https

Go Digit General Insurance Ltd.

Schedule/Certificate
Digit Two-Wheeler Package Policy
UIN No.: IRDAN158RP0006V01201718

Name SIDDAPPA . Vehicle Registration No. KA52Q0652

Partner Name: Digit Website
KAREKAL PALYA MALLARABANAVADI 1000651
N Address
NELAMANAGALA,Bengaluru-560067
Partner Code:
Mobile xxxxxxxxx5957 Partner Mobile No. --
PB Email [email protected] Partner Email [email protected]
Aadhar No. -- For Claims,contact us at 1800-258-5956

125

DIR
G0

YOUR POLICY DETAILS

Policy No. D080120873 / 07012023 Policy Issue Date 07-Jan-2023 Invoice No. IA077687969 Invoice Date 07-Jan-2023
Period of Policy Own Damage Cover and Add On(s) if Opted Third Party Liability Cover PA Owner Driver
From 07-Jan-2023 17:14:36 07-Jan-2023 17:14:36 --
To 06-Jan-2024 23:59:59 06-Jan-2024 23:59:59 --
Direct Compulsory
100 NCB % (Current Policy) 20 %
Deductible (`)
Voluntary
DIR Deductible (`) -- Additional Excess (`) --
PB
Coverages Opted Digit Two-Wheeler Package Policy

G01 YOUR VEHICLE DETAILS

RTO Location Bengaluru,KARNATAKA Make TVS Model/Vehicle

Variant (Sub- JUPITER/JUPITER STD AOL
Engine No. BG4LG1319386 Chassis No. MD626BG42G1L25239 Type)
Year of
290 Regn/Year of
Body Type Scooter Fuel Type Petrol Mfg. 2016/--
Seating Capacity 2 Cubic Capacity 125 CC Odometer
FASTag Number Financier Details

YOUR VEHICLE IDV

Year Vehicle IDV Non-Electrical Accessories IDV Electrical Accessories IDV CNG/LPG IDV Total IDV PA Owner Driver
Year 1 29000 -- -- -- 29000 --
Year 2 -- -- -- -- 0 --
A 0.
Year 3 -- -- -- -- 0 --
Year 4 -- -- -- -- 0 --
AC --
Year 5 -- -- -- -- 0

64.
A
A
7.8

Policy No: D080120873

Page No: 1 of 3
Go Digit General Insurance Ltd. Address: Atlantis, 95, 4th B Cross Road, Koramangala Industrial Layout, 5th Block, Bengaluru, Karnataka 560095. IRDAI Reg
No. 158 CIN U66010PN2016PLC167410, GST Reg. No.: 29AACCO4128Q1ZW HSN: 997134/General Insurance Services, GSTIN Address: Go Digit General
Insurance Limited,Atlantis No 95, 4th B Cross Road 5th Block Koramangala Industrial layout,Bengaluru,Karnataka,PIN-560095
https
Go Digit General Insurance Ltd.
Schedule/Certificate
Digit Two-Wheeler Package Policy
UIN No.: IRDAN158RP0006V01201718

OWN DAMAGE PREMIUM [A] (`) LIABILITY PREMIUM [B] (`)

Own Damage Premium (`) 9.75 Basic Third-Party Liability (`) 714.00
Add-Ons Premium (`) 0.00 PA cover for Owner-Driver (`) --
NCB Discount Amount (`) -1.95 Legal Liability to Employees (`) --
1.95 Legal Liability to Paid Driver (`) --
7.8 PA cover for 2 unnamed passengers each (`) --
PA cover for Paid Driver (`) --
Total OD Premium (`) 7.80 Total Act Premium (`) 714.00
Net Premium (`) 721.80
CGST @ 9% = (`64.96) + SGST/UTGST @ 9% = (`64.96) 129.92

Final Premium 851.72

(`)

Note:The above total OD premium is inclusive of all applicable loading / discounts viz (automobile association memberships, voluntary excess, anti-theft
handicap person, driver tuition, fiber glass, CNG/ LPG unit, imported vehicle etc., wherever applicable).
If the “Own Damage Cover” under your policy is cancelled during the policy period, then your policy shall be governed by the standard terms and conditions
of “Act only” policy for the Third Party Cover during the remaining period of policy

ENDORSEMENT
Invoice Number Invoice Date Net Premium Igst Cgst Sgst Utgst Cess Gross Premium

IA077687969 2023-01-07 721.80 0.00 64.96 64.96 0.00 0.00 851.72

OTHER DETAILS
Previous Insurer Go Digit General Insurance Limited Previous Policy No. D053903641
Previous Policy 04-Jan-2023
IMT - Endorsements IMT-22 Expiry Date
GSTIN/UIN No. Unregistered State Code 29
Receipt No. RA083990677 Receipt Date 05-Jan-2023
Nominee Details --

