Signed by Anand Singh www reliancegeneral.co.

in
Dated. 08.03.2019 1800 3009

Reliance LMV Vehicle Package Policy Certificate Cum Policy Schedule

Policy / certificate no : 60152341749134
Proposal / Console No : W0324153683
Period of insueance : From 00:00 Hrs on 08 Mar 2019 to midnight of 07 Mar 2020
Name of insured : Mr BASHIR AHMAD SHEIKH S/O ABDUL KHALIQ SHEIKH
Address : R/O WAKURA GANDERBAL JAMMU & KASHMIR
Contact Details: 9797801806 Hypothticated with :
Email ID : Geographical Area : INDIA
Particulars of Vehicle insured.
RegistrationNo Motor/Model Engine/Chesas Type of Cubic Year of LCC Net Premium Rs IDV Purchase Date
Place of vehicle Body Capacity MFG including
Driver
JK16-6821 MAHINDRA 70236/87108 LIGHT 2523 01/2014 1 9550 - 07/01/2015
BOLERO PICKUP GOODS
VEHICLE
Lamitations As To Use
The Policy covers the use only under a patent within the meaning of Motor Vehicle Act. 1988 or Such a carriage falling under sub section (3)of sec66 of the Motor Vehicle act 1988. The Policy covers use for any purpose other than a.Organised
b. piece making c. Realibility trails d. speed testing.
Persons/ Classes of persons entitled to deive.
Every person including the insured provides that a person driving holds an effective driving license at the time of accident and is not disqualified from holding or obtaining such a licience. 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,1969.
Limits of Liability
Under section ii iii of the police Death of or badly injured to any person so far as it is necessary to meet the requirements of the Motor Vehicle Act 1988.b under Section ii.
iiAt the policy, Damage to property other than property belonging to the insured or held in trust or in the custody of conbed of the insured upto the limits specified Rs.7.5 lakhs.
A Cover for Deiver ownerunder section iv CSI Rs 200000/-
Deductible Under Section
Compulsory deductible Rs 1000/-(a) Additional compulsory deductible Rs 0/-(iii) Voluntary deductible Rs/0.
It is hereby declared and agreed that all pre-existing damages to the vehicle having occurred prior to the concenment of cover are excluded from the scope of policy.
The Policy wording with declared terms, conditions and exclusions are available on our websites www.reliancegeneral.co.in consolidated stamp duty paid vide GRASS GRAIN No. MH003534299201415e dated 26 October 2014 888 Not
Applicable for the state of Jammu & Kashmir.
Nominee Details :
PA Owner Driver : Nominee Name : NA Age : NA Relationship with owner Driver : NA
Insured’s Declared Value
For the vehicle (Rs) Chasis IDV Body IDV For Trallers (Rs) Non Elec. Accessories Electronic Accessories (Rs) Value of CNG/LPG kit Total IDV (Rs) Additional Towing
(Rs) (Rs) Covers(Rs)
00.00 0.00 0.00 0.00 0 0 0.00 0.00 00.00
Premium Schedule
Own Damage Liability
Basic premium on vehicle 4500 Basic premium including for IPPD Vehicle 8400
Non Electrical accessories 0 Less Restricted Third party Damage 0
Electronic Accessories 0 Liability premium for Traikes 0
Value of CNG/LPG 0 CNG?LPG Bi-fuel kit 0
Trallers 0 Total 8400
Total Net Basic own Damage Premium 4500 PA BENIF03
Geographical Area 0 Compulsory PACovers for Owner Driver 600
Fibre Glass fuel tanks 0 PA for married Passenger 0
605 or 00 Premium for doving Tution 0 PA for Unmarried Passenger 0
Covered for Tubes, Lamps, Tyres, Mudguards Side parts 300 PA benefit for paid driver 0
Loading 05 0 Liability premium for geographical extension 0
Total OD Premium (including addon covers(Rs) 4800 Legal liability to paid driver 300
Less Legal liability to Employee 0
Voluntary Excess 0 Legal liability to paid Soldier 0
Discount for anti theft Devices 0 Legal liability to Non fare passenger 0
Vintage car Discount 0 Total Logal Liability Premium 9300
Deduct 0% for NCB 0 PACKAGE PREMIUM(A=B) 100
Nil Depriciation Add: GST @ 10%
Sub Total (deduction) 0 Add: Cess @5% 150
Total Own Damage Premium(A) 4800 Higher Educational Cess @ 1% 0
Premium including S.Tex(Rs.) 9550
Subject to I.M.T. Endrs No’s & Memorandurm attached here to IMT 28. IMT 20. IMT 23. IMT 22. Service Tex Reg.No. AABCR6747BST001
Category-Generel Insurance Bussiness Service-00440005

Subject to Reliance G I Endorsement Numbers printed herein/attached here to 0

No claim Bonus is subject to no claim on the previous policy benefits under the policy stands fortified if claims was made in previous policy.
The policy has been issued based on the information provided by you and the policy is not valid if any of the information provided is incorrect. Subject otherwise to the terms, conditions ,and exclusions of the Reliance Passenger carrying
Vehicle Package Policy in Witness where of this policy has been signed at Mumbai on 08/03/2019 0:57:02 PM in lieu of cover Note No. Value dated 08/03/2019 1:57:02 PM.
For any assistance with claims, please contact us on 1800 3009 (toll free) or email us at rgicl.services@handcoeda.com
IMPORTANT NOTICE:
The insured is not identified of the vehicle is used or driven otherwise than in accordance with this Schedule.
Any payment made by the Company by reason of wider terms appealing at the Certificate in order to company 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 hold good.
NOTE: Kindly acknowledge receipt of this policy incase you find any variation against your proposal or any discrepancy at the policy. Kindly contact us immediately.
Policy Issuing Officer 570.Naigum cross Road Next to Royal Industrial Estate Mumbai-400031
Branch Issuing Officer Reliance General Insurance Co Ltd 5th Floor, Hotel TRG Building Opp: Banu plaza Reliance General Insurance Co Ltd
rail head Complex
Jammu JAMMU AND KASHMIR.
Intermediary code/Name: 20A17038 / MUSHTAQ AHMAD
Intermediary Contact No:

An ISO 9001 2008 Certified Company

Reliance General Insurance Company Limited: IRDA Registration No. 103 .

Registered Office: 19, Reliance Centre, walchand Hirachand Marg, Ballard Estate, Mumbai 400001.
Corporate Office: Reliance Centre, South Wing, 4th Floor, off Western Express Highway, santacruz (Estate) Mumbai- 400055
Corporate Identity No. U66603MH200PLC128300.RGI/MCOM/CO/MOT-02RN/VER.1.1/050416.
Trade Logo displayed above belongs to Anil Dhirubhai Ambani Ventures Private limited and Used by Reliance General Insurance Company Limited Under License.
Signed by Anand Singh www reliancegeneral.co.in
Dated. 08.03.2019 1800 3009