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    HR51BQ5207

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    Shah Computers

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

    HR51BQ5207

    Uploaded by

    Shah Computers
    1 views1 page

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    HR51BQ5207

    Uploaded by

    Shah Computers

    Copyright:

    © All Rights Reserved
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    MOTOR INSURANCE - Two Wheeler PACKAGE POLICY SCHEDULE

    Policy Number :22300031240161214625 Previous Policy Number :OG-24-9906-1802-00293208


    Geographical Area :India Insurance Start Date & Time :28/11/2024 0:00 (hours)
    Insured Name :SABIR B Insurance Expiry Date & Time :27/11/2025 midnight
    Insured Address : Policy Issuing Office Address :

    H.NO-610 VILLAGE-DHOJ FARIDABAD Faridabad Haryana Divisional Office-30 (Gurugram) Unit no: 34,35,6A,6B,Ground Floor,Vipul Trade Centre, Sector-48,
    121001 Sohna Road
    City :FARIDABAD District :FARIDABAD City :GURUGRAM District :Gurugram
    State :HARYANA Pincode :121004 State :HARYANA Pincode :122001
    Mobile No :9711101342 Office Contact Details :0124-2213170 Email Id :[email protected]
    Email :[email protected] GSTIN :06AAACU5552C1ZN

    Business Channel Code: NA Business Channel Sub Code: BRC0001039


    Helpline No: 18002585970 Broker Name : Policybazaar Insurance Brokers Private Limited.
    IRDA License Code - Number: IRDA/DB797/19 - 742
    VEHICLE DETAILS
    Year of Manufacture Vehicle
    Registration Number HR51BQ5207 Engine Number BE4HH2132557 2017
    Weight(kg.)
    RTA Name HR51 Faridabad Chassis Number MD634BE48H2H33241 Cubic Capacity / GVW 160

    Registration Date 03/10/2017 Vehicle Make & Model TVS - APACHE - RTR 160 RR (160 CC) Type of Body Two Wheeler
    AA Membership Name Seating Capacity 2 Geographical Extension NoExtn

    INSURED DECLARED VALUE (IN RUPEES)


    Electrical /Electronic Non-Electrical Co-Insurance
    Vehicle Trailer FiberGlass CNG Kit LPG Kit TOTAL
    Accessories Accessories Details
    50000 0 0 0.00 0.00 0.00 0.00 50000 0.00

    OTHER DETAILS
    Financier Branch Name & Address Policy Subject to IMT Endorsements/Applicable covers

    PERSONS OR CLASS OF PERSONS ENTITLED TO DRIVE: As narrated in the certificate of insurance attached herewith.
    LIMITATIONS AS TO USE : As narrated in the certificate of insurance attached herewith.
    LIMITS OF LIABILITY : As narrated in the certificate of insurance attached herewith.

    OTHER DETAILS
    EXCLUSIONS: (1) Any accidental loss or damage and/or liability caused sustained or incurred outside the geographical area. (2) Any claim arising out of any contractual liability. (3) Any accidental loss or
    damage to any property whatsoever or any loss or expense whatsoever resulting or arising there from or any consequential loss. (4) Any liability of whatsoever nature directly or indirectly caused by or contributed
    to or by arising out of ionizing radiations or contamination by radioactivity from any nuclear fuel. For the purpose of this exception, combustion shall include any self sustaining process of nuclear fission. (5) Any
    accidental loss or damage or liability directly or indirectly caused by or contributed to, by or arising from nuclear weapons material. (6) Any accidental loss, damage or liability directly or indirectly or proximately or
    remotely occasioned by contributed to by or traceable to or arising out of or in connection with war, invasion, the act of foreign enemies, hostilities or war like operations(whether before or after declaration of
    war), civil war, mutiny, rebellion, military or usurped power or by any direct or indirect consequence of any of the said occurrences or any consequences thereof and in default of such proof, the company shall not
    be liable to make any payment in respect of such a claim.
    PA COVER CSI (In Rupees) DEDUCTIBLES (Under Section I) (In Rupees)
    Owner- Driver (Under section IV) N/A Compulsory 100.00 Imposed 0.00 Voluntary 0.00

    SCHEDULE OF PREMIUM (IN RUPEES)


    A-OWN DAMAGE PREMIUM B-LIABILITY PREMIUM TOTAL PACKAGE PREMIUM
    Basic Own Damage 139 Basic TP Liability 1366 Package Premium 1477
    Anti Theft Device Discount PA Owner Driver 0 GST @18.00% 266
    Nil depreciation withoutExcess 0 PA for Unnamed persons
    Engine Protection Cover
    0
    Premium
    RTI Cover Premium 0
    Sub Total(Additions) 0 Sub Total (Additions)
    NCB Discount @ 20 % 28 Sub Total (Deductions) 0
    Total 111 Total 1366

    TOTAL PAYABLE PREMIUM 1743


    Receipt Date 25/11/2024
    Receipt Amount 1743
    Payment Mode Online
    Paying Party SABIR B

    CHEQUE DETAIL
    Cheque Number Cheque Date Bank Name Branch Name Branch Code Cheque Signatory MICR No
    PB110576708 25/11/2024 SABIR B

    TERMS & CONDITIONS: As per the Indian Motor Tariff, personal copy of the same is available free of cost on request. Further the Indian Motor Tariff is also available and displayed at allUnited India Insurance
    Company Offices and on website http://uiic.co.in/sites/default/files/uploads/downloadcenter/IndianMotorTariff.pdf.
    For terms and conditions for add on covers go to : http://uiic.co.in/sites/default/files/uploads/downloadcenter/motor_additional_covers.pdf
    DISCLAIMER: The policy stands cancelled or void in the event of Cheque Dishonored. The company may cancel the policy by sending 7 days notice in case of fraud, misrepresentation, nondisclosure of material
    fact or non co-operation of the insured.
    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 ofwider 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 ANDRIGHT OF RECOVERY". For Legal interpretation,
    English version will hold good. In case of accident, the insured must inform United India Insurance Co. Immediately to arrange spot survey.Date & Signature of Proposal: 25/11/2024 00:00:00.0
    In Witness whereof this Policy has been signed at GURGAON this day of , Date
    For United India Insurance Company Limited

    CONSOLIDATED STAMP DUTY PAID VIDE


    GRN NO. 75907349 DTD 31/03/2021 AND In case of any claim, You can contact nearest local office of United India
    CIN. NO. 122748020 DTD 06/04/2021 ISSUED BY Insurance Company ltd or Contact PB on 1800-258-5970
    TREASURY OFFICER, GURGAON
    Duly Constituted Attorneys
    IP Address: 10.82.4.216 Print Date: 25/11/2024 19:40:25

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