MN874691
MN874691
MN874691
CSC Address:
AHEEEHAPCDGEKLKNLONNPDOJOMGOOPAHEEEHA
BNFFFNBPMCBHNDICMLJCILMPEHBGBPBNFFFNB Service Office :IFFCO TOKIO GEN INSU. CO. LTD. No. 28 (Old No. 195
DJECKHFFKDMLLHCLMNCFINNEPACOIPHJMHMDH North Usman Road T-Nagar CHENNAI
BCNNJKFHLEKHFBGGCDPEHOOPEDECKACKADFBC
MFNOPBFMKFJADNJGOALLMDNPJDKJFNKMOCFIJ CHENNAI TAMILNADU
DBCOGBFBEEGGDGGDDCBGDDOIMMMGBHMFGKOPH INDIA600017
JKOOLEFJOGMHPOKGHNMOOCAPNDNCIGDDBLFJC IFFCO-TOKIO GENERAL INSURANCE CO.LTD
EFNFFNEPAKICJIHMPOECJFCKIHNCAHFHAPBBE Regd. Office: IFFCO Sadan C1 Distt. Centre, Saket, New Delhi - 110017 General Insurance Services: 997134
APBBBPAPJPGPHIOIDNMPPNMJJKINFABGAEIPL PRIVATE CAR CERTIFICATE OF INSURANCE CUM SCHEDULE & TAX INVOICE GSTIN : 33AAACI7573H1ZJ
HHHHHHHPHHPHPHHPHHPHPPPPPHHPPPHPHHHHH Corporate Identification Number (CIN) U74899DL2000PLC107621, Phone #: 044 28144693
IRDA Reg. No. 106 Agent Name: BHARAT RE-INSURANCE SERVICES P
UIN: IRDAN106P0005V01200001 Agent #: 91000134
Agent Mobile #: NA
CHHATAN KUMAR MANDAL . Policy #: 1- P400 Policy # MN874691
2BBGE0QK :
Unique Invoice No: Status Check: Inforce
Address: VILL- KAHINAGAR MONDALPARA P. O- KAHINAGAR P. S- MURARAI Invoice/Issuance Date: 07/02/2022 15:26:59
BIRBHUM W BENGAL Pin Code 731219 Period of Insurance From: 07/02/2022 15:26:56
INDIA
To: Midnight On 06/02/2023 23:59:59
Phone #: XXXXXXX000 Cover Note # Geographical Area Within India Only
State Code: 19 Place Of Supply: WEST GSTIN Status Check: Inforce
Country INDIA BENGAL UIN
Registration Authority
Vehicle Trailer Elec./Elect. Acc. Bi-Fuel Kit Total Value Net Premium Rs.
320000.00 0.00 0.00 0.00 320000.00 13817.33
A. Own Damage Premium(Rs.) B. Third Party Premium(Rs.)
Basic Premium 11232.00 Basic Premium 7890.00
Electrical Accessories (IMT 24) 0.00 Bi Fuel Kit (IMT 25) 0.00
Bi Fuel Kit (IMT 25) 0.00
Add: Add:
Rallies (IMT 31) 0.00 Legal Liability to Driver (IMT 28) 0.00
Foreign Vehicle Loading (IMT 19) 0.00 Legal Liability to Employee (IMT 29) 0.00
Geographical Area Extension (IMT 1) 0.00 PA to Passenger (IMT 16) 0.00
Trailers (IMT 30) 0.00 Rallies (IMT 31) 0.00
PA Owner Driver CSI Rs 1500000 325.00
Geographical Area Extension (IMT 1) 0.00
IMT 15
Additional Loading
Less: Less:
Voluntary Excess Less 0% (IMT 22A) 0.00 Third Party Property Damage (IMT 20)
0.00
Anti Theft Device (IMT 10) Limit of Liability Under Section II-I (ii)
Automobile Association (IMT 8) 0.00
Handicap Discount (IMT 12) 0.00
Vehicle Use (IMT 13) 0.00
No Claim Discount ( 0.0 %)
Any Other Loading/Discount ( -70% ) -7862.40 Any Other Loading Discount
Net (A) 3369.60 Net (B) 8215.00
Co-Insurance Details Agent No./Share Total Premium Taxable Value(A + B)RS. Rs. 11709.60
Co-Insurer 2 No Co-Insurer Premium Paid(Total Invoice Value) Rs. 13817.33
CGST SGST UTGST IGST KERALA CESS
Percentage 18.00
Amount 2107.73
"Whether GST is Payable on Reverse Charge Basis – No"
I hereby confirm and declare that above-mentioned identification details of My Vehicle No. JH04Q8842 as well as that of damage to the vehicle as noted during the pre-inspection are correct. Nothing has been Hidden/
undisclosed. I also agree that the damages mentioned above shall be excluded /adjusted in the event of any claim being logged.
