Scribd Logo
Upload

Welcome to Scribd!

  • 41 views

    HR20T0036 Policy

    Uploaded by

    sdbdwj
    The document is a liability only insurance policy certificate for a private car. It provides details of the insured such as name and address, policy number, period of insurance, vehicle details, premium amount and limits of liability. It certifies that insurance has been provided in accordance with motor vehicle laws and lists important policy terms and conditions.

    Copyright:

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

    HR20T0036 Policy

    Uploaded by

    sdbdwj
    41 views2 pages
    The document is a liability only insurance policy certificate for a private car. It provides details of the insured such as name and address, policy number, period of insurance, vehicle details, premium amount and limits of liability. It certifies that insurance has been provided in accordance with motor vehicle laws and lists important policy terms and conditions.

    Original Description:

    insurance

    Original Title

    HR20T0036 policy

    Copyright

    © © All Rights Reserved

    Available Formats

    PDF, TXT or read online from Scribd

    Did you find this document useful?

    Is this content inappropriate?

    The document is a liability only insurance policy certificate for a private car. It provides details of the insured such as name and address, policy number, period of insurance, vehicle details, premium amount and limits of liability. It certifies that insurance has been provided in accordance with motor vehicle laws and lists important policy terms and conditions.

    Copyright:

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

    HR20T0036 Policy

    Uploaded by

    sdbdwj
    The document is a liability only insurance policy certificate for a private car. It provides details of the insured such as name and address, policy number, period of insurance, vehicle details, premium amount and limits of liability. It certifies that insurance has been provided in accordance with motor vehicle laws and lists important policy terms and conditions.

    Copyright:

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

     

    Bajaj Allianz General Insurance Company Ltd.


    Bajaj Allianz House, Airport Road, Yerwada, Pune - 411006(India)
    LIABILITY ONLY POLICY FOR PRIVATE CAR CERTIFICATE CUM POLICY SCHEDULE
    UIN : IRDAN113RP0040V01200102

    Policy issuing office and Correspondence address for communication by policyholder for claim, service request, notice, summons,
    etc; Bajaj Finserv Building, 1st Floor, Behind Weikfield IT-Park, Viman Nagar, Pune-411014 Phone No :1800-209-0144
    Policy Number OG-24-9906-1805-00112772 Product Liability Only Policy For Private Car
    Period Of Insurance From: 13-Feb-2024 Policy issued on 13-Feb-2024-
    To: 12-Feb-2025 Midnight Cover Note N /
    Application No Scrutiny No 38558888
    Insured Name . MR BALRAJ 885B
    Insured Address SCF 167 GRAIN MARKET SEC 26
    Customer ID 421034743578 Premium Payer ID 42103460000
    Transaction Id
    Policy Status ISSUED
    GSTIN / UIN NA Place of Supply/State 04- Chandigarh
    Code/Name
    Invoice No. 408919932/1
    Company GST No 27AABCB5730G1ZX
    Company PAN No AABCB5730G
    Registration Make SubType Model CC/KW Mfg Seat Cap Vehicle/ Engine Num-
    No. year Trailer ber
    Chassis
    No
    HR20T0036 CHEVROLET CRUZE 2.0LTZ 1991 2010 5 MA6JF69 Z20S1303440K
    DL9H0012
    23

    Fuel Type Vehicle IDV Elec Acc Non Elec Acc Trailer Trailer Reg No CNG/LPG Unit Total Sum Insured

    DIESEL 0 0 0 0 0
    SCHEDULE OF PREMIUM
    OWN DAMAGE LIABILITY
    Total Own Damage Premium: Basic Third Party Liability 4720.00
    Total Liability Premium: 4720.00
    Additional loading @ 0% 0

    Total premium 4000.00


    Special Discount 4000.00
    Net Premium
    Integrated GST (18%) 720
    Final Premium Rs. 4720.00 ***All Premium Figures are in Rupees
    Geographical Area : No Claim Bonus : 0% Theft Excess: Rs. 0
    Nominee Details Name : Legal Heir Relationship : Legal Heir

    As per the GST regulations, the amount of GST will not be refunded if the policy / endorsement is cancelled after 30th
    September of the next financial year
    I/We hereby declare that though our aggregate turnover in any preceding financial year from 2017-18 onwards is more
    than the aggregate turnover notified under sub-rule (4) of rule 48, we are not required to prepare an invoice in terms of
    the provisions of the said sub-rule.

