Policy Number : P0024200028/4190/136443

DEVELOPMENT HOUSE, 24 Park Street , Kolkata -700016

(www.magmahdi.com)
IRDA REG NO. 149 DATED 22nd MAY,2012
CIN: U66000WB2009PLC136327
In case of any query, assistance or claims, please contact us at 1800 266 3202
UIN: IRDAN149RP0003V01201213
PRIVATE CAR LIABILITY ONLY
Date : 25/03/2024

To,
Mr FEKARUL ISLAM
FEKARUL ISLAM C / O : ABU ,BAKKAR, VILLAGE SAHEBNAGAR
MURSHIDABAD
WEST BENGAL 742202
Mobile:9093613390

Agent/ Intermediary Name and Code:TURTLEMINT INSURANCE BROKING SERVICES PRIVATE LIMITED BRC0000157

Sub: Risk Assumption Letter

Dear Sir /Madam,

Thank you for choosing Magma-HDI General Insurance Company Limited as your preferred General Insurance Company. Please find enclosed Policy
No. P0024200028/4190/136443, which has been issued based on the details furnished to us as below:

Insured & Vehicle Details

Name of Insured Mr F E K A R U L I S L A M

Period of Insurance 31/03/2024 TO 30/03/2025

Vehicle Make/Model MAHINDRA & MAHINDRA / BOLERO XL 2WD
RTO BIRBHUM
Vehicle Registration No. WB 5 4 K 6 7 8 6
Vehicle Registration Date 20/07/2012
Engine No. GHC4E77061
Chassis No. MA1WG2GHKC5E31386
Reason for not opting PA Cover of Owner Driver :
1) Driver has existing PA cover of Rs 15 lakhs
Previous Policy Details
Previous Policy No 3362/02574465/000/00
Previous Policy Period 31/03/2023 TO 30/03/2024
Previous Year NCB% 0
Previous Insurer Name CHOLAMANDALAM MS GENERAL INSURANCE CO.LTD.
Previous Policy Type LiabilityOnly

The information received from you is reproduced in the proposal attached with this Risk Assumption Letter and your proposal has been processed
accordingly.
Coverage of risk is subject to realisation of the full premium post which, insurance coverage under the policy would commence. In case the premium is not
received by us due to cheque dishonour or any other reason, the insurance cover shall be void ab-initio.
If you require any changes in the certificate of insurance cum policy schedule, you are requested to inform us by either writing to us at
customercare@magma-hdi.co.in or calling our toll free helpline on 1800 266 3202. Absence of any communication from you in this regard within a period of
20 days of date of this letter, would mean that the issued policy is in order and as per your proposal. The Risk Assumption Letter is to be read in conjunction
with the policy and shall be considered as null and void without the same.
 Policy Number : P0024200028/4190/136443
Dear Customer , Magma HDI general Insurance Company may be storing your AML/KYC details and might require you to update the information submitted
from time-to-time, in accordance with and requirements under the Master Guidelines on Anti-Money Laundering/ Counter Financing of Terrorism (AML/CFT),
2022 issued by the Insurance Regulatory Development Authority of India.

Thanking You,
Regards

For Magma HDI General Insurance Co Ltd.

Authorised Signatory
 Policy Number : P0024200028/4190/136443

DEVELOPMENT HOUSE, 24 Park Street , Kolkata -700016

In case of any query, assistance or claims, please contact us at 1800 266 3202
UIN: IRDAN149RP0003V01201213