Under Hire Purchase /Hypothecated/Lease Agreement with SHRIRAM TRANSPORT FINANCE CO LTD Nominees: NA(Spouse),
Subject to IMT Endorsement Nos. 7
Limitation as to use :The policy covers use of vehicle for any purpose other than hire or reward, carriage of goods (other than samples or personal luggage), organized racing, pace making, speed testing,
reliability trails, Use in connection with Motor Trade
Driver Clause: Any person including insured: provided that the person driving holds and 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 The Central Motor Vehicles Rules 1989
No claim bonus will only be allowed, provided the policy is renewed within 90 days of the expiry date of the previous policy
The preceding year 20 % Preceding two consecutive year 25% Preceding three consecutive year 35% Preceding four consecutive year 45% Preceding five consecutive year 50%
Please note that the above premium is likely to be changed with effect from 1.4.2020 in respect of Third Party section of the policy as per IRDA guidelines as well as Service Tax. In case the premium rates
and Service Tax are revised you are requested to give the revised increased premium in order to avail the continuity of benefits under your Motor Insurance Policy.
Exclusion: Losses or damages caused directly or indirectly due to any infectious or contagious disease, pandemic /epidemics as declared by WHO and / or Government of India will be an exclusion under
this policy.
Limit of Liability Deductible under Section I
Under Section II-I(i) Such amount as is necessary to meet the requirements of the Motor Vehicles Act, 1988
Under Section II-I(ii) As per premium computation table Voluntary Excess:
Page 1 of 4
1) "Policy Issuing Office: Delhi",
Signature Not Verified 2) "Consolidated Stamp Duty deposited as per the order of Government of National Capital Territory of Delhi"
FOR QCS/CLAIMS CALL 1800 103 5499(Toll Free),0124-4285499 or SMS"CLAIM" to 56161
Digitally signed by SUBRATA MONDAL
Date: 2022.02.07 15:32:53 IST
Reason: Valid Policy Copy
Location: IFFCO Tokio General Insurance Company Ltd, India
Under Section III PA Owner- Driver as per premium computation table
Compulsory Excess: For Vehicle CC not exceeding 1500 cc, Rs 1000/- For Vehicle CC exceeding 1500 cc, Rs 2000/-
PUC Details:
Inspection Status
Inspection Date Inspection Ref No.: Inspecting Agency
The benefit under the policy will not be payable unless the policy is endorsed with proper registration No. of the vehicle within a maximum period of 7 days from the date and time of the Registration of the vehicle.
