Mustakeem - Up12t3243
Mustakeem - Up12t3243
Mustakeem - Up12t3243
UIN Number -
GSTIN/UIN NA / NA
Issuing office New India Contact
Address MUZZARFARNAGAR (340700), Agent / Corp. Agent /
MUZZARFARNAGAR , , , Broker / Banc Mrs. Arpana Jain -
UTTAR PRADESH , 251001. Assurance / Referral
Code - Name / (NIAAG00054648)
POS/IMF
Phone no / / 7060042004
Phone no 01312437342 Fax no. /
Fax no. NA / NA Email /
Email nia.340700@newindia.co.in Development officer DIRECT BUSINESS - (1D7842442)
level Name/Code
Claim Contact MUZZARFARNAGAR (340700) Claim Contact Detail MUZZARFARNAGAR,,;01312437342//
GSTIN 09AAACN4165C4ZM
SAC 997139 (Other non-life insurance services excl RI)
Policy Details
Geographical Area / Zone: India/C Year of manufacture: 2010
Type of Commercial Vehicles: A - Goods Carrying Sub Type: Other than 3 wheeler - Public Carrier
Name of the Financier: TATA MOTORS FINANCE LTD. Chassis no./Engine no.: B05455/605199
Type of fuel: Diesel Cubic capacity ( cc): 0
Type of body: Open Gross Vehicle Weight (GVW): 5700
Seating capacity including Driver: 3 Variant: SFC407 EX (4X4/DSD)
Automobile Association none Colour: OTHER
membership:
Cover Note No/Cover Note Issue / Name of registration authority: Muzaffarnagar
Date:
Transit From NA Transit To NA Distance Covered NA
IDV(In `) Based on annexure-I
Vehicle Trailer Non-Elec Acc Electrical Acc Bi-fuel kit Total Value
300000 0 0 0 0 300000
Schedule of Premium
Own Damage Liability
Basic OD Cover Basic TP Cover
LL to paid driver conductor cleaner
employed for oprn
NCB(25%)
OD Premium in ` 1631 TP Premium in ` 14540
Net Premium in `: 16171
GST in `: 2910
Total Payable in `: 19081
Total Payable in `(in words): RUPEES NINETEEN
THOUSAND EIGHTY-
ONE ONLY
Signature Not
Verified
Digitally signed
by Srinivasan Policy No. : 34070031170100010494Document generated by AG_0085678 at 27/02/2018 19:35:53 Hours.
Vaideswaran Regd. & Head Office: New India Assurance Bldg., 87 M.G. Road, Fort, Mumbai - 400 001. TOLL FREE No. 1 800 209 1415.
Date: 2018.02.27
For 19:35:54
redressal of your grievance, if any,you may approach any one of the following offices- 1. Policy issuing office 2. Regional office 3. Head office.In case, you are not satisfied with
IST
our own grievance redressal mechanism; you may also approach Insurance Ombudsman. For details of our office addresses and addresses of office of Insurance Ombudsman, please
visit our website http://newindia.co.in.
Page 1 of 2
THE NEW INDIA ASSURANCE CO. LTD.
(Wholly owned by the Govt. of India)
In witness where of this policy has been signed at Mumbai on this 27/02/2018
WARRANTED THAT IN CASE OF DISHONOUR OF THE PREMIUM CHEQUE, THIS DOCUMENT STANDS AUTOMATICALLY CANCELLED ABINITIO
This policy is subject to the Terms, conditions and exceptions applicable to Package/Liability policy attached/available on the web site
http://newindia.co.in; IMT Endorsement Number(s) printed herewith attached 21,25,40.
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 Vehicles Act, 1988 is recoverable from the
insured: see clause headed "AVOIDANCE OF CERTAIN TERMS AND RIGHTS OF RECOVERY". It is clarified that in case the declaration regarding
the ncb or other previous policy details made by the insured, is found to be incorrect, all the benefits (including claim) under section-1 of this
policy, will stand forfeited.
I/We hereby certify that the policy to which this Certificate relates as For and on behalf of The New India Assurance Company Limited.
well as this Certificate of Insurance are issued in accordance with
the provisions of Chapter X and XI of M.V. Act, 1988. NIA S.T.REGN
No: AAACN4165CST178.
Date of Issue: 27/02/2018
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