https

Go Digit General Insurance Ltd.

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

N Name GULSHAN KUMAR Vehicle Registration No. NEW

Partner Name: RAJA MOTORS BHATINDA
S/O SURESH KUMAR 29196 JANTA NAGAR 1049843
Address
BATHINDA PUNJAB - 151001,Bathinda-151001
51 Partner Code:
Mobile xxxxxxxxx4593 Partner Mobile No. 9815980688
d102 Email [email protected] Partner Email [email protected]
10 Aadhar No.
981

100

0 MI YOUR POLICY DETAILS

G0 Policy No. D172973503 / 04112024 Policy Issue Date 04-Nov-2024 Invoice No. IA153416362 Invoice Date 04-Nov-2024
Period of Policy Own Damage Cover and Add On(s) if Opted Third Party Liability Cover PA Owner Driver
04-Nov-2024 10:03:20 04-Nov-2024 10:03:20
1 From 04-Nov-2024 10:03:20
IU To 03-Nov-2025 23:59:59 03-Nov-2029 23:59:59 03-Nov-2025 23:59:59
Compulsory 100 NCB % (Current Policy) 0%
Deductible (%)
Voluntary
Deductible (%) 0.00 Additional Excess (%) --

Coverages Opted Digit Two-Wheeler Policy - Bundled

Motor Optional/AddOn Cover Optional/AddOn Coverage Details UIN

Digit Two-Wheeler Package Policy - Parts
Cover only 2 claims per year IRDAN158RP0009V02201819/A0032V01201819
MIS Depreciation Protect - Bundled
51
YOUR VEHICLE DETAILS

G01 RTO Location Bathinda,PUNJAB Make BAJAJ Model/Vehicle

Variant (Sub- PLATINA/100 KS CBS BSVI
Engine No. PFXPRG34728 Chassis No. MD2B63AX8RPG44867 Type)
Year of
Regn/Year of
Body Type Motor Cycle Fuel Type Petrol Mfg. --/2024
589 Seating Capacity 2 Cubic Capacity 100 CC Odometer
C MUTHOOT CAPITAL SERVICES
FASTag Number Financier Details
LTD

YOUR VEHICLE IDV

0A
Year Vehicle IDV Non-Electrical Accessories IDV Electrical Accessories IDV CNG/LPG IDV Total IDV PA Owner Driver
Year 1 58986 -- -- -- 58986 1500000
A
00A
Year 2 0 0 0 0 0 --
Year 3 0 0 0 0 0 --
A 56A Year 4 0 0 0 0 0 --
0 Year 5 0 0 0 0 0 --
A000C
00
0034
23
A
0A632.7
0

0
0
5
Policy No: D172973503
Page No: 1 of 3

Go Digit General Insurance Ltd, GST Reg No 03AACCO4128Q1ZA , PAN No:- AACCO4128Q, HSN: 997134/General Insurance Services, GSTIN Address :Bathinda
Business Centre,B - 20, 3324 / 3325, Zone D, Gurdev Nagar, Ferozepur Road,Ludhiana,Punjab,PIN-141001. 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 (`) 632.71 Basic Third-Party Liability (`) 3,851.00
Add-Ons Premium (`) 265.44 PA cover for Owner-Driver (`) 450.00
NCB Discount Amount (`) -0.00 Legal Liability to Employees (`) --
0 Legal Liability to Paid Driver (`) --
632.71 PA cover for 2 unnamed passengers each (`) --
PA cover for Paid Driver (`) --
Total OD Premium (`) 898.15 Total Act Premium (`) 4301.00
Net Premium (`) 5199.15
CGST @ 9% = (`467.92) + SGST/UTGST @ 9% = (`467.92) 935.84

Final Premium (`)

6134.99

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

0.00 0.00 0.00 0.00 0.00 0.00 0.00

OTHER DETAILS
Previous Insurer -- Previous Policy No. --
IMT-22,IMT-7 Previous Policy --
IMT - Endorsements Expiry Date
GSTIN/UIN No. Unregistered State Code 3
Receipt No. RA191486187 Receipt Date 04-Nov-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: D172973503

Page No: 2 of 3

Go Digit General Insurance Ltd, GST Reg No 03AACCO4128Q1ZA , PAN No:- AACCO4128Q, HSN: 997134/General Insurance Services, GSTIN Address :Bathinda
Business Centre,B - 20, 3324 / 3325, Zone D, Gurdev Nagar, Ferozepur Road,Ludhiana,Punjab,PIN-141001. 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