Previous Policy Number Previous Insurer Name and Address Policy Expiry Date
12345 SHRIRAM GENERAL INSURANCE CO. LTD 06/02/2022
1."I/ we hereby certify that the policy to which the certificate related as well as the certificate of insurance are issued in accordance with provisions of Chapter X, XI of MV act 1988"
2."Warranted that in case of Dishonor of premium cheque, This document stands automatically cancelled "AB-INITIO"
3."Important Notice: This 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
motor vehicle act 1988 is recoverable from the insured. See the clause headed "avoidance of certain terms and right of recovery"
Receipt Particulars: S.Tax.No. AAACI7573HST001
Pay Method Receipt Amount Instrument # Instrument Date Bank
CASH //
Amount Received 13817.32 For IFFCO-TOKIO General Insurance Co. Ltd
Page 2 of 4
1) "Policy Issuing Office: Delhi",
Signature Not Verified 2) "Consolidated Stamp Duty deposited as per the order of Government of National Capital Territory of Delhi"
FOR QCS/CLAIMS CALL 1800 103 5499(Toll Free),0124-4285499 or SMS"CLAIM" to 56161
Digitally signed by SUBRATA MONDAL
Date: 2022.02.07 15:32:53 IST
Reason: Valid Policy Copy
Location: IFFCO Tokio General Insurance Company Ltd, India
Subject otherwise to the terms exceptions conditions and limitation of this policy The Company undertakes to pay compensation as per the following scale for bodily injury/death sustained by the owner-driver of the vehicle, in direct connection with the vehicle insured
or whilst driving or mounting into/dismounting from the vehicle insured or whilst travelling in it as a co-driver, caused by violent accidental external and visible means which independent of any other cause shall within six calendar months of such injury result in:
Nature of Injury Scale of Compensation
(i) Death 100%
(ii) Loss of two limbs or sight of two eyes or one limb and sight of one eye 100%
(iii) Lossof one limb or sight of one eye 50%
(iv) Permanent total disablement from injuries other than named above. 100%
Provided always that
a) compensation shall be payable under only one of the items (i) to (iv) above in respect of the owner-driver arising out of any one occurrence and the total liability of the insurer shall not in the aggregate exceed the sum of Rs. 1500000 during any one period of
insurance.
b) no compensation shall be payable in respect of death or bodily injury directly or indirectly wholly or in part arising or resulting from or traceable to (1) intentional self injury suicide or attempted suicide physical defect or infirmity or (2) an accident happening whilst
such person is under the influence of intoxicating liquor or drugs.
c) Such compensation shall be payable directly to the insured or to his/her legal representatives whose receipt shall be the full discharge in respect of the injury to the insured.
This cover is subject to
i) the owner-driver is the registered owner of the vehicle insured herein;
ii) the owner-driver is the insured named in this policy
iii) the owner-driver holds on effective driving license, in accordance with the provisions of Rule 3 of the Central Motor Vehicles Rules, 1989, at the time of the accident.
GENERAL EXCEPTIONS (Applicable to all Sections of the Policy)
The Company shall not be liable under this Policy in respect of
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 damage and/or liability caused sustained or incurred whilst the vehicle insured herein is
a) being used otherwise than in accordance with the 'Limitations as to Use' or
b) being driven by or is for the purpose of being driven by him/her in the charge of any person other than a Driver as stated in the Drivers' Clause.
4. a) Any accidental loss or damage to any property whatsoever or any loss or expense whatsoever resulting or arising there from or any consequential loss
b) any liability of what so ever nature directly or indirectly caused by or contributed to by or arising from ionising radiations or contamination by radioactivity from any nuclear fuel or from any nuclear waste from the combustion of 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 and/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 warlike 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 and in the event of any claim hereunder the insured shall prove that the accidental loss damage and/or
liability arose independently of and was in no way connected with or occasioned by or contributed to by or traceable to 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.
DEDUCTIBLE
The Company shall not be liable for each and every claim under Own Damage Section (loss of or damage to the vehicle insured) of this Policy in respect of the deductible stated in the schedule.
CONDITIONS
This Policy and the Schedule shall be read together and any word or expression to which a specific meaning has been attached in any part of this policy or of the Schedule shall bear the some meaning wherever it may appear.
1. Notice shall be given in writing to the Company immediately upon the occurrence of any accidental loss or damage in the event of any claim and thereafter the insured shall give all such information and assistance as the Company shall require. Every letter claim writ
summons and/or process or copy thereof shall be forwarded to the Company immediately on receipt by the insured. Notice shall also be given in. writing to the Company immediately the insured shall have knowledge of any impending prosecution, inquest or fatal
inquiry in respect of any occurrence which may give rise to a claim under this Policy In case of theft or criminal act which may be the subject of a claim under this Policy the insured shall give immediate notice to the police and co-operate with the Company in securing
the conviction of the offender
2. No admission offer promise payment or indemnity shall be made or given by or on behalf of the insured without the written consent of the Company which shall be entitled if it so desires to take over and conduct in the name of the insured the defence or settlement of
any claim or to prosecute in then a me of the insured for its own benefit any claim for indemnity or otherwise and shall have full discretion in the conduct of any proceedings or in the settlement of any claim and the insured shall give all such information and assistance
as the Company may require.