    Nominee Details Name : Legal Heir Relationship : Legal Heir


    LIMITS OF LIABILITY: Under Section II-1(i) of the policy -> Death of or bodily injury : Such amount as is necessary to meet there requirements of the Motor
    Vehicles Act,1988. Under Section II-1(ii) of the policy -> Damage to Third Party Property : Rs.7,50,000.00/-
    LIMITATION AS TO USE: The Policy covers use of the vehicle for any purpose other than : Hire or reward, Carriage of goods(other than samples or personal
    luggage), Organised racing, Pace making, Speed testing, Reliability trials, Any purpose in connection with Motor Trade.
    DRIVER : : Any person including the insured :Provided that a person driving holds an effective driving licence at the time of the accident and is not disquali-
    fied from holding or obtaining such a licence. Provided also that the person holding an effective Learner's licence may also drive the vehicle and that such a
    person satisfies the requirements of Rule 3 of the Central Motor Vehicles Rules, 1989.
    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".
    Subject To IMT Endorsement Nos : & Policy wordings attached herewith
    Warranted that insured named herein or owner of the vehicle insured holds a valid Pollution Under Control (PUC) and
    / or Fitness Certificate on the date of commencement of the Policy. If the PUC and/or Fitness Certificate is not found to
    be valid on the date of commencement of the Policy, the Company reserves its right to consider the policy void ab ini-
    tio.
    Broker Code 10078623 Channel Name : WS
    Broker Name : PAYTM INSURANCE BROKING PRIVATE LIMITED
    Contact No : 8957750016/8879001678
    Email - [email protected]
    Damage Details as per Annexure I
    Premium Collection Details :- [Receipt No/Collection No/Amount] 9906-09176132 / 385610885 / ,
    *** If premium paid through cheque, the policy is void ab-initio in case of dishonour of cheque.
    This certificate of insurance is issued in accordance with the provision of Chapter X and Chapter XI of M.V. Act, 1988.
    Damage Details Annexure : - NA
    Remarks PDA MODULE

    Regd. Office : Bajaj Allianz House, Airport Road, Yerawada,Pune - 411006 (India),A Company incorporated under Indian Companies Act, 1956 and licensed by Insurance
    Regulatory and Development Authority of India [IRDA] vide Reg No.113, Corporate Identification Number U66010PN2000PLC015329.Principal Location : Bajaj Allianz
    House, Airport Road, Yerwada, Pune - 411006 PH:66026666 | Services Accounting Code : 997134 - Motor vehicle insurance services. No reverse charge is payable on
    these services. - Latest Schedule - 26-Dec-2023 21:21:56 PM (Web)
     
    In case of any claim, please contact our 24 Hour Call centre at 1800-102-5858 (Toll Free) / 91-020-30305858 (chargeable, add area
    code before this number in case of mobile call) or email us at '[email protected]'.
    385610885/-/10078623/0/-
    This is a one page Policy Document [without enclosing the Terms and Conditions (T&C) of the Policy] issued by the Company, pursuant to the authorization of Insured to display the T&C of the Policy on its website (www.bajajallianz.com) that enables access by the In-
    sured. The T&C of the Policy are available on the Company's website and can be accessed by the Insured.
    Kindly contact our nearest / local office(s) for No Claim Bonus Confirmations.

    For & On Behalf of Bajaj Allianz General Insurance Company Ltd.


    Generated by Silent_Printing

    You might also like