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DEVELOPMENT HOUSE, 24 PARK STREET , KOLKATA -700016

IN CASE OF ANY QUERY, ASSISTANCE OR CLAIMS, PLEASE CONTACT US AT
1800 266 3202
UIN: IRDAN149P0006V01201213
COMMERCIAL VEHICLE PACKAGE MISCELLANEOUS GROUP OF VEHICLES POLICY
Endorsed Certificate of Insurance cum Schedule
Policy Servicing Office NAVIN''S PRESIDIUM, 3RD FLOOR, N.M ROAD, NEW NO: 17/19, OLD NO: 103, "B" BLOCK, 3A, NELSON MANICKAM
ROAD, ,CHENNAI -600029 ,TAMILNADU , PH: (0) 9042004935
Policy No P0020300003/4107/100102
Insured Mr KRISHNAMMORTHY S
Period Of Insurance 11:56 Hrs of 16/08/2019
Address 11 PERIYA STREET ,THEMPALLI
To Midnight of 20/06/2020
VELLORE
Agent No.: BRC0000057
TAMILNADU 632515
Agent Contact No.: 0
Mobile:9080563611
Endt. No. EE01
Contact Number 9080563611
Endt. Effective Date 16/08/2019
Email ID:
GST Number Unregistered
INSURED MOTOR VEHICLE DETAILS AND PREMIUM COMPUTATION
Registration Mark & Trolley Serial Trolley Year of Public/Private SEATING
Engine No. Chassis No. Make/Model/Type of Body CC/HP/GVW
No. & RTA Location ID Chassis No. Manufacture Carrier CAPACITY
TN 23 CW 9678 /
2019 431024SYK24462 WSTK40622102414 SWARAJ 744 FE/TRACTOR 48/1930 1
VELLORE
IDV (INSURED'S DECLARED VALUE)
Non Electrical Accessories Electrical/electronic
IDV of Vehicle Trailers Bi-Fuel kit(LPG/CNG) Other accessories Total Value
Accessories
525000 0 0 0 0/0 0 525000
OWN DAMAGE(A) LIABILITY(B)
Basic - OD 1,249.50 Basic - TP 6,847.00
Sub Total 1,249.50 Sub Total 6,847.00
Total Own Damage Premium(A) 1,250.00
Total Liability Premium(B) 6,847.00
Premium Computation
Total Package Premium(A+B) 8,097.00
CGST @ 9% 728.73
SGST @ 9% 728.73
TOTAL 9,554.00
Disclaimer:The Exclusions in this policy are as specified in the pre inspection report ID :
LIMITATIONS AS TO USE -The Policy covers use only under a permit within the meaning of the Motor Vehicles Act, 1988 or such a carriage falling under Sub-section 3 of
Section 66 of the Motor Vehicle's Act 1988. Use only for agricultural and forestry purpose. The Policy does not cover use for a) Organised racing, b) Pace Making, c) Reliability
Trials, d) Speed Testing, e) Use whilst drawing a trailer except the towing (other than for reward) of any one disabled Mechanically propelled vehicle (only for Passenger Carrying
Vehicles).
The Policy does not cover use for a) Organised racing, b) Pace Making, c) Reliability Trials, d) Speed Testing, e) Use whilst drawing a trailer except the towing (other than for
reward) of any one disabled Mechanically propelled vehicle (only for Passenger Carrying Vehicles).
Persons or classes of
Any person including Insured:
persons entitled to drive:
Provided that the person driving holds an effective driving license at the time of the accident and is not disqualified from holding or obtaining such a
license.
Non-transport Vehicles
Provided also that the person holding an effective learner's license may also drive the vehicle when not used for the transport of passengers at the time
of the accident and that such a person satisfies the requirements of Rule 3 of The Central Motor Vehicles Rules, 1989.
LIMITS OF LIABILITY
Under Compulsory excess in respect of each and every Under In respect of any Under Damage to Third Party Property Under PA Owner – Driver as
Section I claim under Sec I of motor policy : Rs. 2625/- Section one accident -- As Section Rs. 750000/- in respect of any one Section per premium
Imposed : Rs. 0/- II-I (i) per Motor Vehicle II-I (ii) claim or series of claims arising out III: computation table
Act of one event.
Subject to I.M.T Endorsement Nos. IMT 03,IMT 21

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 Amount in Word's ( ) :- Nine Thousand Five Hundred Fifty-Four Only

For Magma HDI General Insurance Co. Ltd.
In case of Claims, please contact us at 1800 266 3202

Date of Issue : 21/06/2019

Place : Kolkata

Consolidated Stamp Duty on the issue of General Insurance Policies Paid vide G.O No. 810 FT, dated 17/05/2019 Authorised Signatory
GST Number of MHDI 33AAGCM1685C1ZQ
GST Invoice Number - 0
Accounting Code for Service - 997134, Motor vehicle insurance services

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Previous GST Invoice No. -POL3306200019859

Place of Supply:TAMILNADU ( 33 )

Whether Tax is payable on Reverse Charge - No

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.

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.

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