3. The Company may at its own option repair reinstate or replace the vehicle or part thereof and/or its accessories or may pay in cash the amount of the loss or damage and the liability of the Company shall not exceed :
a) for total loss/constructive total loss of the vehicle - the Insured's Declared Value (IDV) of the vehicle (including accessories thereon) as specified in the Schedule less the value of the wreck.
b) for partial losses, i.e. losses other than Total Loss/Constructive Total Loss of the vehicle - actual and reasonable costs of repair and/or replacement of parts lost/damaged subject to depreciation as per limits specified
4. The insured shall take all reasonable steps to safeguard the vehicle from loss or damage and to maintain it in efficient condition and the Company shall have at all times free and full access to examine the vehicle or any part thereof or any driver or employee of the
insured. In the event of any accident or breakdown, the vehicle shall not be left unattended without proper precautions being taken to prevent further damage or loss and if the vehicle be driven before the necessary repairs are effected any extension of the damage or any
further damage to the vehicle shall be entirely at the insured's own risk.
5. The Company may cancel the policy by sending seven days notice by recorded delivery to the insured at insured's last known address and in such event will return to the insured the premium paid less the pro rata portion thereof for the period the Policy has been in
force or the policy may be cancelled at any time by the insured on seven day's notice by recorded delivery and provided no claim has arisen during the currency of the policy, the insured shall be entitled to a return of premium less premium at the Company's Short
Period rates for the period the Policy has been in force. Return of the premium by the company will be subject to retention of the minimum premium of Rs. 100/- (or Rs. 25/- in respect of vehicles specifically designed/modified for use by blind/handicapped/mentally
challenged persons). Where the ownership of the vehicle is transferred, the policy cannot be cancelled unless evidence that the vehicle is insured elsewhere is produced.
6. If at the time of occurrence of an event that gives rise to any claim under this policy there is in existence any other insurance covering the same liability the Company shall not be liable to pay or contribute more than its rateable proportion of any compensation, cost or
expense.
7. If any dispute or difference shall arise as to the quantum to be paid under this policy [liability being otherwise admitted), such difference shall independent of all other questions be referred to the decision of a sole arbitrator to be appointed in writing by the parties to
the dispute or if they cannot agree upon a single arbitrator within 30 days of any party invoking Arbitration, the some shall be referred to a panel of three arbitrators comprising two arbitrators one to be appointed by each of the parties to the dispute/difference, and a
third arbitrator to be appointed by such two arbitrators who shall act as the presiding arbitrator and Arbitrations shall be conducted under and in accordance with the provisions of the Arbitration and Conciliation Act, 1 996. It is clearly agreed and understood that no
difference or dispute shall be referable to Arbitration as hereinbefore provided, if the Company has disputed or not accepted liability under or in respect of this policy. It is hereby expressly stipulated and declared that it shall be condition precedent to any right of action
or suit upon this policy that the award by such arbitrator/arbitrators of the amount of the loss or damage shall be first obtained. It is also hereby further expressly agreed and declared that if the Company shall disclaim liability to the insured for any claim hereunder and
such claim shall not, within twelve calendar months from the date of such disclaimer have been made the subject matter of a suit in a court of law, then the claim shall for all purposes be deemed to have been abandoned and shall not thereafter be recoverable hereunder.
8. The due observance and fulfilment of the terms, conditions and endorsements of this Policy in so far as they relate to anything to be done or complied with by the insured and the truth of the statements and answers in the said proposal shall be conditions precedent to
any liability of the Company to make any payment under this Policy
9. In the event of the death of the sole insured, this policy will not immediately lapse but will remain valid for a period of three months from the date of the death of insured or until the expiry of this policy (which ever is earlier). During the said period, legal heir(s) of
the insured to whom the custody and use of the Motor Vehicle passes may apply to have this Policy transferred to the name(s) of the heir(s) or obtain a new insurance policy for the Motor Vehicle.
