SBI General Insurance Company Limited.

Servicing Office : 1st Floor, Silver Square, Rani Bazar, Near Income Tax Office, BIKANER, RAJASTHAN (State Code:08) -334001

Stand-Alone Motor Damage Cover for Private Car UIN --IRDAN144RP0001V01201920

Certificate Cum Policy Schedule (FORM 51 OF THE CENTRAL MOTOR VEHICLE RULES, 1989)
PAN :AAMCS8857L GSTIN: 08AAMCS8857L1ZC CIN :U66000MH2009PLC190546 IRDAI Reg:144

Policy No: HYNDAIHIIB/1089863 Proposal No. & Date: HIIB5702436, 10-NOV-2023

Policy Issued On: 10-NOV-2023 12:03 HRS Previous Policy No.: 11300031222002283184
Insured Name: MRS. SANTOSH . Previous Insurer: The New India Assurance Company Limited.
Period of Own Damage : 17-NOV-2023 (00:00) To 16-NOV-2024 (1 YEAR)
W/O RAM LAL TIDIYASAR, RATANGARH, CHURU , RAJASTHAN Period of Liability Cover: NA
Insured Address:
(State Code:08) -331022
Period of Compulsory NA
Personal Accident Cover:
Customer Type PAN GSTIN Name Age (Yr.) Relation
Customer Details Nominee Details
INDIVIDUAL XXXXX6029C NA

Vehicle Details
Make Model Variant Cubic Capacity Manufacturing Year Seating capacity
HYUNDAI VENUE 1.5 CRDI MT SX 1493 2021 5
Body Type Registration No. RTO Hypothecation/Lease* Fuel Type VIN/Chassis No.
SUV RJ 44 CA 9191 SUJANGARH YES DIESEL MALFC81DLMM271822
Vehicle IDV Electrical Accessories Non-Electrical Accessories BI Fuel Kit Total IDV Engine No
740,998 0 0 0 740,998 D4FAMM417670

Own Damage Premium (A) Amount(INR) Pre-Existing Third-Party Policy Details

Basic Own Damage Premium TP Insurance Company Name The New India Assurance Company Limited.
Vehicle 5,912 TP Policy No 11300031210901813509
Non-Elec. Accessories (IMT-24) 0 TP Risk Inception Date 17 Nov 2021
Elec. Accessories (IMT-24) 0 TP Risk Expiry Date 16 Nov 2024
Bi-Fuel Kit (IMT-25) 0
Geographical Area Extension (IMT-1) 0
IMT 23 Premium 0
Sub Total (Basic Premium) 5,912
Discount/Deductibles
Voluntary Deductibles (0) (IMT-22A) 0
Anti Theft Device (IMT-10) 0
AA Membership (IMT-8) 0

No Claim Bonus (25%) 1,478

Handicapped Discount (IMT-12) 0 Notes: 1. Consolidated Stamp duty paid to state exchequer
2.This policy has been issued upon declaration by the Insured that a valid Pollution Under Control (PUC)
Sub Total (Deductibles) 1,478 Certificate is held on the date of commencement of the Policy. The insured undertakes to renew and maintain
a valid and effective PUC and/or fitness Certificate, as applicable, during the subsistence of the Policy.
Total Own Damage Premium 4,434 3.Geographical Area Ext. extended to (IMT-1): NA
Add On Coverages ( ZD, CM, EP, RTI, KP, PB ) 6969 4. Policy issuance is subject to realization of cheque if premium is paid by cheque
Net Own Damage Premium (A) 11,403 5.The policy is subject to compulsory deductible of INR 1000 (IMT-22) & Voluntary Deductible of INR 0
6. This policy is to be read in conjunction with the Policy /Add-on wordings T&C available on the insurer
SGST(9%) 1,027 website http://www.sbigeneral.in
7. The Coverage under this policy is only for Own Damage and no other liability in connection with the
CGST(9%) 1027 vehicle.
8. Basic premium rates differ for NCB V/s Non -NCB , any wrong NCB declaration will attract recovery of
Gross Premium Paid 13,457 NCB portion & difference of basic rate.
Add-on Cover Opted in the Policy: Depreciation Reimbursement - Stand-Alone Motor Own Damage Cover for Private Car(IRDAN144RP0001V01201920/A0003V01201920), Cover for Consumables
- Stand-Alone Motor Own Damage Cover for Private Car(IRDAN144RP0001V01201920/A0010V01201920), Engine Guard - Stand-Alone Motor Own Damage Cover for Private Car
(IRDAN144RP0001V01201920/A0008V01201920), Return to Invoice - Stand-Alone Motor Own Damage Cover for Private Car(IRDAN144RP0001V01201920/A0004V01201920), Cover for Key
replacement - Stand-Alone Motor Own Damage Cover for Private Car(IRDAN144RP0001V01201920/A0005V01201920), Loss of Personal Belongings - Stand-Alone Motor Own Damage Cover for
Private Car(IRDAN144RP0001V01201920/A0011V01201920)

