https://

Go Digit General Insurance Ltd. Schedule/Receipt

Digit Two-Wheeler Liability Only Policy UIN No.: IRDAN158P0003V01201718

DR
Name Amit kumar Jha Vehicle Registration No. BR10W8639
N Address Hospital road Partner Name Direct
naugachia,Naugachia,Bhagalpur-853204 1017624
Partner Code
1017624
Mobile xxxxxxxxx5073 Partner Mobile No. --
Email [email protected] Partner Email [email protected]
Aadhar No. For Claims, contact us at 1800-258-5956
YOUR POLICY DETAILS
PB
Policy No. D015350350 / 07052020 Policy Issue Date 07-May-2020 Invoice No. IA013540932
From 08-May-2020 09:02:16
Period of Policy Policy Term 1 Year
To 07-May-2021 23:59:59
From 08-May-2020 09:02:16 Invoice 07-May-2020
Period of Policy for PA Owner Driver
To 07-May-2021 23:59:59 Date
1 YOUR VEHICLE DETAILS
RTO location Bhagalpur,BIHAR Make HONDA Model/Vehicle
SHINE/ELEC ST DRUM
Variant (Sub-
CG JC73ET0071527 ME4JC731LGTO42229 BRAKE AWS
Engine No. Chassis No. Type)
PB Body Type Motor Cycle Fuel Type Petrol Year of Regn 2017
Seating
2
30 Capacity Cubic Capacity 125 CC Year of Mfg. --

ENDORSEMENT
DRS
G01
68 Invoice Number Invoice Date Gross Premium Igst Cgst Sgst Utgst Cess Net Premium

IA013540932 2020-05-07 1278.00 0.00 98.00 98.00 0.00 0.00 1082.00

LIABILITY PREMIUM (`)

IU Basic Third-Party Liability (`) 752 PA cover for Owner-Driver (`) 330
IU
PA cover for 2 unamed passengers each 0 (`) -- PA cover for Paid Driver 0 (`) --
Legal Liability to Employees (`) -- Legal Liability to Paid Driver (`) --
Net Premium (`) 1082
CGST @ 9% = (`98 ) + SGST/UTGST @ 9% = (`98) 196
D
FH
CGS Final Premium (`) 1278
FH
OTHER DETAILS

Previous Insurer -- Previous Policy No. --

Previous Policy
IMT - Endorsements -- Expiry Date --

GSTIN/UIN No. Unregistered State Code 10

Receipt No. RA014610190 Receipt Date 07-May-2020
Financier Details -- Nominee Details --
N
IU
Other Detials --
Te
Geographical Area: Any liability incurred within India shall be covered subject to Policy Terms and Conditions, unless specifically agreed and
endorsed. Limitation as to use: The policy covers use of the vehicle for any purpose other than hire or reward, racing, pace making, reliability trial,
speed testing and use for any purpose in connection with the Motor Trade. Person or Class of persons entitled to drive: Any person including the
insured. 1) Provided that a person driving holds a valid effective driving license at the time of the accident and is not disqualified from holding or
obtaining such a license. 2) Provided also that the person holding a valid effective Learner’s License may also drive the vehicle and that such a
person satisfies the requirements of Rule 3 of the Central Motor Vehicles Rules, 1989 and any subsequent amendment as applicable. Limits of
Liability: 1) 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
IU Vehicles Act, 1988 and any subsequent amendment as applicable. 2) Under Section II - 1 (ii) of the policy: Damage to Third Party Property -
(`100000) 3) P.A. Cover for Owner Driver under Section III (CSI) -(`1500000.01)(per annum).

http

Go Digit General Insurance Ltd. Address: Atlantis, 95, 4th B Cross Road, Koramangala Industrial Layout, 5th Block, Bengaluru, Karnataka 560095.IRDAI Reg
No. 158 CIN U66010PN2016PLC167410, GST Reg. No.: 10AACCO4128Q1ZF HSN: 9971/General Insurance Services, GSTIN Address: Patna Business Centre
No 509 Patna One Mall Dak Bunglow Chowk Patna Bihar PIN 800001
https://
Go Digit General Insurance Ltd. Schedule/Receipt
Digit Two-Wheeler Liability Only Policy UIN No.: IRDAN158P0003V01201718

DR

Important Note: Please inform the Company in case of change on account of addition of CNG/PNG kit.

Cheque dishonor / Non-receipt of payment premium paid through Cheque, the policy is void ab-initio in case of dishonor of Cheque or non-receipt
of payment. Violation of Motor Vehicle Act: This policy is issued in accordance with the provision of Chapter X and Chapter XI of MV act, 1988
and any subsequent amendment as applicable. Any violation will forfeit all benefits and coverages under the Policy. 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 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) in the policy. This policy is subject to the standard policy wordings, warranties and conditions applicable
for this product in addition to coverages and exclusions specified in the motor vehicle tariff published by IRDAI. Policy would be void on the ground
that it was obtained by non- disclosure of material fact or by a representation of fact which was false in some material particular

Note: The terms and conditions detailed in this policy schedule as well as the policy document sent by Digit shall prevail in case of any dispute.

For & On Behalf of Go Digit General Insurance Ltd.

In case of claim or any other query, please

contact our 24-hour C all C entre at 1800-
258-5956 or email us at [email protected] Praveen Bhat
Vice President – Customer Experience
or visit our website www.godigit.com. [email protected]
Authorized Signatory
Printed, Signed, and Executed at Bengaluru
Consolidated Stamp Duty is Deposited with
Department of Stamps, Bengaluru
Hey, our document is now digitally signed
Click here to view the certificate.

Go Digit General Insurance Ltd. Address: Atlantis, 95, 4th B Cross Road, Koramangala Industrial Layout, 5th Block, Bengaluru, Karnataka 560095.IRDAI Reg
No. 158 CIN U66010PN2016PLC167410, GST Reg. No.: 10AACCO4128Q1ZF HSN: 9971/General Insurance Services, GSTIN Address: Patna Business Centre
No 509 Patna One Mall Dak Bunglow Chowk Patna Bihar PIN 800001