STANDALONE OWN DAMAGE TWO WHEELER POLICY

Policy No. Issued at HERO INSURANCE BROKING INDIA PVT LTD.

NATIONAL INSURANCE COMPANY LIMITED IRDA Registration No.: 649
39010231246800042093
SCOPE Minar, Core 3, 2nd Floor, Laxmi Nagar, Delhi- Toll-Free No.: 1800 102 4376
110 092. 264, Okhla Ind. Estate, Phase-III, Delhi-110020
Prev. Policy No.
Tel:011-23215595
39010231236800070493
[email protected]

Insured Business/Profession Address of The Insured OD Valid From OD Valid To

S/O SHRI KRISHAN LAL MAKHIJA H.NO.4272 M Midnight of 04-07-
Mr TARUN MAKHIJA Self Employed oh. SHUKARPURA, WARD NO. 7 Rewari HARYA 05-07-2024 0:00:00 2025
NA 123401 , Mobile No XXXXXX0360
Vehicle Regn No. Engine No. Chassis No. Make & Model Year of Mfg Cubic GSTIN No.
Capacity (Customer)
Hero MotoCorp HF
HR36AH1748 HA11ERL9F14362 MBLHAC042L9F14360 2020 100
DLX KICK START BS6
Declared Value (IDV) Side Car IDV Non-Electrical Electrical CNG/LPG/Bi-Fuel IDV Total IDV
of Vehicle Accessories IDV Accessories IDV
24193.00 NA 0.00 0.00 0.00 24193
Place of Regn. Body Type HP/Lease/Hire- Branch Office of Seating Capacity Premium
Purchase Agreement HP/Lease/Hire-
With Purchase
REWARI Solo , --- 2 557.00
OWN DAMAGE (Section A)
Basic OD Premium : 405.00
Non-Electrical-Fitting Premium : 0.00
Electronic & Electrical Accessories : 0.00
Bi-Fuel Kit : 0.00
Geographical Extension : 0.00
ND Plus Cover : 249.00
Less :
Handicapped Discount : 0.00
For Anti-Theft Discount : 0.00
NCB (45 %) : 182.00
Total Own Damage Premium(A) : 472.00
IGST @ 18.00% : 85.00
Gross OD Premium : 557.00
1.RegistrationNo.:58||2.LicenceNo.:1424542||3.CNNNo.:U10200WB1906GOI001713|| GSTIN No.:07AAACN9967E1Z5 ||UIN No.-IRDAN058RP0003V01201920||ND Plus UIN
No.-IRDAN058RP0003V01201920/A0007V01201920
THIRD PARTY POLICY DETAILS FOR THE SAME VEHICLE
Policy No. Policy Type Insurance Company Name TP Cover Start Date TP Cover End Date
Bundled Auto Secure - Two
3005/48373117/10029/000 Wheeler Policy (1 Year Term for
ICICI Lombard General Insurance Company
01/07/2020 30/06/2025
Own Damage & 5 Years for Third Ltd
Party)
Sum Insured of Optional PA Cover:-Sum Insured of Optional PA Cover "Unnamed Passenger"-NA and "Unnamed Driver"-NA
LIMITATIONS AS TO USE:--The Policy covers use of the vehicle for any purpose other than: a) Carriage of goods (other than samples or personal luggage) b)
Organized Racing c) Pace Making d) Speed Testing e) Reliability Trials f) Any purpose in connection with Motor Trade.
DRIVER: Any person including insured: Provided that a person driving holds an effective driving licence at the time of the accident and is not disqualified 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 Vehicle 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 RIGHTS OF RECOVERY'
I/We certify that the policy to which the certificate relates as well the certificate of insurance are issued in accordance with this provisions of Chapter X & XI of M.V. Act 1988
Note: The policy covers damage to Vehicle only & NO other Liability is attached to this policy.
Broker : Hero Insurance Broking India Pvt. Ltd
Received Vide Cash/Cheque
Premium of Rs. No. 557.00 CASH The policy is subject to a compulsory excess of Rs. 100/- &
Dated Depreciation is applicable as per policy terms & conditions*
(Please turn overleaf for details)
Drawn on
Consolidated Stamp Duty Paid Endorsements : IMT - 22
Acknowledgement Dt 04-07-2024
FOR RENEWALS CONTACT: VIRENDRA AUTOMOBILES Ph.No- 01274- On behalf of NATIONAL INSURANCE COMPANY
254985 LIMITED

05-Jul-2024
Date & Signature of
CIRCULAR ROAD,NEAR DHARUHERA CHUNGI, REWARI. HR.
proposer

Dealer's Stamp & Signature Duly Constituted Attorney

# : Warranted that the insured named herein/owner of the vehicle holds a valid Pollution Under Control (PUC) Certificate and/or valid fitness
certificate, as applicable, on the date of commencement of the Policy and undertakes to renew and maintain a valid and effective PUC and/or fitness
Certificate, as applicable, during the subsistence of the Policy. Further, the Company reserves the right to take appropriate action in case of any
discrepancy in the PUC or fitness certificate.
# : Received with Thanks Rs 557.00 from Mr TARUN MAKHIJA as premium against the money receipt no 024231244890810
Regd. & Head Office : Premises No.18-0374, Plot No. CBD-81, New Town, Kolkata-700156 Service Tax Registration Number - AAACN996EST099
For further information about motor insurance policy please also visit www.irdai.gov.in >> Grievances >> Policyholder Handbooks
For information on Insurance Ombudsman you may visit website: https://www.cioins.co.in