*Hypothecation Details: AU SMALL FINANCE BANK LTD - RATANGARH - RATANGARH Payment Mode: Online
Limitations as to use:The policy covers use of the vehicle for any purpose other than (1) Hire or Reward (2) Carriage of goods (other than samples or personal luggage) (3) Organized racing (4) Pace
making (5) Speed testing (6) Reliability trials (7) Any purpose in connection with motor trade.
Driver's Clause: Any person including the insured: 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
license. Provided also that the person holding an effective learners license may also drive the vehicle & that such a person satisfies the requirements of Rule 3 of the Central Motor Vehicle Rules, 1989.
Limits of Liability Clause: Under Section II-1(i) of the policy-Death of or bodily injury: Such amount as is necessary to meet the requirements of the Motor Vehicle Act 1988.Under Section II-1 (ii) of
the policy-Damage to third party property is INR 7.5 Lakhs, PA Cover Under Section III for Owner-Driver is INR 0.
No Claim Bonus: The insured is entitled for a No Claim Bonus (NCB) on the own damage section of the policy, if no claim is made or pending during the preceding year(s) - 20%, preceding
two consecutive years - 25%, preceding three consecutive years - 35%, preceding four consecutive years - 45%, preceding five consecutive years - 50% of NCB on OD Premium.
NCB is allowed provided the policy is renewed within 90 days of the expiry date of the previous policy.
Declaration on Tax Invoice We hereby declare that though our aggregate turnover in any preceding financial year from 2017-18 onwards is more than the aggregate turnover notified under sub-rule (4)
of rule 48, we are not required to prepare an invoice in terms of the provisions of the said sub-rule.
Important Notice: The insured is not indemnified if the vehicle is used or driven otherwise than in accordance with the schedule. Any payment made by the company by reasons 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 & RIGHT
OF RECOVERY" For legal interruption, English version will hold good.
Grievance Clause: For resolution of any query or grievance, Insured may check Grievance redressal policy at https://www.sbigeneral.in/portal/grievance-redressal or connect with the respective servicing
office of insurance company. In the event of unsatisfactory response,he/she may approach the insurance ombudsman for the redressal of grievance at www.irdai.gov.in or on website of General Insurance
Council: www.gicouncil.in
HSN/SAC : 997134, Description of Service : Motor Vehicle Insurance Services, Place of Supply : RAJASTHAN(State Code : 08), Insurer Invoice Number : 0000001089863
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 XI of Motor Vehicle Act, 1988.
Insurance Broker Name : Hyundai India Insurance Broking Pvt. Ltd. Scan for Renewal For & On Behalf of
Corporate Office:16th Floor, Building No. 9A, DLF Cybercity, Phase III, Gurugram, (Valid from 90 Days Prior to Expiry) SBI General Insurance Company Limited.
Haryana 122001
Broker Code: 822 (Valid UPTO:30/05/2025) MISP NAME-SUNEHRI CARS PRIVATE
CIN No.: U67200HR2021PTC098982 LIMITED
GST: 06AAGCH0310P1ZP MISP CODE-HIIB-MHY-0313
Email ID: connect@hiib.in DP NAME-SAMIR CHOUDHARY
Contact No: 0124-6833000
Authorized Signatory
For Claims, Policy Servicing & Renewal, Kindly contact (SUNEHRI HYUNDAI) at +91-8000287020