This Document is Digitally Signed

The Oriental Insurance Company Limited

Signer: SUNITAGUPTA
Date: Tue, Dec 12, 2023 12:10:03 IST
Location: NOIDA
Reason: Signing Policy for OICL
MOTOR INSURANCE CERTIFICATE CUM POLICY SCHEDULE
MOTORISED-TWO WHEELERS LIABILITY ONLY POLICY - ZONE B
Policy No : 211200/31/2024/347391 Prev Policy No : -

Cover Note No : - Cover Note Dt :

Insured's Code : 175032744 Issue Office Code : 211200
Insured's Name : Gobin Ch Saikia (GSTIN: 0) Issue Office Name : BO PADAM SGH RD KAROL BAGH DLI
(GSTIN: 07AAACT0627R1Z1)
Address : 72 b vidyanagar, Naamghar path, panjabari Address : 16/20, WEA, FIRST FLOOR,NEAR SHASTRI
PARK,
PADAM SINGH ROAD, KAROL BAGH
Kamrup Metropolitian
NEW DELHI
ASSAM 781037
NEW DELHI DELHI 110005

Tel /Fax /Email : / / 9577007466 / saikiasaiki@gmail.com Tel /Fax /Email : 011-41052050, 41062050, 8851779656 /
011-41052050 /
211200@orientalinsurance.co.in
Lead/Breakin No : /0
Local Servicing Office Code : 211200
Local Servicing Office Details : DO 2 NEW DELHI,16/20, WEA, FIRST FLOOR,NEAR SHASTRI PARK,,PADAM SINGH
ROAD, KAROL BAGH,NEW DELHI,,,011-41052050, 41062050,
8851779656,8851779656,211200@orientalinsurance.co.in
Agent/Broker Details
Dev.Off.Code :
Agent/Broker : LC0000000660 M/S POLICYBAZAAR INSURANCE BROKERS PRIVATE LIMITED
Address : Plot No. 119, Sector-44, Gurgaon,, Gurgaon, Haryana, 12200,Tel - 1800-258-
5970,GURGAON,HARYANA,122002
Tel /Fax /Email : 1800-258-5970/1800-258-5970//

Period of Insurance : FROM 00:00 ON 15/12/2023 TO MIDNIGHT OF 14/12/2024

Collection No & Dt : 3 2005361782 - 12/12/2023 GST INVOICE NO :0722439372818 UIN :0

Gross Premium : 664 GST : 120 Stamp Duty : .5 Total : 784

Geographical Area : IND Area Extension :

Particulars of Insured Vehicle:

Registration Mark Engine No. & Year Of Type Of Body Seating Capacity Cubic
& Place Chassis No. Manufacture (including Driver) Capacity
Make - Model Type Of Fuel

AS 01 BK 7005 JF21E80151350 - HONDA MOTORCYCLE- 2014 OTHERS 1+1 110

ME4JF215DE8127 HONDA AVIATOR 110 DRUM
Guwahati 961 PETROL

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 Vehicles Act 1988.
1 Use only for social, domestic and pleasure purposes and for the insured's business or profession. The Policy does not cover use for
hire or reward, tuition, racing, pace making, reliability trial, speed testing, carriage of goods(other than samples or personal luggage)
in connection with any trade or business or use for any purpose in connection with Motor Trade

Driver:Any person including the insured,Provided that a person driving holds an effective driving license at the time of the accident and is not
disqualified from holding or obtaining such a license.,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 Vehicles Rules, 1989.
Limit of Liability:Under Section II-I(i) in respect of any one accident: as per Motor Vehicles Act, 1988.
Under Section II-I(ii) in respect of any one claim or series of claims arising out of one event is Rs. 6000
P.A. Cover under Section III for Registered Owner Cum Driver (CSI) : Rs. 0
*This Insurance excludes all pre-existing damages

Insured's Declared Value

Place : NEW DELHI

Date : 12/12/2023
Page 1 of 3
 This Document is Digitally Signed

The Oriental Insurance Company Limited

Signer: SUNITAGUPTA
Date: Tue, Dec 12, 2023 12:10:03 IST
Location: NOIDA
Reason: Signing Policy for OICL
Attached to and forming part of policy number 211200/31/2024/347391

Non Electrical Electrical

For the Vehicle For the Side Car Accessories Accessories Value of LPG/CNG Total Value

Nominee Name Age Relationship

Swaraj Saikia 37 Son

SCHEDULE OF PREMIUM

A. OWN DAMAGE B. LIABILITY

BASIC TP COVER 714.00

LESS :TPPD COVER-GR39A 50.00
BASIC TP TOTAL 664.00
TP TOTAL 664.00
TOTAL PREMIUM 664.00
ADD :IGST 120.00
STAMP DUTY 0.50
TOTAL AMOUNT 784.00

Deductibles under Section-I :

Subject to IMT Endorsement Printed herein/attached to : IMT-20

Details of IMT Endorsements are also available on the Company¿s Web Portal www.orientalinsurance.org.in

Hypothecation Agreement with: -

Hire Purchase/Lessor Agreement with: -

In the event of a claim under the policy exceeding Rs.1lac or a claim for refund of premium exceeding Rs1lac,the insured will comply with
the provisions of the AML policy of the Company.The AML policy is available in all our operating Offices as well as company's website.
The insurance under this policy is subject to conditions, clauses, warranties, exclusions, IMTs and OIC endorsements mentioned
herein above which are available on Company's website: www.orientalinsurance.org.in or on demand from the policy issuing office
Warranted that in case of dishonour of premium cheque(s) the Company shall not be liable under the policy and the policy shall be void
abinitio (from inception).
Claim is not admissible if Driving Licence is found fake or is not valid whether or not in the knowledge of the insured.
I/We hereby certify that the policy to which the certificate relates as well as this certificate of insurance are issued in accordance with the
provision of Chapter X and Chapter XI of Motor Vehicles Act, 1988.
In witness whereof the undersigned being authorised by and on behalf of the company has/have herein to set his/their hands at NEW DELHI
on 12-DEC-23
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 MVAct, 1988 is
recoverable from the Insured. See the Clause headed "AVOIDANCE OF CERTAIN TERMS AND RIGHTS OF RECOVERY".

Entered By : POLICY BAZAR Digitally Signed

By Authorised Signatory
Examined By : POLICY BAZAR

Policy Printed By : PRTL IP :

Policy Printed On : 12-DEC-23 12:11:04

Place : NEW DELHI

Date : 12/12/2023
Page 2 of 3
 This Document is Digitally Signed

The Oriental Insurance Company Limited

Signer: SUNITAGUPTA
Date: Tue, Dec 12, 2023 12:10:03 IST
Location: NOIDA
Reason: Signing Policy for OICL
Attached to and forming part of policy number 211200/31/2024/347391

In case of any query regarding the Policy please call Toll Free No. 1800 11 8485 and 011 33208485.

CIN: U66010DL1947GOI007158 All the Amounts mentioned in this policy are in Indian Rupees
IRDA Regn. No. 556 - Now you can buy and renew selected policies online at www.orientalinsurance.org.in and through other digital

platforms including Whatsapp (Send "Hi" to 9560711200)

Place : NEW DELHI

Date : 12/12/2023
Page 3 of 3