PRIVATE CAR LIABILITY ONLY

CERTIFICATE OF INSURANCE CUM SCHEDULE /TAX INVOICE
Policy Servicing Office 4TH FLOOR, ANUJ CHAMBER, 24 PARK STREET ,KOLKATA -700016 ,WEST BENGAL , PH: (1800) 2663202
Policy No P0024200028/4190/136443
Insured Mr FEKARUL ISLAM Period Of Insurance 00:00 Hrs of 31/03/2024
Address FEKARUL ISLAM C / O : ABU ,BAKKAR, VILLAGE To Midnight of 30/03/2025
SAHEBNAGAR Agent No.: BRC0000157
MURSHIDABAD Email ID: support@turtlemint.com
WEST BENGAL 742202 Toll Free No.: 18002660101
Mobile:9093613390
Contact Number 9093613390 CHOLA MANDALAM INVESTMENT & FINANCE
Hypothecation with
Email ID: JAMADARSK1068@GMAIL.COM CO.LTD.
GST Number Unregistered
INSURED MOTOR VEHICLE DETAILS AND PREMIUM COMPUTATION
Trolley Chassis Year of Type of
Registration No. & RTA Location Trolley Serial ID Make/Model of Vehicle Engine no Chassis no CC SEATING CAPACITY
No. Manufacture Body
MAHINDRA &
WB 54 K 6786/ BIRBHUM 2012 SALOON MAHINDRA/ BOLERO XL GHC4E77061 MA1WG2GHKC5E31386 2523 9
2WD
LIABILITY
LIABILITY(B)
Basic - TP 7,897.00
Sub Total 7,897.00
Premium Computation
Total Liability Premium 7,897.00
CGST @ 9% 710.73
SGST @ 9% 710.73
TOTAL 9,318.00

LIMITATIONS AS TO USE - As per Motor Vehicles Rules, 1989.

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) Any purpose in connection with 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 Vehicles Rules,
1989.
LIMITS OF LIABILITY
Under Excess in respect of each and every claim under Sec I of Under In respect of any one Under Damage to Third Party Property Rs. Under PA Owner – Driver as
Section I motor policy Section accident -- As per Section 750000/- in respect of any one claim Section III: per premium
Compulsory : Voluntary : Total : II-I (i) Motor Vehicle Act II-I (ii) or series of claims arising out of one computation table
event.
Subject to I.M.T Endorsement Nos. IMT 7
Pollution Under Control(PUC)
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 at the time of issuance of policy.
NOMINATION DETAILS
Name Of the Nominee Date of Birth of Nominee Age of Nominee Relationship Percentage
Abu Bakkar 01/03/1960 64 Father 100
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.
Premium Collection Details :- [Collection No - ReceiptDate - Amount] : P/200028/24/101250817- 25/03/2024 , 9318
Premium Amount in Word's ( ) :- Nine Thousand Three Hundred Eighteen Only
For Magma HDI General Insurance Co. Ltd.
In case of Claims, please contact us at 1800 266 3202

Date of Issue : 25/03/2024

Place : Kolkata

Consolidated Stamp Duty on the issue of General Insurance Policies Paid vide G.O No. 1879, dated 16.10.2023
GST Number of MHDI - 19AAGCM1685C1ZG
GST Invoice Number - POL1903240008524
Accounting Code for Service - 997134, Motor vehicle insurance services

Place of Supply:WEST BENGAL ( 19 )

Authorised Signatory
Whether Tax is payable on Reverse Charge - No
UIN : IRDAN149RP0003V01201213
This is a valid Tax invoice in terms of Sub-rule 2 of Rule 54 of CGST Rule 2017. Further, being an Insurance Company,
issuing of e-invoice and QR Code are not applicable on us in terms of Notification No 13 and 14 of 2020 dated 21st March
2020 issued from Central Board of Indirect Taxes and Customs. I/We hereby declare that though our aggregate turnover in
any preceding financial year from 2017-18 onwards is more than the aggregate turnover 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.
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. Please note that any misrepresentation, non disclosure or withholding of material facts will lead to cancellation of policy ab initio with forfeiture of
premium and non consideration of claim, if any.

As per the GST regulations, the amount of GST will not be refunded if the policy / endorsement is cancelled after 31st October of the next financial year.
For Complete details of coverage , terms, conditions & exclusion please refer the standard policy wording attached with this schedule

IMPORTANT - 1) The Validity of this Certificate of Insurance cum Schedule is subject to realisation of the premium cheque.
2) No Claim Bonus will only be allowed provided the Policy is renewed within 90 days of the expiry date of the previous policy.
3) This document is digitally signed, hence counter signature / stamp is not required.
 Policy Number : P0024200028/4190/136443
4) For detailed terms & conditions please refer our website www.magmahdi.com