Customer Care Number

1800-22-1111 (MTNL/BSNL user)

1800-102-1111 (for other users)
customer.care@sbigeneral.in
Motorised Two Wheeler Certificate cum Policy Schedule - Liability Policy
(UIN No. IRDAN144RP0001V01200910)
Important Note: 1) The Validity of this Certificate of Insurance cum Schedule is subject to realization of the premium cheque. 2) This Insurance Policy cover is valid subject to availability of Complete and
Correct Registration Number within 15 days from the Date of Commencement of this Policy. 3) This insurance policy cover is valid subject to Warranties, Terms and Conditions of the policy.

Policy / Certificate No : PBM2W00000304805

PBM2W00000304805 Policy Issue Date : 02/07/2021

Customer ID : NA
Name : Mrs. Sunita Rani
Policy Effective From : 03/07/2021 00:00 Hours To 02/07/2022 Midnight
Address : Ravidass Nagar Goraya Tehsil-P hillaur Geographical Area : India
Policy Servicing Branch : Mumbai
Contact No. : 8568938108
Intermediary Name &
: POLICYBAZAAR INSURANCE BROKERS PRIVATE LIMTED - 65359
Email Id : sukhsunny52@gmail.com Code
Intermediary Contact No. : 1800-258-5970

Vehicle Details
Vehicle Make Model & Variant Honda Motorcycles, Activa & 4G 109 CC
Year of Mfg. 2017
Registration no PB08DQ9326
RTO Location Name Jalandhar
Engine No JF50ET5022297
Chassis No. ME4JF507CHT022052
Cubic Capacity 109
Fuel Type Petrol
Seating Capacity Including Driver 2
Type of Body
LIMITATION AS TO USE: : As per Motor Vehicle Rules, 1989, The Policy covers use for any purpose other than a) Hire or Reward b) Organized Racing c) Speed Testing." Carriage of Goods (other than
samples or Personal Luggage) e) Pace Making f) Reliability Trials g) Any Purpose with connection of Motor Trade"
DRIVERS CLAUSE : 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 Vehicle Rules, 1989.
LIMITS OF LIABILITY : a. Under Section II-1(i) of the Policy-Death of or bodily injury to any person so far as it is necessary to meet the requirements of the Motor Vehicle Act, 1988. b. Under Section II (1)(ii)
of the Policy-Damage to property other than property belonging to the insured or held in trust or in the custody or control of the insured up to the limits specified Upto Rs.100000 /-. c. PA Cover for owner-
driver under Section-III CSI - Rs. 1500000 /-.
Premium Computation Table
Liability - Section II Amount (Rs)
Basic Liability 752.00
Geographical Extension 0.00
Driving Tuition 0.00
Additional Covers
Personal Accident Cover
PA cover - Owner Driver NA
PA cover – Unnamed Passengers (SI/Person) 0.00
Legal Liability Cover
Legal Liability to Driver 0.00
Legal Liability to Employee 0.00
Less Discount
TPPD - Third Party Property Damage Discount 0.00
Use confined to Own Premises 0.00
Total Third Party Liability Premium 752.00
Gst 135.00
Total Premium Collected 887.00

Premium Collection details : Receipt No.: 389169988, Receipt Date: 02/07/2021

Add On Cover Opted :
Hire Purchase/ Lease /Hypothecated with : ,
Subject to I.M.T Endorsement Nos. : Subject to SBIG Add-On Endorsement Nos.:SBIG
Nominee Details : Name :Sukhwinder Kumar, Age :28, Relation :Son
Warranty: Warranted that the insured named herein/owner of the vehicle holds a valid Pollution Under Control (PUC) Certificate and/or valid fitness
certificate, as applicable, on the date of commencement of the Policy and undertakes to renew and maintain a valid and effective PUC and/or fitness
Certificate, as applicable, during the subsistence of the Policy. Further, the Company reserves the right to take appropriate action in case of any
discrepancy in the PUC or fitness certificate.

For claims, Please contact us at Toll Free number For and on behalf of SBI General Insurance Co.
MTNL/BSNL users – 1800-22-1111, Other users – 1800-102-1111For complete Coverage & Policy Wording, kindly visit our website - Ltd
www.sbigeneral.in
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 M.V. Act, 1988.

Policy Servicing Office : SBI General Insurance Company Ltd.301, Natraj, Junction of Western Express Highway & Andheri Kurla Road, Andheri (East),
Mumbai – 400069.
Authorized Signatory
Consolidated Stamp Duty Rs. 0.5 paid towards Insurance Policy Stamps vide Order No. CSD/293/2019andCSD/295/2019/176 Dated : 2019-01-25 11:00:52.0 of General Stamp
Office, Mumbai
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 Motor Vehicle Act, 1988 is recoverable from the Insured. See the clause headed “AVOIDANCE OF
CERTAIN TERMS AND RIGHT OF RECOVERY”. For legal interpretation English version will be good.
Disclaimer: Please examine this Policy including attached Schedules / Annexure if any. In the event of any discrepancy please contact the office of the Company immediately, it being
noted that this Policy shall be otherwise considered as being entirely in order. Please find claims settlement & grievance redressal procedure available on www.sbigeneral.in

SBI General Insurance Company Limited

Registered and Corporate office : “Natraj” 301, Junction of Western Express Highway & Andheri Kurla – Road, Andheri (East), Mumbai – 400 069,IRDA of India Reg.No.144