Scribd Logo
Upload

Welcome to Scribd!

  • Scan 1

    Uploaded by

    Jananni Veluchamy
    6 views1 page
    This document is an insurance certificate and policy schedule for a Hero Honda motorcycle. It provides details of the insured (K. Kannan), the effective policy period, types of coverage including third party liability and own damage, premium amounts paid, and signatures of the insurance company representative certifying the policy complies with regulations. Key details include the insured's name and address, vehicle make and IDV value, coverage dates and amounts, total premium paid, and authorization of the policy according to Motor Vehicles Act rules.

    Original Description:

    Copyright

    © Attribution Non-Commercial (BY-NC)

    Available Formats

    PDF, TXT or read online from Scribd

    Did you find this document useful?

    Is this content inappropriate?

    Report this Document
    This document is an insurance certificate and policy schedule for a Hero Honda motorcycle. It provides details of the insured (K. Kannan), the effective policy period, types of coverage including third party liability and own damage, premium amounts paid, and signatures of the insurance company representative certifying the policy complies with regulations. Key details include the insured's name and address, vehicle make and IDV value, coverage dates and amounts, total premium paid, and authorization of the policy according to Motor Vehicles Act rules.

    Copyright:

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

    Scan 1

    Uploaded by

    Jananni Veluchamy
    This document is an insurance certificate and policy schedule for a Hero Honda motorcycle. It provides details of the insured (K. Kannan), the effective policy period, types of coverage including third party liability and own damage, premium amounts paid, and signatures of the insurance company representative certifying the policy complies with regulations. Key details include the insured's name and address, vehicle make and IDV value, coverage dates and amounts, total premium paid, and authorization of the policy according to Motor Vehicles Act rules.

    Copyright:

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

    ar\r

    J4

    r'.

    f* |

    Tata AIG GeneralInsuranceCompanyLtd.


    il t0tt ttrnfg

    Certificateoflusurance and policv Schedule Form 5l of the Crntral l,';itii VehicleRules.l9g9


    0 1 5 0 9 7 5 0I10 0
    Effective time and date of commencament ofInsurance

    Policy Typc From 0O:01liours on 29i09/2010

    Name and addressofthe Insured K. KAN Address : DNO.452, VIVEKAI.IANDHAR STREET, T"{OOLAPP,I,ALYAM. ERODE63EOO4, TAIvIILNADU
    Name:

    II.\LAJI&CO FINANCE

    TN33-Ap72l6| IDV of '.'ehicie(

    HERO HCND/r !

    rrrorot cycrr,

    Om Damgc Bcic Less : 20.00olo NCB for A TOTALOWNDAMACE

    Rs.250.00 Rs.1,00,000 Rs.50.00 Rs.300.00 R s . 6 73 3 5 Rs.675.3.1 Rs.69.56 Rs.745.00

    Drivers Clause: Persons classes or person including the i : driving licenceat the tr or obtaining such a lic r Larner'sLicence may the requirements Rule 3 of L:ni's of Liabiiitr,: r SectionII-l (i) of the policy the requirements the Motor of Section (ii) ofthe II-l
    A. Cover for Omer - Driver

    any purposeothertha:r: (other than samplesor personal akinge) Speedtestingf) Reliability with Motor Trade.

    Endorsement (IMT) No.

    !9:h"i*SlqePetll

    i !!: _6!!9. 0/:

    CompuisoryDeductible : i{s, !:l0/Volun'.aryDeducrible : tls. 0/lmposedExcess :.lls. 0.0,,hercbv ccnifl- that the rolicy to rvhich this Certificats relatcs as *"tt * rl,i. c".tin[Glf lll/we l! rnsuilnce are.rss!:ed accortia'rce tn with the provisionsoi ChaptJrX a,r.l. of Motttr Vchicles /rc! lC wihress*tiereoii;ris ii.l;icy hao beensignal at Iri-rig;i; on Z+ .l'r;rltii. 9,E3In lii
    il

    ll
    .ili.'-..-"ti .:;

    W00l 250755 lReceipt(s): Tax Registration : Insurance/Tatd,{Uumbai_l/1542i2001_02. l{o lScrvice

    tl s',at;'3 C;ri paidin crs,.r dennnd or draftor b,vp if 1...0 50/-(Ru-pees ll 15 r,iJe 1ero.a$iaisc 50 Onry) no 36647 rhe ll ordcr, .'r-eceiptiClrallarr datcd 3l/lZlZOOg.

    Atri Chak;aborty I,latlonal Head-,

    TataAIG GencralInsurance co. Ltd. Policy Holder scr'ices, l'. u. Box No. g407,chakala MIDC- post o{Iice. Mumbai 4000g3

    DAIT

    maharakn rrMESrAMp: llllllillllf lllllllflllllllllllllllllillllllllllilllllllllllou, 1s-to..,,,no,1n *..,r^^r Err.

    (Regd peninsura pu.k,Ni"l"?:LI;Y,*lf,j,i;tilf;ifflH33Lura" Corpo,",. - office: 7"rr.'|wr'udP4rro( *u",n!!s,!p1v-e1larer, 40c0r3) Mumbai Branch: Chennai page ofieiNAC."'.'..

    5 of 6

    You might also like