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    MD Intakhav Alam

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    KAHANI JI
    1) This document is an insurance policy certificate for a Mahindra Bolero pickup vehicle registered in Madhubani, Bihar. 2) The policy is issued to MD Intikhav Alam by Go Digit General Insurance and provides coverage from June 22, 2020 to June 21, 2021. 3) The policy provides an insured declared value of 500,000 INR for the vehicle and covers own damage and third party liability, including coverage for the owner-driver.

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    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd

    MD Intakhav Alam

    Uploaded by

    KAHANI JI
    30 views1 page
    1) This document is an insurance policy certificate for a Mahindra Bolero pickup vehicle registered in Madhubani, Bihar. 2) The policy is issued to MD Intikhav Alam by Go Digit General Insurance and provides coverage from June 22, 2020 to June 21, 2021. 3) The policy provides an insured declared value of 500,000 INR for the vehicle and covers own damage and third party liability, including coverage for the owner-driver.

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    MD INTAKHAV ALAM

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    1) This document is an insurance policy certificate for a Mahindra Bolero pickup vehicle registered in Madhubani, Bihar. 2) The policy is issued to MD Intikhav Alam by Go Digit General Insurance and provides coverage from June 22, 2020 to June 21, 2021. 3) The policy provides an insured declared value of 500,000 INR for the vehicle and covers own damage and third party liability, including coverage for the owner-driver.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    30 views1 page

    MD Intakhav Alam

    Uploaded by

    KAHANI JI
    1) This document is an insurance policy certificate for a Mahindra Bolero pickup vehicle registered in Madhubani, Bihar. 2) The policy is issued to MD Intikhav Alam by Go Digit General Insurance and provides coverage from June 22, 2020 to June 21, 2021. 3) The policy provides an insured declared value of 500,000 INR for the vehicle and covers own damage and third party liability, including coverage for the owner-driver.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    of 1

    Go Digit General Insurance Ltd.

    Schedule/Certificate
    Digit Commercial Vehicle Package Policy UIN No.: IRDAN158P0001V01201819

    Name MD INTAKHAV ALAM Vehicle Registration No. BR07GA4659


    Partner Name CHANDA KUMARI JHA
    S/O MD TAMANNA AT BASAWARIYA
    Address 1032541
    PO NURCHAK PS BISFI, MADHUBAI-847211 Partner Code
    1032541
    Mobile xxxxxxxxx3882 Partner Email amitjha
    Email axxxxxxxxxxxxx1@gxxxl.com Hypothecation MMFSL
    KFZ PAN (POSP) HWXPK8067F
    Goo Aadhar No. -- For claims,contact us at 1800-258-5956
    YOUR POLICY DETAILS
    N Policy No. D017456378/22062020 Policy Issue Date 22-Jun-2020 Invoice Date 22-Jun-2020
    FH
    1 From 22-Jun-2020 19:30:52
    Period of Policy
    To 21-Jun-2021 23:59:59
    N
    tru NCB % (Current Policy) 0% Policy Type Public Carrier
    Compulsory Deductible 500 Voluntary Deductible --
    YOUR VEHICLE DETAILS
    HWX MAHINDRA AND
    Make Trailer Reg. No. RTO Location Madhubani,BIHAR
    MAHINDRA
    Model/Vehicle Variant BOLERO/PICK UP CBC 2WD Year of Regn. / 2017 / -- Licensed Seating 2
    (Sub-Type) Manufacturing Capacity
    POSP GHH1B14604 MA1ZN2GHKH1B21270
    Engine No. Chassis No. Cubic Capacity 2523 CC
    Fuel Type Diesel Gross Vehicle Weight 2820KG Vehicle Body Type Pick Up Van

    Goods Type -- Permit Type Public Carrier Wheels 4

    YOUR VEHICLE IDV (THE MAXIMUM MONEY YOU CAN GET IN CASE OF A CLAIM)

    G0 Vehicle IDV IDV of Electrical IDV of Non-Electrical CNG/LPG KIT IDV Trailer IDV Body IDV Total IDV
    PI (`) Accessories (`) Accessories (`) (`) (`) (`) (`)

    500000 -- -- -- -- -- 500000
    KFZ
    30 ADD-ONS (THE EXTRA COVERAGE FOR YOUR VEHICLE)
    Add Name Other details
    G01 OWN DAMAGE PREMIUM [A] (`) LIABILITY PREMIUM [B] (`)
    C
    93 Own Damage Premium (`) 3452 Basic Third-Party Liability (`) 15546
    Add-Ons Premium (`) 0
    PA cover for Owner-Driver (`) 330
    NCB Discount Amount (`) -0
    Total OD (`) Total Act (`) 15876
    3452
    Premium Premium

    Net Premium [A+B] (`) 19328

    1866
    CGST @ 6% = (`933) + SGST/UTGST @ 6% = (`933)
    682
    CGST @ 9% = (`341) + SGST/UTGST @ 9% = (`341)
    31
    Total Premium (`) 21876

    15 Note: The above total OD premium is inclusive of all applicable loading / discounts viz (automobile association memberships, voluntary excess, anti-theft
    87 handicap person, driver tuition, fiber glass, CNG/ LPG unit, geographical extension, imported vehicle etc., wherever applicable).
    6 Public
    Carrie
    If the “Own Damage Cover” under your policy is cancelled during the policy period, then your policy shall be governed by the standard terms and conditions
    of “Act only” policy for the Third Party Cover during the remaining period of policy.
    r

    ENDORSEMENT
    Invoice Number Invoice Date Gross Premium Igst Cgst Sgst Utgst Cess Net Premium

    IA028266794 2020-06-22 21876.00 0.00 1274.00 1274.00 0.00 0.00 19328.00

    PO
    K

    Go Digit General Insurance Ltd. Address: Atlantis, 95, 4th B Cross Road, Koramangala Industrial Layout, 5th Block, Bengaluru, Karnataka 560095. IRDAI Reg
    No. 158 CIN U66010PN2016PLC167410, GST Reg. No.: 10AACCO4128Q1ZF HSN: 9971/General Insurance Services, GSTIN Address: Patna Business
    Centre,No 509, Patna One Mall, Dak Bunglow Chowk,Patna,Bihar,PIN-800001

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