Other Details

Follow these rules like you follow the rules of the road.
Geographical Area: Any accidental loss, damage and/or liability caused, sustained or incurred within India shall be covered subject to Policy Terms and Conditions, unless specifically
agreed and endorsed. Limitation as to use The policy covers use of the vehicle for any purpose other than hire or reward, racing, pace making, reliability trial, speed testing and use
for any purpose in connection with the Motor Trade. Person or Class of persons entitled to drive: Any person including the insured 1) Provided that a person driving holds a valid &
effective driving license at the time of the accident and is not disqualified from holding or obtaining such a license. 2) Provided also that the person holding a valid & 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 and any subsequent amendment as
applicable. Limits of Liability: 1) Under Section I of the policy_ IDV as shown in the schedule. 2) 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 and any subsequent amendment as applicable. 3) Under Section II _ 1 (ii)of the policy: Damage to Third Party
Property(` 100000) 4) P.A. Cover for Owner Driver under Section III (CSI) (per annum) - (` 0)

Big Legal words

NCB Declaration: The premium has been charged and policy has been issued subject to NCB declared by you as an insured. In the event of NCB found wrongly declared at any point
of time during policy period, all benefits and coverages under the Policy in respect of section I of the Policy will stand forfeited. If there is any disagreement, write to us within 7 days
from the date of issuance of policy or before the start date of period of insurance whichever is earlier. PUC Declaration: The Policy has been issued subject to valid Pollution Under
Control (PUC) Certificate disclosed by you as an insured on or before the date of commencement of the Policy . Cheque dishonor / Non-receipt of payment: If premium paid through
Cheque, the policy is void ab-initio in case of dishonor of Cheque or non-receipt of payment. This policy is subject to the standard policy wordings, warranties and conditions
applicable for this product in addition to coverages and exclusions specified in the motor vehicle tariff published by IRDAI. 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 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”. Pre-existing Damages: All types of pre-existing
damages or cost of repair of such damage will be excluded at the time of claim settlement.Violation of Motor Vehicle Act: This policy is issued in accordance with the provision of
Chapter X and Chapter XI of MV act, 1988 and any subsequent amendment as applicable. Any violation will forfeit all benefits and coverages under the Policy. Important Notice: The
company may cancel the policy by sending 7 days notice in case of fraud, misrepresentation, non disclosure of material fact or non co-operation of the insured. This policy is subject
to the standard policy wordings, warranties and conditions applicable for this product in addition to Indian Motor Tariff. Break in Insurance: In case of a break-in, the company may
conduct pre-inspection of the vehicle and in such a case, Own Damage cover (Section -I) of the policy would not commence unless the pre-inspection of the vehicle has been done
and the acceptance of risk is subject to evaluation of the vehicle inspection report. In case of any adverse findings in the report, the Company, at its discretion, may cancel the Policy
as per the Motor Tariff.
Note: The policy is issued in utmost good faith, relying on the information shared by insured at the time of obtaining the policy. The terms and conditions detailed in this policy
schedule as well as the policy document sent by Digit shall prevail in case of any dispute.

Policy No: D080120873

Page No: 2 of 3
Go Digit General Insurance Ltd. Address: Atlantis, 95, 4th B Cross Road, Koramangala Industrial Layout, 5th Block, Bengaluru, Karnataka 560095. IRDAI Reg
No. 158 CIN U66010PN2016PLC167410, GST Reg. No.: 29AACCO4128Q1ZW HSN: 997134/General Insurance Services, GSTIN Address: Go Digit General
Insurance Limited,Atlantis No 95, 4th B Cross Road 5th Block Koramangala Industrial layout,Bengaluru,Karnataka,PIN-560095
https
Go Digit General Insurance Ltd.
Schedule/Certificate
Digit Two-Wheeler Package Policy
UIN No.: IRDAN158RP0006V01201718
The Policy has been issued without Compulsory Personal Accident Cover to Owner Driver on the basis of your declaration that you do not hold a valid Driving License on or before the
date of commencement of this Policy / already have an alternate Personal Accident insurance cover of Rs. 15 Lakhs
For & On Behalf of Go Digit General Insurance Ltd.

In case of claim or any other query, please contact our 24-hour Call
Centre at 1800-258-5956 or email us at [email protected]
or visit our website www.godigit.com.

Praveen Bhat
Senior Vice President - Customer Experience
[email protected]
Authorized Signatory
Printed, Signed, and Executed at Bengaluru
Consolidated Stamp Duty has been paid as per Letter of
Authorization No.67-B/04/2017-18 Date: 30th May 2017
issued by Department of Stamps and Registration ,
Bengaluru- 560009 - KARNATAKA.
Hey, our document is now digitally signed
Click here to view the certificate.
For instant resolution, you can ping us “Hi”
on WhatsApp at 702 606 1234

Policy No: D080120873

Page No: 3 of 3
Go Digit General Insurance Ltd. Address: Atlantis, 95, 4th B Cross Road, Koramangala Industrial Layout, 5th Block, Bengaluru, Karnataka 560095. IRDAI Reg
No. 158 CIN U66010PN2016PLC167410, GST Reg. No.: 29AACCO4128Q1ZW HSN: 997134/General Insurance Services, GSTIN Address: Go Digit General
Insurance Limited,Atlantis No 95, 4th B Cross Road 5th Block Koramangala Industrial layout,Bengaluru,Karnataka,PIN-560095