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    Beat Car Insurance

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    1. This document is an insurance policy schedule for a private car owned by Sivashanmugam S. 2. The policy covers a 2011 Chevrolet Beat registered in Coimbatore, Tamil Nadu, for the period of April 28, 2018 to April 27, 2019. 3. The insured is provided own damage and liability coverage with a total premium of Rs. 5,961 for the year.

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

    Beat Car Insurance

    Uploaded by

    S
    125 views2 pages
    1. This document is an insurance policy schedule for a private car owned by Sivashanmugam S. 2. The policy covers a 2011 Chevrolet Beat registered in Coimbatore, Tamil Nadu, for the period of April 28, 2018 to April 27, 2019. 3. The insured is provided own damage and liability coverage with a total premium of Rs. 5,961 for the year.

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    Beat car Insurance

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    1. This document is an insurance policy schedule for a private car owned by Sivashanmugam S. 2. The policy covers a 2011 Chevrolet Beat registered in Coimbatore, Tamil Nadu, for the period of April 28, 2018 to April 27, 2019. 3. The insured is provided own damage and liability coverage with a total premium of Rs. 5,961 for the year.

    Copyright:

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

    Beat Car Insurance

    Uploaded by

    S
    1. This document is an insurance policy schedule for a private car owned by Sivashanmugam S. 2. The policy covers a 2011 Chevrolet Beat registered in Coimbatore, Tamil Nadu, for the period of April 28, 2018 to April 27, 2019. 3. The insured is provided own damage and liability coverage with a total premium of Rs. 5,961 for the year.

    Copyright:

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

    THE NEW INDIA ASSURANCE CO. LTD.

    (Wholly owned by the Govt. of India)

    POLICY SCHEDULE CUM CERTIFICATE OF INSURANCE


    Private Car Package Policy

    Insured's Details Policy Details


    Insured's Name: SIVASHANMUGAM S Policy number: 72160031180100001284
    Customer ID: PO34117284 (PAN No :NA) Period of cover: 28/04/2018 12:00:01 AM to 27/04/2019
    11:59:59 PM
    Insureds Address: NO : 6 , C D E NRR Registration no. TN-37-BS-2973
    LAYOUT,SINGANALLUR,COIMBATORE,
    COIMBATORE ,TAMIL NADU, 641005
    Prev. Policy no. 72160031170100001511 Make/Model: CHEVROLET/BEAT
    Email: Receipt no. 72160081180000001567 - 27/04/18
    Phone Number : / / 9843132031 Fax Number : NA / NA
    GSTIN/UIN NA / NA
    Issuing office New India Contact
    Address COIMBATORE DO IV (721600), Agent / Corp. Agent /
    482-483 3RD FLOOR S N V CHAMBER BULDG NEAR POWER Broker / Banc Mrs. Abirami D -
    HOUSE BUS STOP , CROSS CUT ROAD GANDHIPURAM Assurance / Referral
    COIMBATORE , , Code - Name / (NIA1D6885525)
    TAMIL NADU , 641012. POS/IMF
    Phone no / / 9952523961
    Phone no 2233054 / 2233451 Fax no. /
    Fax no. 2235690 / NA Email /
    Email [email protected] Development officer GOPALSAMY J - (2D6484430)
    level Name/Code
    Claim Contact COIMBATORE (720001) Claim Contact Detail 594,'Obli Towers',1st floor, D.B.Road,
    R.S.Puram,Coimbatore-641 002,,;04222546006//
    GSTIN 33AAACN4165C4ZV
    SAC 997139 (Other non-life insurance services excl RI)
    Policy Details
    Geographical Area / Zone: India/B Year of manufacture: 2011
    Name of the Financier: Chassis no./Engine no.: MA6BFBGNBBT061565/10AB5Z11187
    0074
    Type of body: Sedan Variant: LS
    Automobile Association none Colour: S B SILVER
    membership:
    Seating capacity including Driver: 5 Cubic capacity ( cc): 1199
    Cover Note No/Cover Note Issue / Name of registration authority: Coimbatore
    Date:
    IDV(In `)
    Vehicle Trailer Non-Elec Acc Electrical Acc Bi-fuel kit Total Value
    133333 0 0 0 0 133333
    Cover Description Cover Opted Cover Description Cover Opted
    Additional Towing Charges No Engine Protection Cover No
    Return to Invoice Cover No Road Tax No
    No Claim Bonus Protection Cover No Loss of Contents Cover No
    Schedule of Premium
    Own Damage Liability
    Basic OD Cover Basic TP Cover
    Compulsory PA cover for Owner Driver, PA
    cover for UnNamed Persons, LL cover for
    Paid Driver

