Policy Policy Issuing Issuing Office Office Muza Muzaff ffar arpu purr Divi Divisi sion on ,P and and T Chow Chowk, k, Gaus Gausha hala la Road Road,, Muza Muzaff ffar arpu pur, r, Biha Bihar, r, Pin Pin : 8420 842002 02 Tel: 0621 2244711 (D ( D) 2245357 (G) , 2240661 Fax: 06212244711 Email: CERTIF CER TIFICAT ICATE E OF INS INSURAN URANCE CE CUM POLICY POLICY SCH SCHEDU EDULE LE New Policy Policy Poli Policy cy No: No: 1706 170600 0031 3115 1561 6160 6000 0001 0191 91 THE INSURED:
Pack Packag age e (Pri (Priva vate te Car) Car) [Issued on 29-May-2015]
Name : Address : Pincode :
RTA Regional Transport Officer, Muzaffarpur Bihar
MR.PRAMOD KUMAR S/O SRI MOJE LAL SAH, AT- B.HASSAN, PO- V.PANDAY, MUZAFFARPUR 8 4 3 1 11 Profession / Business : Businessmen
Period of of In Insurance From : 31/05/2015 00 00:00:00 to mi midnight on on : 30/05/2016 Vehicle Ma M ake: Hyundai i1 i 10 1. 1 .2 Ka K appa Ma M agna MT MT Geographical Engine- no Chassis- no Type of Body CC Mfg. SeatingCapacity Registratio Registration n No. Area Year / G.V.W. INDIA G4LABM623741 MALAM51CLBM87 2023*C Saloon 1 197 2011 5 BR-06-Y-6003 INSURED DECLARED VALUE Extension : No Extension Vehicle Non El Electrical Electrical CNG/LPG Kit IDV of Trailer Total IDV Accessories Accessories Rs. 2,70,394 Rs. 0 Rs. 0 Rs. 0 Rs. 0 Rs. 2,70,394 Schedu Schedule le of Premiu Premium m Net Premium : Rs. 7,199 Service Tax @ 12.36 % Rs. 890 Total Premium : Rs.8,089 NOTE: 1. Warr Warran ante ted d that that in case case of dish dishon onou ourr of the the prem premiu ium m cheq cheque ue,, this this docu docume ment nt stan stands ds auto automa mati tica cally lly canc cancel elle led d 'AB'AB-IN INIT ITIO IO'. '. 2. Cons Consol olid idat ated ed Stam Stamp p duty duty paid paid.. Compulsory E Ex xcess: Rs Rs. 1, 1 , 000
Imposed Ex Excess : R Rs s. 0
Nomine Nominee e Detail Details s of Compul Compulsor sory y PA: Nominee Name Relationship AN ANJU DEVI Spouse
Nominee Age 32
Voluntary E Ex xcess : R Rs s. 0
StampDuty : R Re e. 1
Name of Appointee
Relation of Appointee
Limi Limita tati tion ons s as to use use : The The Poli Policy cy cove covers rs use use of the the Vehi Vehicl cle e for for any any purp purpos ose e othe otherr than than a) Hire Hire or Rewa Reward rd b) Carr Carria iage ge of Good Goods( s(ot othe herr than than samp sample les s or pers person onal al lugg luggag age) e) c) Orga Organi nize zed d raci racing ng d) Pace Pace ma maki king ng e) Spee Speed d Test Testin ing g and and Reli Reliab abil ilit ity y Tria Trials ls f) Use Use in conn connec ecti tion on with with Mo Moto torr Trade Driv Driver ers s Clau Clause se : Any Any pers person on incl includ udin ing g Insu Insure red d Prov Provid ided ed that that a pers person on driv drivin ing g hold holds s an effe effect ctiv ive e driv drivin ing g lice licenc nce e at the the time time of the the acci accide dent nt and and is not not disq disqua uali lifi fied ed from from hold holdin ing g or obta obtain ining ing such such a licen licence ce.. Prov Provid ided ed also also that that the the pers person on hold holdin ing g an effe effect ctive ive Lear Learne ner' r''s 's Lice Licenc nce e ma may y also also driv drive e the the vehi vehicl cle e and and such such a pers person on sati satisf sfie ies s the the requ requir irem emen ents ts of Rule Rule 3 of Cent Centra rall Mo Moto torr Vehi Vehicl cles es Rule Rules, s, 1989 1989.. Limi Limits ts of Liab Liabil ilit ity y Clau Clause se:: Unde Underr sect sectio ion n II 1 (i)o (i)off the the poli policy cy-D -Dea eath th or bodi bodily ly inju injury ry.S .Suc uch h am amou ount nt as is nece