Digitally signed by

Reliance General
Insurance Company
Limited
Date: 2022.11.26

RENEWAL INTIMATION LETTER

Policy Number: 607322123110100873 Renewal Date: 13-Dec-2022 https://www.rel
Insured Name: Mr. GOURI SHANKAR MISHRA Renewal Premium : ` 5992

Insured Address: PALLA, PALLAHAT, KHURDA KHURDA Policy Servicing Branch: 6th Floor, Oberoi Commerz, International
KHURDA,,KHORDHA,KHORDHA,ODISHA-752056 Business Park,Oberoi Garden City, Off Western Express

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Highway,Goregaon (East), Mumbai – 400 063 MUMBAI MUMBAI

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Mobile No. of Insured: 7008044695 Branch Code/Name: 6073/CSC-SPV
Email ID of Insured: [email protected] Region Name: Corporate Region

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Dear Mr. GOURI SHANKAR MISHRA,
Thank you for making a smart choice by choosing Reliance General Insurance to insure your car.
To continue with the policy benefits, don't forget to renew your Reliance Private Car Package Policy before 12-Dec-2022.

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For any changes in the above policy details, please contact our nearest branch or call us on 1800 3009 (Toll Free) or (022) 4890 3009.
Please note that Renewal Invitation has been generated as per expiring terms, considering your No Claim Bonus entitlement as on 21-Sep-2022.
In case of any change in the actual claim status subsequent to the date of this communication NCB discount would be withdrawn and premium would get

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modified.
We strongly recommend that the policy be renewed well in advance on or before expiry date to avoid the risk of your vehicle remaining uninsured during
the gap and also having to undergo the process of Inspection of the vehicle before acceptance.

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Your Policy details are as follows
Cubic Capacity / GVW (Kgs)/Watt 1405 / 0 RTO Name Bhubaneswar
Engine Number 475IDI05NQZPB5985 Eligible NCB 20 %
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Chassis Number MAT6001429TN08387 Claim Status No
Registration Number OR02BB6227 Existing IDV 108000
Registration Date 14-Dec-2009 Hypothecated To
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Vehicle Details TATA INDICA DLS

Premium Details Amount in ` Intermediary Details

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Renewal Details Agent/Intermediary

CSC EGOVERNANCE
Name
Vehicle Renewal IDV 108000
Code 11CSC001
Total Own Damage Premium (A) 1037.23
Total Liability Premium (B) 4041.00 Please attach Self attested copy of RC forChanges/Correction to be made
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Package Premium (A+B) 5078.23 in VehicleDetails and Letter from Financier in case of Change/Correction in
2311 HYP/HPA.
Total Tax (IGST) 914.04
Final Premium (C) 5992
"Sum Insured mentioned in renewal notice is mandated by General Insurance Council. Hence you might experience exorbitant lesser/higher IDV/
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Sum Insured from last year."

"Premium for personal accident to owner driver is as per IRDAI circular dated 20/09/2018 with respect to increase in limit of liability to Rs 15 Lacs
from existing 2 Lacs & 1 Lacs for private car/ commercial and two wheelers respectively."
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For policies renewed in advance the Company may recover/refund the shortfall/excess (as applicable) in the Third Party Premium as notified by the IRDAI.
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Reliance General Insurance Company Limited. IRDAI Registration No. 103 An ISO 9001:2015 Certified Company
Registered & Corporate Office: Reliance General Insurance Company Limited, 6th Floor, Oberoi Commerz, International Business Park, Oberoi Garden City, Off
Western Express Highway, Goregaon (East), Mumbai - 400 063.
Corporate Identity No. U66603MH2000PLC128300. UIN: IRDAN103RP0010V02100001. Trade Logo displayed above belongs to Anil Dhirubhai Ambani Ventures
Private Limited and used by Reliance General Insurance Company Limited under License. RGI/MCOM/CO/MOT-02/STM/RN/VER. 1.2/191018.

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Fill in your payment details below
Cheque /DD no.:______________________________ Date:________________ BankName:____________________________ Amt.`:_________________
Note : Cheque / DD should be drawn in favour of "Reliance General Insurance Company Limited"
Updating your contact details help us help you. Fill in your new details here !
Mobile no.:________________________ Alternate Contact No:_______________________________Email ID:____________________________________

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Prohibition of Rebates - Section 41 of the Insurance Act, 1938 as amended by Insurance Laws (Amendment) Act, 2015.

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1. No person shall allow or offer to allow, either directly or indirectly, as an inducement to any person to take out or renew or continue an insurance in
respect of any kind of risk relating to lives or property in India, any rebate of the whole or part of the commission payable or any rebate of the premium
shown on the policy, nor shall any person taking out or renewing or continuing a policy accept any rebate, except such rebate as may be allowed in
accordance with the published prospectuses or tables of the insurer.

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2. Any person making default in complying with the provisions of this section shall be liable for a penalty which may extend to ten lakh rupees.

CAT : A

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_________________________ ______________________________
Customer Signature Authorised Signatory

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Reliance General Insurance Company Limited. IRDAI Registration No. 103 An ISO 9001:2015 Certified Company
Registered & Corporate Office: Reliance General Insurance Company Limited, 6th Floor, Oberoi Commerz, International Business Park, Oberoi Garden City, Off
Western Express Highway, Goregaon (East), Mumbai - 400 063.
Corporate Identity No. U66603MH2000PLC128300. UIN: IRDAN103RP0010V02100001. Trade Logo displayed above belongs to Anil Dhirubhai Ambani Ventures
Private Limited and used by Reliance General Insurance Company Limited under License. RGI/MCOM/CO/MOT-02/STM/RN/VER. 1.2/191018.

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