Print Close

Motor Commercial Vehicle Package Policy - For

Maxi Cab Vehicles
( See Rule 51 of Central Motor Vehicles Rules, 1 9 8 9 of Motor Vehicles Act,1 9 8 8 . )

CHOLAMANDALAM MS GENERAL INSURANCE COMPANY LTD.

ADDRESS: HYDERABAD - BRANCH GST Invoice No.: 33379532928436
1-2-73/2 1-2-63 TO 64, DATE: 10/09/2024
NO.302, 3RD FLOOR,S R ARCADE, PARKLANE PAN: AABCC6633K
PARKLANE SAC Code: 9977134
CITY: HYDERABAD STATE: TELANGANA SAC Description: Motor vehicle insurance services
GSTIN: 36AAABCC6633K1ZK
Business Location: HYDERABAD - BRANCH Cover Note No: -
Po lic y Nu m b e r : 33 7 9/ 04 87 6 03 6 96 6 /0 00 /0 0 Customer Code: 1900000116350578 Po l i c y Ty p e : Pa c k ag e - Co m m e r c i a l Ve hi cl e

Name&Communication Address: Name and Registration Address:

SRIKANTH MURAKA S/O MURAKA RAJU
HNO:25-157,VIDYANAGAR COLONY, HNO:25-157,VIJAYANAGAR COLONY,
HARIJANAVADA,IEEJA TELANGANA
, HARIJANAVADA,IEEJA,TELANGANA,
PIN- 509127 Mobile-8122317121
1 PIN- 509127 Mobile-6303066651
Period of Insurance: from 10/09/2024 00:00 hours to midnight Business or Geographical Area: No
on 09/09/2025 Profession: Individual Extension
Certificate Number: 3379/0403686966/000/00 Issue Date: 10/09/2024
PARTICULARS OF THE VEHICLE INSURED
Date of Registration: 23/05/2015 Place of Registration: MAHABUBNAGAR RTO Registration Mark: TS-06-UA-4114
Make:BAJAJ AUTO Model:AUTO RICKSHAW D Variant: BSTR BS IV Ve h ic le Co lo u r: - Year of Mfg: 20 17
LTD
Typ e of Bo d y : HA CKNEY Engine No: BAZWEG28667
Fu e l Us e d : DI E S E L Chassis No: MD2A26AZ5EWG22710
Cubic K.Watts Gro ss Ve hic le
GVW as per Public/Private Registration Contract
Capacity: 2489 : 0 We i g h t ( G V W) : 23 9 0 RC: 0 Carrier: PUBLIC Mark(Trailer): - No: -
Licensed Passenger Carrying Capacity: 7 Driver 1 Cleaner: 0 Conductor: 0 To ta l Se at in g Ca p a c it y In c lu d in g Driv e r : 8 Ch as sis No .(Tr aile r) : -

I
Value of Chassis (Rs): 550000 Value of Body (Rs): 0 For Vehicle ( Rs): 550 0 0 0 For Trailer (Rs): 0 Non-Electrical Accessories (Rs): 0
Electrical/Electronic Accessories (Rs): 0 Va l u e of CN G /L P G K it (R s ): 0 Tota l Val u e (R s) : 550 0 0 0
A. OWN DAMAGE B. LIABILITY
SI No . o f P e rs o n IMT Premium (Rs) SI No . of Pe r s o n IMT Premium (Rs)
Basic OD 350,00 0.00 6,041.00 Basic TP 6 ,216.00
IMT 23 6,041.0 0 23 906.00 Pa i d Dr i v e r 1 40 50.00
TOTAL 6,947.00 Legal Liability to 40 50.00
O w n Da m a g e Pr e m iu m 6,947.00 Cleaner 1
Experience Based Discount (80%) 5,557.60 TOTAL 16,216.00
TOTAL(A) 1,389.00 TOTAL PREMIUM(B) 16,216.00
D.ADD-ON COVERS(BENEFITS) C.PERSONAL ACCIDENT COVERS
Benefit PA fo r ow ner driver 1,500,0 00.00 750.00
No. Option No. TO TA L PREMIUM( C) 750.00
ADD-ON COVERS PREMIUM 0.00
Add-On Covers Discount .00 TOTAL (A+B+C+E) 6,216.00
TOTAL ADD-ON-COVERS PREMIUM (D) 0.00 TOTAL CONSIDERATION 3,288.00
E.OTHER CHARGES (NON PREMIUM) CGST 2,162.00
Chola value adde d services 0.00 SGST 1,162.00
TOT A L OT H E R CH A R GE S (N O N PR E M I U M ) (E) 0.00 IGST 0.00
AMOUNT COLLECTED 12,828.00

LIMITATIONS AS TO USE: The Policy covers use of the vehicle for any purpose other than: a)Organised Racing. b)Use while drawing a Trailer,except the towing(other than for reward) of any one
disabled mechanically propelled vehicle. c)Pace Making. d)Reliability Trial. e)Speed Testing. f)Use for carrying passengers in vehicles;except employees not exceeding the number permitted in the
registration document and coming under the purview of Workmen's Compensation Act 1923.