necess ssar ary y to me meet et the the requ requir irem emen ents ts of the the moto mo torr vehi vehicl cle e act act 1988 1988.u .und nder er sect sectio ion n II 1 (ii) (ii)of of the the poli policy cy -Dam -Damag age e to thir third d part party y prop proper erty ty is Rs.7 Rs.7,5 ,50, 0,00 000 0 PA Cove Coverr unde underr sect sectio ion n 3 for for owne ownerr-dr driv iver er is Rs. Rs. 2.0 2.0 lakh lakhs. s. No Clai Claim m Bonu Bonus: s: The The insu insure red d is enti entitl tled ed for for a No Clai Claim m Bonu Bonus( s(NC NCB) B)on on the the own own dama damage ge sect sectio ion n of the the poli policy cy,, if no clai claim m is ma made de or pend pendin ing g during during the precee preceedin ding g year(s year(s),a ),as s follow follows s : The preced preceding ing year/2 year/20%, 0%, precee preceedin ding g two consec consecuti utive ve years/ years/25% 25%,, precee preceedin ding g three three consec consecuti utive ve year years/ s/35 35%, %, prec precee eedi ding ng four four cons consec ecut utiv ive e year years/ s/45 45%, %, prec precee eedi ding ng five five cons consec ecut utiv ive e year years/5 s/50% 0% of NC NCB B on OD Prem Premiu ium. m. No Clai Claim m bonu bonus s only only be allo allowe wed d prov provid ided ed the the poli policy cy is rene renewe wed d with within in 90 days days of the the expi expiry ry date date of the the prev previo ious us poli policy cy.. Financier Name Others Financier's Pin Code 84 2001 Financier's Branch Details MAGMA FINCORP LTD. MUZAFFARPURFinancier Type Hypothecation Subject to I.M.T Endt. printed herein/attached hereto : 7 , 22 , 2 8 The The Insu Insure red d is not not inde indemn mnif ifie ied d if the the vehi vehicl cle e is used used or driv driven en I/W I/We e here hereby by cert certif ify y that that this this Cert Certif ific icat ate e cum cum Sche Schedu dule le of Insu Insura ranc nce e othe otherw rwise ise than than in acco accord rdan ance ce with with this this sche schedu dule le.A .Any ny paym paymen entt issu issued ed in acco accord rdan ance ce with with the the prov provis isio ions ns of chap chapte terr X and and chap chapte terr XI of Mo Moto torr made ma de by the the comp compan any y by reas reason ons s of wide widerr term terms s appe appear arin ing g in Vehi Vehicle cles s Act, Act,19 1988 88 For For & On beha behalf lf of the the Nati Nation onal al Insu Insura ranc nce e Comp Compan any y the the cert certif ific icat ate e in orde orderr to comp comply ly with with the the Mo Moto torr Vehi Vehicl cles es Limited Act, Act,19 1988 88 is reco recove vera rabl ble e from from the the insu insure red. d.Se See e the the clause clause head headed ed "AVO "AVOID IDAN ANCE CE OF CE CERT RTAI AIN N TERM TERMS S AN AND D RIGH RIGHT T OF RECOV RECOVERY ERY".F ".For or legal legal interp interpret retati ation, on, eng englis lish h versio version n will will hold hold Authorised Authorised Signatory Signatory good CIN No: U10 U10200 200WB1 WB1906 906GOI GOI001 001713 713,, IRD IRDA A Regn. Regn. No:58 No:58 Collection Number : 17060081158000000208 Service Tax Registration No :
Collection Date : 29-May-2015 AAACN 4165 CST 178
Registered Registered Office 3, Midd Middle leto ton n Stre Street et,, Post Post Box Box No. No. 9229 9229,, Kolk Kolkat ata a - 700 700 071 071
balaji balaji_hy _hyund undai ai 29/ 29/05/ 05/201 2015 5 10: 10:31: 31:38 38 A.M. A.M. Visi Visitt us at www.nationalinsuranceindia.com for inform informati ation on on Product Products, s, Servic Services es and Grievan Grievance ce Redres Redressal sal..
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