https

Go Digit General Insurance Ltd.

Schedule/Certificate
Digit Two-Wheeler Policy - Bundled
UIN No.: IRDAN158RP0009V02201819

N Name MOHD IRSHAD TAJ MOHD SHAH Vehicle Registration No. NEW
Partner Name: KRINAL HIREN MEHTA
3789B H ANA SAGAR COMPOUND NEAR VITTHAL
Address MANDIR WALIV VASAI EAST 9850947901,Palghar- 1153422
51 401208 Partner Code:
Mobile xxxxxxxxx7901 Partner Mobile No. 9860852897
hiren Email [email protected] Partner Email [email protected]
10 PAN (POSP) AJTPM6084E
986 Aadhar No. 0323
AJT

124

0 PO
G0 YOUR POLICY DETAILS
Policy No. D170368235 / 18102024 Policy Issue Date 18-Oct-2024 Invoice No. IA151062645 Invoice Date 18-Oct-2024
1 Period of Policy Own Damage Cover and Add On(s) if Opted Third Party Liability Cover PA Owner Driver
IU From 18-Oct-2024 13:08:44 18-Oct-2024 13:08:44 18-Oct-2024 13:08:44
To 17-Oct-2025 23:59:59 17-Oct-2029 23:59:59 17-Oct-2025 23:59:59
Compulsory 100 NCB % (Current Policy) 0%
Deductible (%)
Voluntary
Deductible (%) 0.00 Additional Excess (%) --

Coverages Opted Digit Two-Wheeler Policy - Bundled

MD -
Optional/AddOn Cover Optional/AddOn Coverage Details UIN
POS Digit Two-Wheeler Package Policy - Parts
51 Depreciation Protect - Bundled
Cover only 2 claims per year IRDAN158RP0009V02201819/A0032V01201819

Digit Two-Wheeler Package Policy - Breakdown

IRDAN158RP0009V02201819/A0034V01201819
Assistance - Bundled
G01
Digit Two-Wheeler Package Policy - Engine and
Maximum of one claim would be payable IRDAN158RP0009V01201819/A0033V01201819
Gear Box Protect - Bundled

YOUR VEHICLE DETAILS

949
RTO Location Palghar,MAHARASHTRA Make SUZUKI Model/Vehicle
BURGMAN STREET/RC OBD
SA Variant (Sub-
Engine No. AF218142122 Chassis No. MB8EA112JR8366598 BSVI
100 Type)
Year of
Regn/Year of
0A Body Type Scooter Fuel Type Petrol Mfg. --/2024
Seating Capacity 2 Cubic Capacity 124 CC Odometer
A
00A 3.6 FASTag Number Financier Details KOTAK MAHINDRA PRIME LTD

100 YOUR VEHICLE IDV

A 12 A
0 Year Vehicle IDV Non-Electrical Accessories IDV Electrical Accessories IDV CNG/LPG IDV Total IDV PA Owner Driver
A000C Year 1 94972 10000 -- -- 104972 1500000
00 Year 2 0 0 0 0 0 --
0034 Year 3 0 0 0 0 0 --
42 --
A Year 4 0 0 0 0 0
Year 5 0 0 0 0 0 --
0A1407.
0

0
0
5
Policy No: D170368235
Page No: 1 of 3

Go Digit General Insurance Ltd, GST Reg No 27AACCO4128Q1Z0 , PAN No:- AACCO4128Q, HSN: 997134/General Insurance Services, GSTIN Address :Mumbai
Business Centre,13th Flr, Godrej Coliseum, Lokmanya Pan Bazaar,Behind Everard Nagar,Sion(E),Mumbai,Maharashtra,PIN-400022. Website : www.godigit.com.
Corporate office Address : Atlantis, 95, 4thB Cross Road, Koramangala Industrial Layout, 5thBlock, Bengaluru, Karnataka, PIN – 560095, IRDAI Reg No. 158, CIN –
U66010PN2016PLC167410
https
Go Digit General Insurance Ltd.
Schedule/Certificate
Digit Two-Wheeler Policy - Bundled
UIN No.: IRDAN158RP0009V02201819