1.As per Sec 147 of MV Act issued policy the premium received only to an extent of liability fixed by IRDA/Central Govt
2.Sec 150 (2) (b) that the policy is void on the ground that it was obtained by, nondisclosure of any material fact or by representation of any fact which was, false in some material particular;
i.Or
ii.(c) that there is non-receipt of premium as required under section 64VB of,the Insurance Act, 1938.
3. No Ap pli c at io n fo r co mpen sat ion sh al l be ent ert ai ned unle ss it is mad e wit hin 6 Mon th s from th e dat e of occu rrence of the Acciden t
4 No Sum shall be payable by an Insurer in case a person driving the vehicle does not have a valid driving license or is under the in fluence of Alcohol or Drug
DRIVER CLAUSE: Any person including insured provided that a person driving holds an effective driving license at the time of the accident and is not disqualified from holding or obtaining such a
license. Provided also that the Person holding an effective learner's license may also drive the vehicle when not used for the transport of goods at the time of the accident and that such a person
satisfies the requirements of Rule 3 of the Central Motor Vehicles Rules 1989.
LIMITS OF LIABILITY:Under Section II-1 (1) of the Policy - Death or bodly injury such amount as is necessary to meet the requirements of the Motor Vehicle Act, 1988. Under Section II - 1 (ii) of the
Policy - Damage to Third Party Property - Rs .750000 P.A. Cover for the Owner cum Driver Under Section III (CSI)- Rs.1,500,000.00 Deduction Under Section 1: Rs.500 Additional compulsory
deductibles under Section 1 Rs.0.00
Additional Imposed deductibles under Sec tion 1 Rs.0
Subject to I.M.T. Endt. Nos. and Memorandum: 23, 21,40,7 .
Cov era ge Under this policy is subject to realisation of premium cheque(s ). Inca se of dishonor of cheque(s). No separa te int imation will be given and the policy stands cancelled from inception.
Product Plan:
Applicable benefits:-
The policy wordings with detailed terms , condition s,warranties exclusions and the list of Ombudsman details are available on our website www.cholainsurance.com.
Dat e and Sig nat u re of th e propo sal 10 /0 9/2024.
Warr an ties: -
Warranted that NCB under this Polic y is based on representa tio n regarding NCB and absence of claim under the previous Policy . If the information be found incorrect or false in any aspect, this
Policy shall be void ab initio and no benefit shall be payable by the company. It is warranted that separate value for Chassis and body including cabin has to be declared for insurance failing which
assessment of own damage claims will get prejudiced
This policy has been issued upon declaration by the Assured that a valid Pollution Under Control (PUC) Certificate is held on the date of commencement of the Policy
lt is hereby warranted the coverage under this Policy commences only from the Risk Start time and Date as mentioned in the Policy schedule. No Liability shall attach under this Policy in respect of
any Accident/Loss prior to the time and date of commencement of Period of insurance

No Claim Bon u s will on ly be allo we d pr ov id e d the po lic y is re ne we d within 90 da ys of th e exp iry da te of th e pre vio us po lic y.
CVAS NEW :
As pe r GR 36 A -P A fo r Ow n e r dri ve r re f er s to th e Ow n e r of th e ins ure d veh i cle ho ld in g an ef f ec t ive drv in g lice n c e .
Nominee Details:
S.No Na m e of th e Nom in e e RelationShip Age of th e Nom in e e % of Share Nam e of the Guardi an Relationship With Guardian
1 MURAKA RAJU JFather 57 100
Financier Name & Address: CHOLAMANDALAM INVESTMENT AND FINANCE COMPANY LIMITED,CHENNAI,CHENNAI

Intermediary Name: CIFCL

POSP Name:
MAHABUBNAGAR TS
Code: 20197716567326 POSP PAN No.:
POSP Aadhaar
Contact No: 9XXXXXXXX3
No.:
Note: The Motor Policy Schedule cum Certificate of Insurance is an important document issued based on your declaration. We request you to verify the details and ensure that everything is in
order. In case of any discrepancies, please contact us within 15 days from the date of issuance of policy.
For Cholaman dalam MS General Insurance Company Ltd
.
Place: CHENNAI Date:10/09/2024 Receipt No: Receipt Date: @CholaS ign 1

We hereby declare that though our aggregate turnover in any preceding financial year from 2017-18 onwards is more than the aggregate turnover Duly Constituted Attorney(s)
notified under sub-rule (4) of rule 48, we are not required to prepare an invoice in terms of the provisions of the said sub-rule and also as per
Notification No. 13/2020-CT dated 21-03-2020. This policy scheduleshall be in lieu of Tax Invoice and hence no separate GST invoice required In
compliance with Rule 54 (2 ) of CGST Rules, 201 7.

Consolidated Stamp Duty Paid Vide G.O Rt No 397, Commercial Taxes and Registration (j1) Department, Tamil Nadu dated 10/09/2024

I/We hereby certify that the policy to which this certificate relates as well as this certificate of insurance are issued in accordance with the provisions of Chapter X and Chapter XI of the Motor
Vehicles Act, 19 88.
In the event of ac la i m n der Compulso ry person ac cident co ver A the i nti ma on the c m tot e I nsurer shal l be w ithin 30 days o f s o ccurr e nce
I MPORTANTNO TIC E: T e insured is not indem n ifi d ifth e vehicl e s s or d r iven the ise th in a c o rdanc e wi th this schedu le Any pa y en t mad e 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 RIGHT OF
RECOVERY"
For Information/Claims: Contact Toll Free Helpline at 18000 208 55544: sms "CHOLA" to 566777 For CARE contact 18000 103 5354;
E- mail: customercare@ cholams.murugappa.com: www. cholainsurance.com
Note :UIN for this product and the related add on cover s availed under this policy are as mentioned in the attached sheet,which forms part of the Policy Schedule.

Whether tax is payable under reverse charge basis - No.

Cholamandalam MS General Insurance Company Ltd.
Regd.&Head Office:Dare House, 2nd Floor, No.2, N.S.C Bose Road, Chennai-600 001, India
CIN: U66030TN2001PLC04777977 | IRDAI Reg. No. 123

Motor Commercial Vehicle

Product
Name : Package Policy - For Maxi Cab Commerical Vehicles
IRDAN123RP077003V03100001
NA
UIN :