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    Niren Patel
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    This document is a certificate of insurance for a Mercedes C220 vehicle owned by Dhaval Hasmitkhlal Shah. It provides coverage from August 5, 2012 to October 4, 2013 under a private car comprehensive insurance policy with Bharti AXA General Insurance Company Ltd. The insured declared value of the vehicle is INR 2,350,000 with 100% depreciation cover. The policy also provides hospital cash, ambulance charges, and medical expenses reimbursement of INR 1,000, 5,000, and 10,000 per person respectively. The total premium paid is INR 51,645.15.

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    This document is a certificate of insurance for a Mercedes C220 vehicle owned by Dhaval Hasmitkhlal Shah. It provides coverage from August 5, 2012 to October 4, 2013 under a private car comprehensive insurance policy with Bharti AXA General Insurance Company Ltd. The insured declared value of the vehicle is INR 2,350,000 with 100% depreciation cover. The policy also provides hospital cash, ambulance charges, and medical expenses reimbursement of INR 1,000, 5,000, and 10,000 per person respectively. The total premium paid is INR 51,645.15.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as PDF, TXT or read online from Scribd
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    11 views1 page

    Car Policy

    Uploaded by

    Niren Patel
    This document is a certificate of insurance for a Mercedes C220 vehicle owned by Dhaval Hasmitkhlal Shah. It provides coverage from August 5, 2012 to October 4, 2013 under a private car comprehensive insurance policy with Bharti AXA General Insurance Company Ltd. The insured declared value of the vehicle is INR 2,350,000 with 100% depreciation cover. The policy also provides hospital cash, ambulance charges, and medical expenses reimbursement of INR 1,000, 5,000, and 10,000 per person respectively. The total premium paid is INR 51,645.15.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as PDF, TXT or read online from Scribd
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    of 1

    BHARTI AXA GENERAL INSURANCE COMPANY LTD 4th Floor, 401 &4O2, 3rd Eye situated at Panchvati

    Ahmedabad_380006. Tel:+91 79 4022 9000Fax:079-4O22gOO1 Email: customer.service@bharti-axagi.co.in


    rForm 51 of Ehe Central Motor Vehicle Rules, 1989
    NO"

    cross Roads,c. G.

    Road '

    ^-^ CERTTFTCATE OF INSURAT{CE AND SCHEDULE NEW BUSINESS Original

    SMART Motor private

    Car

    CERTTFTCATE/POLTCY : FPV/r0975648/7I/08/t477L!9

    Account No. :

    71_000187

    Policy Type Period of Insurance Premium Pald (inc1. S. Tax) Name of Policy
    Holder

    : Private Car - Cornprehensive Ineurance policy : From 00:00 Hours on 05/08/2012 To Midnight on O4/OA/20L3 : INR 51,645.15 :
    DHAVAL HASMITKHLAL SHAH

    Address

    : 302 SWAPANA GOKUL FLATS 58 SWASTIK SOCIETY


    C G ROAD NAVRANGPURA AHMEDABAD-38OOO9 GUJARAT

    Under Hire Purchase /Hypothecat ion/Leas e

    TATA CAPIAL LIMITED

    with Geographicaf Area


    Regn. No.
    Make/Model

    : INDIA
    CJOaKttl2022
    MERCEDES C22O

    Place of Regn.:
    c1

    AHMEDBAD

    Year of Manufacture Seating Cap. (Tncl . Driver) Pubfic Carrier / Private Carrier Chassls No.
    IDV of the Vehicle

    2071
    000s

    Body Type Engine C. C.

    SALOON

    2148

    Private Car
    0449]-3

    Engine

    No

    44691,6

    Accessories

    : rNR 2,350,000.00 Bi - Fuel (CNG/Lpc) : 0.00 IDV of Non buifd in : E]ectrical 0.00

    Non-El_ectrical 0.00

    Total Insured ; 2,350,000.00 Decl-ared Value of the Vehicfe Depreciation cover : 100.00 % (?) Hospital Cash : INR 1000.00/5 Cover (SI/PERSON)

    Ambul-ance Charges

    cover

    : rNR 5ooo.oo/5
    LOOO0.OO/s

    (srlPERSoN)

    Medical Expenses : INR


    neimbursement.
    (SIlPERSON)

    Schedule of Premium

    A.

    Own Damage Premium non

    Accessories
    NCB

    Premium on Vehicle and Electrical-

    : INR 80,840.00 : INR L5,168.00

    B. Liability Basic

    Premium

    INR 2, 853 . 00

    20.00?

    Add: Legal : Liability to Paid Driver as per Endt. IMT 28

    INR s0.00

    BHARTTAXAGENER.ALTNSURANCECOMPANYLTD
    1st Floor,Ferns lcon, Survey No.28, Doddanakundi village K.R.Puram Hobli Bangalore - 37 Toll Free No: Tel: 91 80 40260100 Fax: 80 40260101 Email: customer.service@bharii-axagi.co.in

    Continuation
    1

    page

    800 1O322gz

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