Future Generali India Insurance Company Limited.

Servicing Office : 2nd Floor, No. 83/84, Ellapillaichavadi Main Road, Sithananda Nagar, PONDICHERRY, TAMIL NADU (State
Code:33) -605005
Future Secure Private Car Policy ±Bundled UIN --IRDAN132RP0006V01201819
Certificate Cum Policy Schedule (FORM 51 OF THE CENTRAL MOTOR VEHICLE RULES, 1989)
PAN :AABCF0191R GSTIN: 34AABCF0191R1ZE CIN :U66030MH2006PLC165287 IRDAI Reg:132

Policy No: 132/14/11/0825/MTP/3410075531 Proposal No. & Date: HIIB10364674, 13-AUG-2024

Policy Issued On: 13-AUG-2024 09:46 HRS Previous Policy No.: NA
Insured Name: MR. R KRISHNARAJ Previous Insurer: NA
Period of Own Damage : 13-AUG-2024 (09:46) To 12-AUG-2025 (1 YEAR)
NO:29 THIRU VI KA STREET RADHAKRISHNAN NAGAR
Period of Liability Cover: 13-AUG-2024 (09:46) To 12-AUG-2027 (3 YEARS)
Insured Address: THATTANCHAVADY , PUDUCHERRY , PUDUCHERRY (State Code:34)
-605009 Period of Compulsory 13-AUG-2024 (09:46) To 12-AUG-2027 (3 YEARS)
Personal Accident Cover:
Customer Type PAN GSTIN Name Age (Yr.) Relation
Customer Details Nominee Details
INDIVIDUAL XXXXX9613G NA E RAVICHANDRAN 60 FATHER

Vehicle Details
Make Model Variant Cubic Capacity Manufacturing Year Seating capacity
HYUNDAI CRETA 1.5 CRDI MT S(O) 1493 2024 5
Body Type Registration No. RTO Hypothecation/Lease* Fuel Type VIN/Chassis No.
SUV NEW PUDUCHERRY NO DIESEL MALPB813LRM028700
Vehicle IDV Electrical Accessories Non-Electrical Accessories BI Fuel Kit Total IDV Engine No
1,513,540 0 0 0 1,513,540 D4FARM208116

Own Damage Premium (A) Amount(INR) Liability Premium (B) Amount(INR)

Basic Own Damage Premium Basic Third Party Liability Premium 10,640
Vehicle 19,320 Bi-Fuel Kit 0
Non-Elec. Accessories (IMT-24) 0 Geographical Area Extension (IMT-1) 0
Elec. Accessories (IMT-24) 0 Sub Total (Third Party Liability) 10,640
Bi-Fuel Kit (IMT-25) 0 Personal Accident (PA) Cover
Geographical Area Extension (IMT-1) 0 Compulsory PA Cover for Owner Driver Rs 1500000 (IMT-15) 990
IMT 23 Premium 0 PA Cover for 5 Unnamed Passengers Rs 100000 Each (IMT-16) 750
Sub Total (Basic Premium) 19,320 PA cover for Paid Driver of Rs 2 Lac (IMT-17) 0
Discount/Deductibles Sub Total PA Cover 1,740
Voluntary Deductibles (0) (IMT-22A) 0 Legal Liability
Anti Theft Device (IMT-10) 0 Paid Driver (IMT-28) 150
AA Membership (IMT-8) 0 Employees (for 0 persons) (IMT-29) 0

No Claim Bonus (0%) 0 Sub Total (Legal Liability) 150

Handicapped Discount (IMT-12) 0 Net Liability Premium (B) 12,530

Sub Total (Deductibles) 0 Total Premium (A+B) 43,502
Total Own Damage Premium 19,320 IGST(18%) 7,831
Add On Coverages ( ZD, CM, EP, RTI, KP, PB ) 11652
Net Own Damage Premium (A) 30,972 Gross Premium Paid 51,333
Add-on Cover Opted in the Policy: Consumable- Bundled(IRDAN132RP0006V02201819/A0034V01201819), Engine Protector-Bundled(IRDAN132RP0006V02201819/A0040V01201819), Return
to Invoice - Bundled(IRDAN132RP0006V02201819/A0035V01201819)
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) 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, 3.Geographical Area Ext. extended to (IMT-1): NA
during the subsistence of the Policy.
5.The policy is subject to compulsory deductible of INR 1000
4. Policy issuance is subject to realization of cheque if premium is paid by cheque
(IMT-22) & Voluntary Deductible of INR 0
7. Basic premium rates differ for NCB V/s Non -NCB , any wrong
6. This policy is to be read in conjunction with the Policy /Add-on wordings T&C available on the insurer website http://www.futuregenerali.in NCB declaration will attract recovery of NCB portion & difference of
basic rate
*Hypothecation Details: 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 15 Lakhs.
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://general.futuregenerali.in/customer-service/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 : PUDUCHERRY(State Code : 34), Insurer Invoice Number : 132/14/11/0825/
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) Future Generali India Insurance Company Limited.
Haryana 122001
Broker Code: 822 (Valid UPTO:30/05/2025) MISP NAME-KUN AUTO COMPANY
CIN No.: U67200HR2021PTC098982 PRIVATE LIMITED
GST: 06AAGCH0310P1ZP MISP CODE-HIIB-MHY-0017
Email ID: connect@hiib.in DP NAME-SELVAKUMAR V
Contact No: 0124-6833000
Authorized Signatory
For Claims, Policy Servicing & Renewal, Kindly contact (KUN HYUNDAI) at +91-9894663170