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    Private Car Package Policy - Zone B Motor Insurance Certificate Cum Policy Schedule

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    ijustyadav
    This document is a motor insurance certificate and policy schedule for a Honda City vehicle registered in Gurgaon. It provides coverage from June 20, 2020 to June 19, 2021. The insured is Monika Yadav and key details include the policy number, premium amount, and insured vehicle details. The document also lists coverage details, nominee details, and is digitally signed by Ajit Kumar.

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    © All Rights Reserved
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    Private Car Package Policy - Zone B Motor Insurance Certificate Cum Policy Schedule

    Uploaded by

    ijustyadav
    131 views3 pages
    This document is a motor insurance certificate and policy schedule for a Honda City vehicle registered in Gurgaon. It provides coverage from June 20, 2020 to June 19, 2021. The insured is Monika Yadav and key details include the policy number, premium amount, and insured vehicle details. The document also lists coverage details, nominee details, and is digitally signed by Ajit Kumar.

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    215393_31_2021_34

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    This document is a motor insurance certificate and policy schedule for a Honda City vehicle registered in Gurgaon. It provides coverage from June 20, 2020 to June 19, 2021. The insured is Monika Yadav and key details include the policy number, premium amount, and insured vehicle details. The document also lists coverage details, nominee details, and is digitally signed by Ajit Kumar.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    131 views3 pages

    Private Car Package Policy - Zone B Motor Insurance Certificate Cum Policy Schedule

    Uploaded by

    ijustyadav
    This document is a motor insurance certificate and policy schedule for a Honda City vehicle registered in Gurgaon. It provides coverage from June 20, 2020 to June 19, 2021. The insured is Monika Yadav and key details include the policy number, premium amount, and insured vehicle details. The document also lists coverage details, nominee details, and is digitally signed by Ajit Kumar.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
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    You are on page 1of 3

    This Document is Digitally Signed

    Signer: AJIT KUMAR


    Date: Fri, Sep 4, 2020 14:00:10 IST
    Location: NOIDA
    Reason: Signing Policy for OICL

    MOTOR INSURANCE CERTIFICATE CUM POLICY SCHEDULE


    PRIVATE CAR PACKAGE POLICY - ZONE B

    Policy No : 215393/31/2021/34 Prev Policy No : 215393/31/2020/43

    Cover Note No : - Cover Note Dt :

    Insured's Code : 67778078 Issue Office Code : 215393


    Insured's Name : MONIKA YADAV (GSTIN: 0) Issue Office Name : BC - BADSHAHPUR (GSTIN:
    06AAACT0627R1Z3)

    Address : HN-155, VILLAGE-MOLAHERA Address : NEAR RADHAKRISHAN MANDIR


    GURGAON SOHNA ROAD
    SOHNA GURGAON
    GURGAON 122001 HARYANA 122001
    Tel /Fax /Email : 0 / / 9868599477 / justyadav@gmail.com Tel /Fax /Email : 0124-2361104/9818606311 / /
    krishan.yadav@orientalinsurance.co.in
    Lead/Breakin No : /

    Agent/Broker Details
    Dev.Off.Code : NA0000009325 OFFICE DIRECT EC BADSHAHPUR
    Agent/Broker :: BA0000148095 TARUN YADAV
    Address : 854P,SEC 21,,GURGAON,GURGAON,HARYANA,122001
    Tel /Fax /Email : 8076606543//TARUNRA0701@GMAIL.COM

    Period of Insurance : FROM 00:00 ON 20/06/2020 TO MIDNIGHT OF 19/06/2021

    Collection No & Dt : CC 9461000066 - 18/06/2020 GST INVOICE NO :061945855 UIN :0

    Gross Premium : 6,520 GST : 1,174 Stamp Duty : .5 Total : 7,694


    Geographical Area : INDIA Area Extension :

    Particulars of Insured Vehicle:

    Registration Mark Engine No. & Type Of Body Cubic Year Of Seating Capacity
    & Place Chassis No. Make - Model Capacity Manf. (including Driver)
    Type Of Fuel
    HR 26 CH 8754 A11126128 HONDA 4 WHEELER- SEDAN 1497 2014 4 + 1
    HONDA CITY 1.5 E MT
    RTO Gurgaon FEN008572 PETROL

    Limitations as to use:

    1 The Policy covers use of the vehicle for any purpose other than a) Hire or Reward b) Carriage of goods (other than samples or
    personal luggage) c) Organized racing d) Pace making e) Speed testing f) Reliability Trials g) Use in connection with Motor
    Trade

    Driver:Any person including the 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 and that such a person satisfies the requirements of Rule 3 of the Central Motor Vehicles Rules, 1989.

