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    anirudh_bh
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    This document is a certificate of insurance for a motorcycle policy. It provides key details about the policy such as the policy number, insured name and address, period of insurance, and vehicle details including registration number, make and model. It also summarizes the key coverage details including liability limits as per the Motor Vehicles Act and premium amount paid. It certifies that the policy and certificate are issued in accordance with the Motor Vehicles Act.

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    This document is a certificate of insurance for a motorcycle policy. It provides key details about the policy such as the policy number, insured name and address, period of insurance, and vehicle details including registration number, make and model. It also summarizes the key coverage details including liability limits as per the Motor Vehicles Act and premium amount paid. It certifies that the policy and certificate are issued in accordance with the Motor Vehicles Act.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as RTF, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    21 views1 page

    Scan 0003

    Uploaded by

    anirudh_bh
    This document is a certificate of insurance for a motorcycle policy. It provides key details about the policy such as the policy number, insured name and address, period of insurance, and vehicle details including registration number, make and model. It also summarizes the key coverage details including liability limits as per the Motor Vehicles Act and premium amount paid. It certifies that the policy and certificate are issued in accordance with the Motor Vehicles Act.

    Copyright:

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

    If the vehicle is sold.

    pY a a get the insuranC$


    dtrarsferred i:l favour of purchaser on the same a).
    Q1herwise ~be claim is not

    P,g/icy NO.:240500/31/09/02/00002195 = ibla.


    UNITED INDIA INSURANCE COMPANY LIMITED
    CERTIFICATE OF INSURANCE
    MOTORCYCLE / SCOOTER - UABILITY ONLY POLICY

    Policy Number
    Name of the
    240500/31/09/02/00002195
    I Certificate Number
    I
    240500/31/09/02/00002195

    Insured
    MR. ANIRUDH

    5/0. SRI RAMAKANTH BHAT, "ANJANEYA", H.NO. 6-164,


    Issuing Office Address
    I
    Code 240500 I
    DIVISIONAL OFFICE, KRISHNA COMPLEX, II FLOOR,
    Address of the 5ARDAR PATEL ROAD, K1NNIMULKY, UDUPI. Dist. : yDUPI,
    Insured 521383,520647, FAX -5 35647
    Karnataka-576101

    Business/Occu 2521383, 2520647, DT.2521462 F


    B ITel. Tel:
    pation

    rrectlve date of commencement of Insurance for tile purpose of Act from 00:00 Hrs on 23/06/2009

    Date of ExpIry of t!!e Insurance Midnight on 22/06/2010

    Partiwlars of Vehicle Insured


    seating

    Capacity
    Registration No. Engine No. Chassis No. Make Type of Year of CubiC
    Capacit
    Vehicle I Trailer (if any) Body Mfg.
    y
    KA-20-Q-6766 2

    I
    0 0 TVS 5cooty PEP Not Mentior 2004 75

    Registration Authority I Geographical Area PubliC/Private

    Not Required, Not Required


    I INDIA Not Applicable

    Person or Class of Persons entitled to drive::

    Any person including Insured provided that a person driving holds an effective driving licence at the time of the accident and is not

    vehicle and such a person satisfies the requirements of Rule 3 of Central Motor Vehicle Rule,
    1989.
    Limitations as Rs350.00
    Premium :
    to use
    The Policy covers use of the VehiCle for any purpose
    other
    a) Hirethan
    or Servic e Tax :
    Reward
    b) Carriage of Goods(other than samples or personal Stamp duty :
    luggage)
    c) Organized
    racing
    d) Pace Total
    making
    e) Speed Testing and Reliability Receipt Number
    Trials
    riUse in connection with Motor
    Limits of 18/06/2009
    Receipt Date
    Liability :
    Under Section-I(i) in respect of anyone accident :As per Motor Vehicles Act 1988 STax Regn. No.
    Under Section- I(il) in respect of anyone claim or series of claims arising out of one

    ev
    e 99999
    nt UPTO Rs. 100000 Agency/Broker Code:
    :R
    s.

    I/We hereby certify that the poi icy to whiCh the certificate relates as well as the certiflcate of insurance
    are issued in accordance with provisions of Chapter X & XI of M. V. Act, 1988.

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