HP PDF
HP PDF
HP PDF
CHOLAMANDALAM MS GENERAL INSURANCE COMPANY LTD. GST Invoice No.:3379203687946
ADDRESS: VIRAR DATE: 16/04/2019
SHOP NO-4, NAND DHAM SOCIETY
VIVA COLLEGE ROAD, VIRAR WEST
PAN: AABCC6633K
VIRAR S.O SAC Code: 997134
SAC Description: Motor vehicle insurance services
THANE STATE: MAHARASHTRA
CITY:
GSTIN: 27AABCC6633K1ZJ
Insured Name : TULSHIRAM RAMU PAWAR
H NO 1517 KATKARI PADA CHANDANSAR VIRAR EAST TAL VASAI
DIST THANE,
Address : VIRAR S.O, THANE
MAHARASHTRA PIN-401303
GST No.:
Aadhar No.: - PAN No.: -
Policy Number : 3379/02238562/000/00 [UIN:IRDAN123P0003V02100001]
Period of Insurance : From 04/01/2019 17:27 Hours To Midnight on 03/01/2020
Endorsement Number : 3379/02238562/002/00
Endorsement Date : 16/04/2019 15:43 Hours
Reason for Endorsement : Addition of Hypothecation Agreement
HYPOTHECATION DELETION, IMT 7-VEHICLES SUBJECT TO HYPOTHECATION AGREEMENT.
Notwithstanding anything to the contrary contained or endorsed under the within mentioned policy,it is hereby declared and agreed that with effect from
16/04/2019 15:43 Hours(endorsement effective date) the hypothecation to L AND T FINANCE LTD(financier name) has been deleted.
Notwithstanding anything to the contrary contained or endorsed under the within mentioned policy, it is hereby declared and agreed that with effect from
16/04/2019 15:43 Hours vehicle is subject to hypothecation and the name of the Financier is TATA MOTORS FINANCE SOLUTIONS LTD(Financier
Name)
S
Consequent to this a premium amount of Rs. 0 is collected from the Insured.
M
A
Endorsement Premium: CGST (9%) : SGST (9%) : IGST (0%) : Total Premium:
0.00 0.00 0.00 0.00 0.00
All other terms and conditions remain unaltered.
Whether tax is payable under reverse charge basis - No.
L
For Cholamandalam MS General Insurance Company Ltd.
O
Place : VIRAR @CholaSign1
Signature Not Verified
Digitally signed by P
KRISHNAN
H
Date: 2019.04.16 16:12:46 IST
Reason: Approved
Location: Chennai
Date :
C
16/04/2019
Duly Constituted Attorney(s)
Regd.&Head Office:Dare House, 2nd Floor, No.2, N.S.C Bose Road, Chennai-600 001, India
CIN: U66030TN2001PLC047977 | IRDAI Reg. No. 123