Where such legal heir(s) desire(s) to apply for transfer of this policy or obtain a new policy for the vehicle such heir(s) should make an application to the Company accordingly within the aforesaid period. All such applications should be accompanied by:-
a) Death Certificate in respect of the insured
b) Proof of title to the vehicle
c) Original Policy
Page 3 of 4
1) "Policy Issuing Office: Delhi",
Signature Not Verified 2) "Consolidated Stamp Duty deposited as per the order of Government of National Capital Territory of Delhi"
FOR QCS/CLAIMS CALL 1800 103 5499(Toll Free),0124-4285499 or SMS"CLAIM" to 56161
Digitally signed by SUBRATA MONDAL
Date: 2022.02.07 15:32:53 IST
Reason: Valid Policy Copy
Location: IFFCO Tokio General Insurance Company Ltd, India
We thank you and express our sincere gratitude for reposing confidence and trust in us by placing your automobile insurance with us.
We would like to inform you that to take care of your personal, family and business needs, we have following other insurance products-
1. Individual Medishield Insurance and Swasthya Kavach (family floater health policy): This insurance takes care of hospitalization expenses (both cashless /reimbursement) including pre and post
hospitalization expenses arising out of any illness or injury, for costs related to consulting physicians, medicines, various contingent diagnosis and treatment.
2. Home & Family Protector & Home Suvidha: This insurance takes care of protection to your house(building) and various household contents ranging from clothes, furniture's & fittings, kitchen utensils and
crockery's, electronic and electrical equipments like TV, washing machine, computers, AC's etc. against perils like fire, earthquake, flood, storm, theft, burglary, breakdown etc. In this policy personal accident to
you & your family and liability to third parties including to your domestic servants are covered. Increased cost of living due to damage to structure due to insured perils and various other insurances are covered. A
variant of this called "Home Suvidha" comes with fixed Sum Insured, fixed most relevant sections & fixed premium.
3. Personal Accident: - This insurance takes care of you and your family in event of Death, Permanent or Temporary Disability caused by an accident.
4. Trade Protector & Trade Suvidha: This insurance takes care of protection to your businesses against various risks. It covers building, contents, stocks against fire, burglary, earthquake, flood, storm etc.It also
covers damage to refrigerated goods due to variation in temperature, loss of money, accidental breakage of fixed glass and sanitary fittings in the premises, fidelity guarantee, personal accident for you and your
employees, goods in transit, Baggage, liability towards third parties including employees. A variant of this called "Trade Suvidha" comes with fixed Sum Insured, fixed most relevant sections & fixed premium.
5. Office Protector: This insurance takes care of protection to professional service centers/offices like Museums, Libraries, Schools, College, Hospitals including diagnostic centers and clinics, Clubs, offices of
chartered accountants, advocates, architects, various consulting firms etc. It covers building, contents, stocks against fire, burglary, earthquake, flood, storm etc. Further the Professional liability to Medical
Practitioners and Doctors, Architects, Engineers, Interior Decorators, Advocates and Solicitors, Electronic Equipment, Personal Accident to you and your employees, Money, Fidelity Guarantee, Business
Interruptions, Baggage, Third Party Liability and Workmen Compensation and many other risks are covered.
6. Jewellers Block Protector: This insurance provides protection to Jewellery shops for the stock in trade (i.e. Jewellery of gold, pearls and precious stones, gems etc.) whilst in premises and/or carried outside
premises. It also covers furniture, fixtures, building, accidental death / disablement risks for employees, breakage of glass and sanitary fittings, liability risk towards public and employees, money in transit and at
premises etc.
Please provide us your contact details (email id, phone number - landline and mobile) and update this whenever there is any change. We are sure that you will find us at your doorsteps whenever you need us. Kindly contact us
on 24x7 Toll free - 1800 103 5499 or visit our website www.iffcotokio.co.in or feel free to visit any of our office or our concerned Channel Partner.
The above are only indicative features. For details, kindly refer to Policy Wordings.
Page 4 of 4
1) "Policy Issuing Office: Delhi",
Signature Not Verified 2) "Consolidated Stamp Duty deposited as per the order of Government of National Capital Territory of Delhi"
FOR QCS/CLAIMS CALL 1800 103 5499(Toll Free),0124-4285499 or SMS"CLAIM" to 56161
Digitally signed by SUBRATA MONDAL
Date: 2022.02.07 15:32:53 IST
Reason: Valid Policy Copy
Location: IFFCO Tokio General Insurance Company Ltd, India