premium

    State GST Service Tax 9% (Including Swachh Bharat Cess 0.50%, Krishi Kalyan Cess 0.50% as applicable) 70
    Central GST Service Tax 9% (Including Swachh Bharat Cess 0.50%, Krishi Kalyan Cess 0.50% as applicable) 70
    Total Premium 809

    Geographical Area India

    Payment Details:Fund Transfer No. LP1701024071 Dated : 12/03/2019 Drawn on BizDirect

    List of Endorsements

    Endt Description Effective End Date Premium (In


    No Date `)
    HDFC
    InternalERGO General Insurance Company Limited
    2320100172592300000

    LIMITATIONS AS TO USE: The Policy covers use of the vehicle for any purpose other than: a) Hire or Reward b) Organized racing c) Speed testing. Persons or Class of
    Persons entitled to drive: Any person including the insured, provided that a person driving holds an effective driving license at the time of the accident and is not
    disqualified from holding or obtaining such a license. Provided also that the person holding an effective learner`s license may also drive the vehicle and that such a person satisfies
    the requirements of Rule 3 of the Central Motor Vehicles Rules, 1989. Limits of Liability 1. Under Section II-1 (i) of the policy - Death of or bodily injury - Such amount as is
    necessary to meet the requirements of the Motor Vehicles Act, 1988. 2. Under Section II - 1(ii) of the policy -Damage to Third Party Property- `100000 3. P. A. Cover under
    Section III for Owner - Driver(CSI): ` 100000 Terms, Conditions & Exclusions: As per the Indian Motor Tariff. A personal copy of the same is available free of cost on request &
    the same is also available at our website.
    I / We hereby certify that the policy to which the certificate relates as well as the certificate of insurance are issued in accordance with the provision of chapter X, XI of M. V.Act
    1988. The stamp duty of `0.5 paid by Demand Draft, vide Receipt/Challan no 3942108201617 dated 28/12/2016 as prescribed in Government Notification Revenue and
    Forest Department No Mudrank 2004/4125/CR 690/M-1,dated 31/12/2004., dated ,31/12/2004." Service Tax Registration No: AABCH0738EST004. IMPORTANT NOTICE: The
    Insured is not indemnified if the vehicle is used or driven otherwise than in accordance with this Schedule. Any payment made by the Company by reason of wider terms appearing
    in the Certificate in order to comply with the Motor Vehicle Act, 1988 is recoverable from the Insured. See the clause headed "AVOIDANCE OF CERTAIN TERMS AND RIGHT OF
    RECOVERY." Disclaimer: The Policy shall be void from inception if the premium cheque is not realized. In the event of misrepresentation, fraud or non-disclosure of material fact,
    the Company reserves the right to cancel the Policy. Please note that the insured vehicle was pre-inspected and a report was prepared accordingly. The existing damages to the
    vehicle as mentioned in the report shall not be paid by the Company. The policy is issued basis the information provided by you, which is available with the company. In case of
    discrepancy or non recording of relevant information in the policy, the insured is requested to bring the same to the notice of the company within 15 days. I understand that the risk
    shall commence from the start date 29/01/2017 as specified in the Period of Insurance section of the Two Wheeler Liability Policy.
    Policy Issuing Office : LEELA BUSINESS PARK, 6TH FLR, ANDHERI - KURLA RD, MUMBAI, 400069. Phone No. : +91-22-66383600

    Registered & Corporate Office: 1st Floor, 165-166Backbay Reclamation, H. T. Parekh Marg, Churchgate, Mumbai - 400020. Customer Service Address: 6th Floor, Leela
    Business Park, Andheri Kurla Road, Andheri (E), Mumbai - 400 059. Toll Free : 1800-2-700-700 (Accessible from India only) | Fax : 91 22 6638 3699 | [email protected]
    | www.hdfcergo.com. CIN :U66010MH2002PLC134869. IRDAI Reg No.125.
    Policy No. 2320 1001 7259 2300 000 Certificate of Insurance cum Policy Schedule

    Policy Issuing Office: Mumbai For Agent Name


    HDFC ERGO General Insurance Company Ltd. :
    POLICYBAZAAR INSURANCE WEB AGGREGATORS PVT. LTD(CT
    Duly Constituted Attorney

    Agent Code : 200787860791

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