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

Own Damage Premium (`) 1407.46 Basic Third-Party Liability (`) 3,851.00
Add-Ons Premium (`) 514.86 PA cover for Owner-Driver (`) 450.00
NCB Discount Amount (`) -0.00 Legal Liability to Employees (`) --
0 Legal Liability to Paid Driver (`) --
1407.46 PA cover for 2 unnamed passengers each (`) --
PA cover for Paid Driver (`) --
Total OD Premium (`) 1922.32 Total Act Premium (`) 4301.00
Net Premium (`) 6223.32
CGST @ 9% = (`560.10) + SGST/UTGST @ 9% = (`560.10) 1120.20

Final Premium (`)

7343.52

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).
In case of an accident to your vehicle, please intimate us immediately for SPOT SURVEY. Failure to intimate in time could prejudice your claim. In case of
Total Loss and/or Theft claim, applicable subsidy amount availed as per government policy will be reduced from IDV for claim settlement.
Imp note: Own Damage cover shall end on completion of first year of this comprehensive bundled policy. The policy will continue as a third party cover
governed by standard wordings of Act only till the end of remaining period of policy
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

IA151062645 2024-10-18 6223.32 0.00 560.10 560.10 0.00 0.00 7343.52

OTHER DETAILS
Previous Insurer -- Previous Policy No. --
IMT-22,IMT-24,IMT-7 Previous Policy --
IMT - Endorsements Expiry Date
GSTIN/UIN No. Unregistered State Code 27
Receipt No. RA188698767 Receipt Date 18-Oct-2024
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) - (` 1500000)

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: D170368235

Page No: 2 of 3

Go Digit General Insurance Ltd, GST Reg No 27AACCO4128Q1Z0 , PAN No:- AACCO4128Q, HSN: 997134/General Insurance Services, GSTIN Address :Mumbai
Business Centre,13th Flr, Godrej Coliseum, Lokmanya Pan Bazaar,Behind Everard Nagar,Sion(E),Mumbai,Maharashtra,PIN-400022. Website : www.godigit.com.
Corporate office Address : Atlantis, 95, 4thB Cross Road, Koramangala Industrial Layout, 5thBlock, Bengaluru, Karnataka, PIN – 560095, IRDAI Reg No. 158, CIN –
U66010PN2016PLC167410
https
Go Digit General Insurance Ltd.
Schedule/Certificate
Digit Two-Wheeler Policy - Bundled
UIN No.: IRDAN158RP0009V02201819

For & On Behalf of Go Digit General Insurance Ltd.

Wish to go through your detailed policy wordings, click here.

In case of claim or any other query, please contact our 24-hour Call Praveen Bhat
Senior Vice President - Customer Experience
Centre at 1800-258-5956 or email us at [email protected] or visit our [email protected]
website Digit Insurance: Car, Bike, Health & Travel Insurance Online . Authorized Signatory
For instant resolution, you can ping us “Hi” on WhatsApp at 702 606 Printed, Signed, and Executed at Bengaluru
1234 Consolidated Stamp Duty has been paid as per Letter of
For Claims Notification and Procedure click here. 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: D170368235

Page No: 3 of 3

Go Digit General Insurance Ltd, GST Reg No 27AACCO4128Q1Z0 , PAN No:- AACCO4128Q, HSN: 997134/General Insurance Services, GSTIN Address :Mumbai
Business Centre,13th Flr, Godrej Coliseum, Lokmanya Pan Bazaar,Behind Everard Nagar,Sion(E),Mumbai,Maharashtra,PIN-400022. Website : www.godigit.com.
Corporate office Address : Atlantis, 95, 4thB Cross Road, Koramangala Industrial Layout, 5thBlock, Bengaluru, Karnataka, PIN – 560095, IRDAI Reg No. 158, CIN –
U66010PN2016PLC167410