AP26AJ1540

MAGMA HOUSE, 24 PARK STREET , KOLKATA -700016
CO MMERCIAL VEHICLE CLASS (PCV) PACKAGE POLICY

Endorsed Certificate of Insurance cum Schedule
Policy Servicing Office 2ND FLOOR, SURVEY NO, 134/3,PLOT NO. 16 ,TEACHERS”COLONY,GURUNANAK ROAD,PATAMATA ,KRISHNA -5240008 ,ANDHRA PRADESH , PH:80003976
Policy No P0018300021/4103/800936 Period Of Insurance 11:00 Hrs of 06/08/2024
Insured Mr RAMESH CHALLA To Midnight of 05/08/2025
Address S/O RAVI,POTHIREDDYPALEM,NELLORE Endt, No. EE01
NELLORE Endt, Effective Date 06/08/2024
ANDHRA PRADESH
Mobile:901517364 Hypothecation With
Contact Number
Email ID:
INSURED MOTOR VEHICLE DETAILS PREMIUM COMPUTATION
Registration Mark PASSENGER
& No. & RTA Year of Engine No Chassis No Make/Model/Type of CUBIC VEHICLE SUB CARRYING SEATING CAPACITY
Location Manufacture Body CAPACITY CLASS CAPACITY
CB FCV 2
AP26 AJ 1540/ 2010 HA10EAAHF358 MBLHA10EEAHF70864 SPLENDOR / 97 Wheeler 1 2
NELLORE 65 MOTOR CYCLE Vehicle
Insuracce
IDV (INSURED’S DECLARE VALUE)
Electrical/electronic
IDV of Chassis ` IDV of Body ` Non Electrical Accessories` Bi-Fuel kit(LPG/CNG) ` Other accessories ` Total Value `
Accessories `
1 0 0 0 0/0 0 1.00
OWN DAMAGE (A) ` LIABILITY (B) `
Basic – OD 205.00 Basic – TP 318.00
Sub Total 205.00 PA Owner Driver –SI Rs.200000 100.00
Total Own Damage Premium(A) 205.00 Legal Liability to Passenger 100.00
Under WC act-Driver/cleaner/employees-IMT 28 50.00
Sub Total 568.00
Less
TPPD Discount – IMT 20 0.00
Sub-Total Deductions 0.00
Total Liability Premium(B) 773.00
Premium Computation
Total Package Premium(A+B) 773.00
CGST @ 9% 69.00
SGST @ 9% 69.00
TOTAL 911.00
Disclaimer:The Exclusions in this policy are as specified in pre inspection report ID :
LIMITATION AS TO USE– THE POLICY COVERS USE ONLY UNDER A PERMIT WITHIN THE MEANING OF THE MOTOR VEHICLES ACT, 1988 OR SUCH A CARRIAGE FALLING UNDER SUB-SECTION 3 OF
Section 66 OF THE MOTOR VEHICLE ACT 1988.
The Policy does not cover use for a) Organised racing, b) Pace Making, c) Reliability Trails, d) Speed Testing, e) Use whilst drawng a trailer except the towing (other than for reward) of any one
disabled Mechanically propelled vehicle (only for Passenger Carryng Vehicles).
Persons or classes of persons Any person including Insured
entitled to drive
Stage carriage/Contract Provided that the person driving holds an effective driving license at the time of the accident and is not disqualified from holding or obtaining such a
Carriage/ Private Service license.Provided also that the person holding an effective learner’s license may also drive the vehicle when not used for the transport of passengers at the time of
Vehicle the accident and that such a person satisfies the requirements of Rule 3 of the Central Motor Vehicles Rules, 1989
Provided that the person driving holds an effective driving license at the time of the accident and is not disqualified from holding or obtaining such a
Non-Transport Vehicles license.Provided also that the person holding an effective learner’s license may also drive the vehicle when not used for the transport of passengers at the time of
the accident and that such a person satisfies the requirements of Rule 3 of the Central Motor Vehicle Rules, 1989
LIMITS OF LIABILITY
Under Excess in respect of each and every claim under Sec I of Under In respect of any one Under Damage to Third Party Property Under PA Owner – Driver as
Section I motor Policy Section accident – As per Section Rs.6000/- in respect of any one claim or Section III: per Premium
Compulsory : Rs. 500/- Voluntary : Rs. 0/- Imposed : II-I (1) Motor Vehicle Act II-I(ii) series of claims arising out of one computation table
Rs. 0/- Total :Rs.500/- event
Subject to I.M.T Endorsement Nos. IMT 03,IMT 7,,IMT 20,IMT 21,IMT 28,IMT 39
NOMINATION DETAILS
Name of the Nominee Date of Birth of Nominee Age of Nominee Relationship Percentage
//
I/We hereby certify that the Policy to which this certificate relates as well as this Certificate of Insurance are issued an accordance with the provisions of chapter X and chapter XI of M.V. Act,
1988.
In case of Claims, Please contact us at 1800 – 3002 – 3202
Date of Issue : 06/08/2024

Place : Kolkata
Consolidated Stamp Duty on the issue of General Insurance Policies Paid vide G.O No. 928-F.T, dated 01/06/2017
GST Number of MHDI 37AAGCM1685C1ZI

GST Invoice Number – 0
Accounting Code for Service – 997134, Motor vehicle insurance services
Previous GST Invoice No, -POL3707180000719

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MAGMA HOUSE, 24 PARK STREET , KOLKATA -700016

CO MMERCIAL VEHICLE CLASS (PCV) PACKAGE POLICY

Date of Issue : 06/08/2024

GST Number of MHDI 37AAGCM1685C1ZI

Previous GST Invoice No, -POL3707180000719

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