Shriram General Insurance Company Ltd.
[Link], RIICO Industrial Area, Sitapura, Jaipura
Rajastan - 302022 (Raj.) Toll free: 1800-300-30000,Fax:2770692
CERTIFICATE CUM POLICY SCHEDULE
Policy servicing Off: [Link], RIICO Industrial Area, Sitapura, Jaipura,Rajastan - 302022 (Raj.) Toll free: 1800-300-30000,Fax:2770692
Policy Number OG-16-1807-1802-00000536 Product Two Wheeler-Liability Only Policy
Period of Insurance From: 20- July -2023 00:45 Policy Issued on 16-July
To: 19- July -2024 Midnight Cover Note No /
Application No Scrutiny No 46031301
Insured Name METTA RAMA ROA `Zone A
Insured Address S/O ANJANEYULU, #27/1, 2ND MAIN, 4TH CROSS, GOPALAPPA LYT,
NEAR SURYA BEKARY, KRISHNARAJAPURAM, BANGALORE
KARNATAKA - 560016
Customer ID 71967671 Premium Payer ID 55618481
Transaction ID 0
Policy Status ISSUED
Registration Make Sub Type Model CC Mfg Year Seat Vehicle Trainer Chassis Engine Number
No. Cap No.
KA02EX9350 HERO H KICK PASSION 97.2 2006 2 06L09C11581 06L08M35691
PLUS
Vehicle IDV ElecAcc Non ElecAcc Side Car Trailer Reg No CNG/LP Unit Total Sum Insured
10000 0 0 0 0 0 10000
SCHEDULE OF PREMIUM
OWN DAMAGE LIABILITY
Total Own Damage Premium Basic Third Party Liability 670
PA Cover For Owner- Driver Of Rs. 100000 50
Total Liability Premium 720
Additional Loading @ 0% 0
Total Premium 720
Special Discount 0
Net Premium 105
Service Tax 149
EduCess 0
Final Premium Rs. 968 ***All Premium Figures are in Rupees
Geographical Area: INDIA No claimBonus: 0%
LIMITS OF LIABILITY: Under Section II-I(i) of the policy -> Death or periodically Injury: Such amount as is necessary to meet there requirement of the Motor Vehicle.
Act,1988 under section II-I(ii) of the policy -> Damage tothird party property: Rs.100000.
DRIVER: Any person including the insured Provided that a person driving holds on 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 Lerner's Licence may also drive the vehicle and that such a person satisfies the requirements
of Rule 3 of the central Motor Vehicle Rules , 1989.
IMPORTANT NOTICE: The insured is not indemnified if the veh icle 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
Premium collection Serials :-[Receipt No/Collection No/Amount],/Rs.670.
***If premium paid through cheques, the policy is void ab-inito in case of dishonor of cheque.
This certificate of insurance is issued in accordance with the provision of chapter X and chapter XI of M.V. Act,1988
In case of any claim, please contact our 24 hours call centre at 1800-22-5858, 1800-102-5858(TOLL FREE)/91-020-30305858 (changeable,add area code before this
number in case of mobile call) or email us at 'customercar@[Link]'
This is a pre signed documents and will not be valid unless QC verified and signed/Countersigned by an authorised signatory of Bajaj Allianz General Insurance [Link].
For & On Behalf of Shriram General Insurance Company Ltd.
Authorized signatory
Consolidated stamp
duty paid vide Receipt No: - 824
Regd. Office: GE Plaza, Airport Road,yerwada Pune-411006(India)
