The New India Assurance Co. Ltd. (Government of India Undertaking)

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THE NEW INDIA ASSURANCE CO.

LTD.
(Government of India Undertaking)

POLICY SCHEDULE CUM CERTIFICATE OF INSURANCE


Private Car Liability Policy
UIN Number - IRDAN190RP0001V01200203

Policy Number :31030031200200360465


POLICY ISSUING OFFICE: BUSINESS CHANNEL: CLAIM CONTACT:
N BLOCK,CONNAUGHT CIRCUS (310300), NAME: DIRECT BUSINESS - (2D10673292) N BLOCK,CONNAUGHT CIRCUS (310300)
BOMBAY LIFE BUILDING, N-34, CONNAUGHT Policybazaar Webagrtr - (WE00000001) BOMBAY LIFE BUILDING, N-34, CONNAUGHT CIRCUS,
CIRCUS, NEW DELHI , , , PHONE NUMBER: / / NEW DELHI,,;23723521// Ph: 011-
DELHI , 110001. LAND/FAX NUMBER:/ 27105783/87/81/90, [email protected]
PHONE NUMBER:23723521 EMAIL: /
FAX NUMBER:NA / NA
Email:[email protected]

INSURED DETAILS
Insured Name MRS BANDARU KAMALA RANI Customer ID 102081995403 (PAN
No :NA)
Insured Address H.NO6-3-689/1/1/1,ROCKDALE COMPOUND Contact Number / / 9515129153
SOMAJIGUDA,HYDERABAD,HYDERABAD,HYDERABAD
TELANGANA-500082 Tel.9515129153
Email [email protected]

GSTIN NA

POLICY DETAILS
Period of cover 03/11/2020 12:00:01 AM to 02/11/2021 11:59:59 PM Receipt Number 23112032316935000000/0
3/11/2020
Previous Insurer HDFC ERGO General Insurance Company Ltd Previous Policy Number ABC15452

VEHICLE DETAILS
Registration Number TS09EE0028 Chassis no./Engine Number MA3FHEB1S00723690HE/
D13A0516262
Make / Model MARUTI SWIFT ZDI- DIESEL Variant: ZDI
Year of manufacture 2014 Type of body / Type of Fuel Sedan/Diesel
Colour BLUE Cubic capacity(cc) 1248
/Wattage(kW):
Seating capacity including 5 Name of registration HYDERABAD
Driver authority
Geographical Area / Zone India Name of the Financier
Cover Note No/Cover Note / Automobile Association none
Issue Date: membership
INSURED DECLARED VALUE (in Rs)
Vehicle Trailer Non-Elec Acc Electrical Acc Bi-fuel kit Total Value
370000 0 N/A N/A N/A 370000

SCHEDULE OF PREMIUM
Own Damage Liability
Basic OD Premium 0 Basic TP Premium 7890
Calculated OD Premium 0 Calculated TP Premium 7890
Total OD Premium 0 Total TP Premium 7890
Net Premium in Rs 7890
GST in Rs 1420
Total Payable in Rs 9310
Total Payable in Rs(in words): RUPEES NINE THOUSAND THREE HUNDRED TEN ONLY
GSTIN(Issuing Office) 07AAACN4165C1ZT
SAC 997139 (Other non-life insurance services excl RI)
Policy No. : 31030031200200360465Document generated by USRPB at 2020/10/31 18:58:59.
Regd. & Head Office: New India Assurance Bldg., 87 M.G. Road, Fort, Mumbai - 400 001. TOLL FREE No. 1 800 209 1415.
Give your valuable feedback on https://www.newindia.co.in/portal/policyFeedbackGen.
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.

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