    Limit of Liability:Under Section II-I(1) in respect of any one accident: as per Motor Vehicles Act, 1988.
    Under Section II-I(ii) in respect of any one claim or series of claims arising out of one event is Rs. 750000
    P.A. Cover under Section III for Registered Owner Cum Driver (CSI) : Rs. 1500000
    *This insurance excludes all pre-existing damages

    Insured's Declared Value


    For the Vehicle For Trailers Non Electrical Electrical Value of CNG Total Value
    Accessories Accessories LPG Kit

    4,37,000 0 0 0 4,37,000

    Place :
    Date : 18/06/2020
    Page 1 of 3
    This Document is Digitally Signed

    Signer: AJIT KUMAR


    Date: Fri, Sep 4, 2020 14:00:10 IST
    Location: NOIDA
    Reason: Signing Policy for OICL

    Attached to and forming part of policy number 215393/31/2021/34

    Nominee Details :
    Nominee Name Age Relationship
    ANIL KUMAR 34 Spouse

    SCHEDULE OF PREMIUM

    A. OWN DAMAGE B. LIABILITY

    BASIC OD COVER 14,644.00 BASIC TP COVER 3,221.00


    MOTOR OD BASIC - NEW 5,857.80 BASIC TP TOTAL 3,221.00
    LESS :HEAD OFFICE DISCOUNT 4,393.20 ADD :PA FOR OWNER DRIVER-GR36A 320.00
    LESS :UNDERWRITER DISCOUNT 4,393.00 ADD :LL-PAID DRIVER, 50.00
    BASIC OD TOTAL 5,857.80 CONDUCTOR,CLEANER-IMT-28
    TP TOTAL 3,591.00
    OD TOTAL 5,858.00
    TOTAL PREMIUM 6,520.00
    LESS :NO CLAIM BONUS-GR27 2,928.90
    STAMP DUTY 0.50
    MOTOR TOTAL OD 2,929.00
    ADD :SGST 587.00
    ADD :CGST 587.00
    TOTAL AMOUNT 7,694.00

    * NCB discount - 50 %

    Deductibles under Section-I : Compulsory Deductible 1000

    Subject to IMT Endorsement Printed herein/attached to : IMT-28 , IMT-22 , IMT-17 , IMT-29

    Details of IMT Endorsements are also available on the Company¿s Web Portal www.orientalinsurance.org.in

    Hypothecation Agreement with: -


    Hire Purchase/Lessor Agreement with: -

    In the event of a claim under the policy exceeding Rs.1lac or a claim for refund of premium exceeding Rs1lac,the insured will comply with
    the provisions of the AML policy of the Company.The AML policy is available in all our operating Offices as well as company's website.
    The insurance under this policy is subject to conditions, clauses, warranties, exclusions, IMTs and OIC endorsements mentioned herein
    above which are available on Company's website: www.orientalinsurance.org.in or on demand from the policy issuing office.

    Warranted that in case of dishonour of premium cheque(s) the Company shall not be liable under the policy and the policy shall be void
    abinitio (from inception).
    Claim is not admissible if Driving License is found fake or is not valid whether or not in the knowledge of the insured.
    I/We hereby certify that the policy to which the certificate relates as well as this certificate of insurance are issued in accordance with the provision of
    Chapter X and Chapter XI of Motor Vehicles Act, 1988.
    In witness whereof the undersigned being authorised by and on behalf of the company has/have herein to set his/their hands at BC - BADSHAHPUR
    (GSTIN: 06AAACT0627R1Z3) on 18-JUN-20
    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 of wider terms appearing in the Certificate in order to comply with the MVAct, 1988 is
    recoverable from the Insured. See the Clause headed "AVOIDANCE OF CERTAIN TERMS AND RIGHTS OF RECOVERY".

    For and on behalf of


    The Oriental Insurance Company Limited
    Entered By : 242713

    Policy Printed By : OICL


    Policy Printed On : 04-SEP-20 13:58:55 AJIT KUMAR
    General Manager
    Authorised Signatory

    This is an electronically generated document (Policy Schedule).The Policy document duly stamped will be sent by post.

    Place :
    Date : 18/06/2020
    Page 2 of 3
    This Document is Digitally Signed

    Signer: AJIT KUMAR


    Date: Fri, Sep 4, 2020 14:00:10 IST
    Location: NOIDA
    Reason: Signing Policy for OICL

    Attached to and forming part of policy number 215393/31/2021/34

    This is an electronically generated document (Policy Schedule).The Policy document duly stamped will be sent by post.

    In case of any query regarding the Policy please call Toll Free No. 1800 11 8485 and 011 33208485.
    CIN: U66010DL1947GOI007158 All the Amounts mentioned in this policy are in Indian Rupees
    IRDA Regn. No. 556 - Now you can buy and renew selected policies online at www.orientalinsurance.org.in

    Place :
    Date : 18/06/2020
    Page 3 of 3

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