BAJAJ ALLIANZ GENERAL INSURANCE COMPANY LTD. ORIGINAL COPY Policy Servicing Office Policy Number Period Of Insurance
608-609, IInd Block, White House, Begumpet, Hyderabad-500016 PH:040-44320100/443801 PH:040-44320100/44380100, 00,
OG-13-1801-1802-000494 OG-13-1801- 1802-00049486 86 From: 12-SEPT-2015 17:01 (Hrs) To: 11-SEPT-2016 Midnight
Insured Name Insured Address
K ASHOK KUMAR REDDY FLAT NO-302,STREET NO-1, MJ COLONY,DWARAKA ENCLAVE RANGAREDDI-500083
Customer Id Application No
46917471 0
Coinsurance Details : NA. Registration No Make AP29AE9658
BAJAJ
Product Policy issued on Cover Note No. Zone
MC1003386505 A
Premium Payer Id Scrutiny No Policy Status
46917471 21406749 ISSUED
Two Wheeler - Package Policy 12-SEPT-2015
Model
SubType
CC
Year Of Mfg Mfg
Seat Cap
Chassis number.
Engine No.
PULSAR 200 DTSI
ELECTRIC START
200
2008
2
MD2DHJCZZRCF21901
JCGBRF36559
Vehicle IDV
Elec. Accessories
Non-Elec. Acc.
Side Car
Trailer Reg No
CNG/LPG Unit
Total Sum Insured
37400
0
0
0
-,-
0
37400
SCHEDULE OF PREMIUM Own Damage
Liability
Total Own Damage Premium
671 Basic Third Party Liability
355
PA Cover for Owner-Driver of Rs. 100000 Total Act Premium: Total Premium
1076
Special Discount
0
Net Premium
1076
Service Tax Edu Cess
Final Premium Rs. Geographical Area : India Compulsory Deductible : Rs. 100
50 405
129 4
1209 *** All Premium Figures are in Rupees No Claim Bonus : 0% Voluntary Excess : Nil Additional Compulsory Deductible : Rs. 0
The above Total OD Premium is inclusive of all applicable Loading/Discounts viz (Automobile Association Membership,Voluntary Excess,Anti-Theft,Handicap Person,Driver Tution,Fibre Glass,Cng/Lpg Unit,Geographical Extn,Imported Vehicle etc wherever applicable)
LIMITS OF LIABILITY: Under section II-I(i) of the policy -> Death of or bodily injury : Such amount is necessary to meet there requirements of the Motor Vehicles Act,1988. Under section II-I(ii) of the policy -> Damage to Third Party Property : Rs. 100000
LIMITATION AS TO USE : The Policy covers use of t he vehicle for any purpose other than : Hire or reward, Carriage of goods(other goods(other than samples or per sonal luggage), Organised racing, Pace making, Speed testing, Reliability trials, Any purpose in connection with Motor Trade.
DRIVER : Any person including the insured Provided that a person driving holds an effective driving licence at the time of the accident and is not disqualified from holding or obtaining such a licence. Provided also that the person holding an effective Learner's licence may also drive the vehicle and that such a person satisfies the requirements of Rule 3 of the Central Motor Vehicles Rules, 1989.
Past Claim Reference :
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.
Subject to IMT Endorsement Nos: 22 & Policy wordings attached herewith
Agency Code 10009258
Channel Name : MD
Agency Name : SEETHARAM K Contact No : 0/0
Email -
Premium Collection Details :- [Receipt No/Collection No/Amount] Rs. 1209, By Float No : 10009258 *** If premium paid through cheque, the policy is void ab-initio in case of dishonor of cheque. This certificate of insurance is issued in accordance accordance with the provision of Chapter X and Chapter XI of M.V.Act, 1988.
In case of any claim, claim, please contact our 24 Hour Call centre at 1800-22-5858, 1800-102-5858 ,1800-102-5858,1800-209-5959(Toll Free) / 91-020-30305858 (chargeable, add area code before this number in case of mobile call) or email us at '
[email protected]' 0 € àÏj /-/10009258/-/MC1003386505 Damage Details : null PIN NO : Remarks : Kindly contact our nearest / local office(s) for No Claim Bonus Confirmations. This is duplicate copy of the document and will not be valid unless QC Verified and Signed/Countersigned by an authorized signatory of Bajaj Allianz General Insurance Co.Ltd.
For & On Behalf of Bajaj Allianz General Insurance Company Ltd.
Authorized Signatory Printed , Signed and Executed at Pune
QC Verified and Signed/Countersigned Signed/Countersigned by Regd Office : GE Plaza,Airport Road, Yerwada Pune-411006 (India)
Regd. Office : GE Plaza, Airport Road, Yerawada,Pune - 411006 (India)
Service Tax Reg. No. AABCB5730G-ST-001 -Latest Schedule- 12-SEPT-2015 14:08:18 PM (Web) Generated by arpan bhawasar@bos bajajallianz bajajallianz co in