    OD Premium in ` 1788 TP Premium in ` 3263


    Net Premium in `: 5051
    GST in `: 910
    Total Payable in `: 5961
    Total Payable in `(in words): RUPEES FIVE
    THOUSAND NINE
    HUNDRED SIXTY-
    ONE ONLY
    Limitations as to use Limits of Liability

    Signature Not
    Verified
    Digitally signed
    by Srinivasan Policy No. : 72160031180100001284Document generated by 30687 at 27/04/2018 12:09:56 Hours.
    Vaideswaran Regd. & Head Office: New India Assurance Bldg., 87 M.G. Road, Fort, Mumbai - 400 001. TOLL FREE No. 1 800 209 1415.
    Date: 2018.04.27
    For 12:09:58
    redressal of your grievance, if any,you may approach any one of the following offices- 1. Policy issuing office 2. Regional office 3. Head office.In case, you are not satisfied with
    IST
    our own grievance redressal mechanism; you may also approach Insurance Ombudsman. For details of our office addresses and addresses of office of Insurance Ombudsman, please
    visit our website http://newindia.co.in.

    Page 1 of 2
    THE NEW INDIA ASSURANCE CO. LTD.
    (Wholly owned by the Govt. of India)

    The Policy covers use of the vehicle for any purpose other than: a)Hire Limit of the amount the Company's Liability Under Section II 1(i) in
    or Reward b)Carriage of goods (other than samples or personal respect of any one accident: as per the Motor Vehicles Act, 1988. Limit
    luggage) c)Organized racing d)Pace making e)Speed testing f) of the amount of the Company's Liability Under Section II 1(ii) in
    Reliability Trials g)Any purpose in connection with Motor Trade respect of any one claim or series of claims arising out of one event:
    Up to ` 7,50,000
    For individual covers (OD) in`: 133333
    Imposed excess in `: 0
    Voluntary excess in `: 0
    Compulsory excess in `: 1000
    Persons or classes 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 requirement of Rule 3 of the Central Motor Vehicles Rules, 1989.
    PA cover for Owner Driver
    Name of Nominee Age of Nominee Relationship with the Name of the Appointee (if Relationship to the
    Insured Nominee is a minor) Nominee
    NA NA NA NA NA
    PA cover for named persons
    Name CSI Opted(`) Nominee Relationship
    none 0 NA NA

    Premium and GST Details


    Rate of Tax Amount in INR
    Premium ` 5051.00
    SGST 9 455
    CGST 9 455
    IGST 0 0

    In witness where of this policy has been signed at COIMBATORE DO IV on this 27/04/2018
    WARRANTED THAT IN CASE OF DISHONOUR OF THE PREMIUM CHEQUE, THIS DOCUMENT STANDS AUTOMATICALLY CANCELLED ABINITIO
    This policy is subject to the Terms, conditions and exceptions applicable to Package/Liability policy attached/available on the web site
    http://newindia.co.in; IMT Endorsement Number(s) printed herewith attached 16,22.
    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 Vehicles Act, 1988 is recoverable from the
    insured: see clause headed "AVOIDANCE OF CERTAIN TERMS AND RIGHTS OF RECOVERY". It is clarified that in case  the declaration regarding
    the ncb or other previous policy details made by the insured, is found to be incorrect, all the benefits (including claim) under section-1 of this
    policy, will stand forfeited.
    I/We hereby certify that the policy to which this Certificate relates as For and on behalf of The New India Assurance Company Limited
    well as this Certificate of Insurance are issued in accordance with
    the provisions of Chapter X and XI of M.V. Act, 1988.NIA S.T.REGN
    No: AAACN4165CST178.
    Date of Issue: 27/04/2018

    Duly Constituted Attorney(s)

    Tax Invoice No : 7216003101001284

    IRDA Registration Number: 190

    Policy No. : 72160031180100001284Document generated by 30687 at 27/04/2018 12:09:56 Hours.


    Regd. & Head Office: New India Assurance Bldg., 87 M.G. Road, Fort, Mumbai - 400 001. TOLL FREE No. 1 800 209 1415.
    For redressal of your grievance, if any,you may approach any one of the following offices- 1. Policy issuing office 2. Regional office 3. Head office.In case, you are not satisfied with
    our own grievance redressal mechanism; you may also approach Insurance Ombudsman. For details of our office addresses and addresses of office of Insurance Ombudsman, please
    visit our website http://newindia.co.in.

    Page 2 of 2

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