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MOTOR INSURANCE CERTIFICATE CUM POLICY SCHEDULE
MOTORISED-TWO WHEELERS LIABILITY ONLY POLICY - ZONE A
412200/31/2014/18814

Policy No

Digitally signed by
PRASAD BRAHMADEO
NARAYAN
Date: 2013.10.14
10:12:25 IST

Prev Policy No

: 412200/31/2013/21486
:

Cover Note No

: -

Cover Note Dt

Insured's Code
Insured's Name

: 51624975
: S YAMINI

Issue Office Code : 412200
Issue Office Name : DO 12 CHENNAI

Address

: 158,Flat No:4,Premier
Apartments,Ground floor,Ayyavoo
st,Ayyavoo naidu
colony,Aminjikkarai,Chennai

Address

: W-115,1st FLOOR,S.B.COMPLEX,
3RD AVENUE,NEXT TO D.K.KALYANA
MANDAPAM,
NEAR ROUNDTANA,ANNANAGAR,
CHENNAI TAMIL NADU 600040

Tel /Fax /Email

CHENNAI TAMIL NADU 600029
: 9444061941 / / janakarthik@gmail.com Tel /Fax /Email

: 044-23458269/D.M-DIRECT-23458294
/ TELEFAX-23458268 /
412200@orientalinsurance.co.in

Agent/Broker Details
Dev.Off.Code

: NA0000000541 MR.C.GOPIKRISHNAN

Agent/Broker

:

Address

:

Tel /Fax /Email
: ////
Period of Insurance : FROM 00:00 ON 16/10/2013 TO MIDNIGHT OF 15/10/2014
Collection No & Dt

: CC 7084018905 - 14/10/2013

Gross Premium

: 472

Service Tax :

58

Geographical Area : INDIA

.5

Stamp Duty :

Total :

530

Area Extension :
Particulars of Insured Vehicle:

Registration
Mark & Place
TN 04 L 7877
Chennai North

Engine No. &
Chassis No.

Make - Model

Year Of
Type Of Body
Manufacture

EI4774 - FI8758 HERO
HONDA/HERO
MOTOCORPSPLENDOR
PLUS

2003

SOLO

Seating Capacity
(including Driver)
1+1

Cubic
Capacity
100

Limitations as to use:
The Policy covers use only under a permit within the meaning of the Motor Vehicles Act 1988 or such a carriage falling under
Sub-section 3 of Section 66 of the Motor Vehicles Act 1988.
1

Use only for social, domestic and pleasure purposes and for the insured's business or profession. The Policy does not
cover use for hire or reward, tuition, racing, pace making, reliability trial, speed testing, carriage of goods(other than
samples or personal luggage) in connection with any trade or business or use for any purpose in connection with
Motor Trade

Driver :
Any person including the insured,Provided that a person driving holds an effective driving license at the time of the accident
and is not disqualified from holding or obtaining such a license.,Provided also that the person holding an 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

Place :
Date :

For and on behalf of
The Oriental Insurance Company Limited

CHENNAI
14/10/2013

This is an electronically generated document (Policy Schedule).
The Policy document duly stamped will be sent by post.
In case of any query regarding the Policy please call Toll
Free No. 1800 11 8485 and 011 33208485.

B N Prasad
General Manager

Authorised Signatory
Page 1 of 3
Now you can buy and renew selected policies online at www.orientalinsurance.org.in

All the Amounts mentioned in this policy are in Indian Rupees

100000 100000 Insured's Declared Value For the Vehicle Non Electrical Accessories For the Side Car Electrical Accessories Value of LPG/CNG Total Value SCHEDULE OF PREMIUM A.in All the Amounts mentioned in this policy are in Indian Rupees .org. IMTs and OIC endorsements mentioned herein above which are available on Company's website: www. Claim for theft of vehicle not payable if theft not reported to Company within 48 hours of its occurrence.00 TP TOTAL 472.412200/31/2014/18814 Attached to and forming part of policy number Rules. Limit of Liability: Under Section II-I(1) in respect of any one accident: as per Motor Vehicles Act.in or on demand from the policy issuing office Warranted that in case of dishonour of premium cheque(s) the Company shall not be liable under the policy and the policy shall be void abinitio (from inception).orientalinsurance.A. Claim is not admissible if Driving Licence is found fake or is not valid whether or not in the knowledge of the insured. P.orientalinsurance. 1988.00 BASIC TP TOTAL 422. LIABILITY BASIC TP COVER 422.tac. 1800 11 8485 and 011 33208485. The Policy document duly stamped will be sent by post. In case of any query regarding the Policy please call Toll Free No.50 TOTAL AMOUNT 530.00 ADD :PA FOR OWNER DRIVER-GR36A 50. exclusions.in) Hypothecation Agreement with: - Hire Purchase/Lessor Agreement with: In the event of a claim under the policy exceeding Rs.00 ADD :SERVICE TAX 58. clauses.the insured will comply with the provisions of the AML policy of the Company.1lac or a claim for refund of premium exceeding Rs1lac. I/We hereby certify that the policy to which the certificate relates as well as this certificate of insurance are issued in Place : Date : For and on behalf of The Oriental Insurance Company Limited CHENNAI 14/10/2013 This is an electronically generated document (Policy Schedule).00 STAMP DUTY 0. Under Section II-I(ii) in respect of any one claim or series of claims arising out of one event is Rs.00 TOTAL PREMIUM 472. The insurance under this policy is subject to conditions. B N Prasad General Manager Authorised Signatory Page 2 of 3 Now you can buy and renew selected policies online at www.org.org.The AML policy is available in all our operating Offices as well as company's website. warranties. 1989. OWN DAMAGE B.00 Deductibles under Section-I : Subject to IMT Endorsement Printed herein/attached to : IMT-20 (Details of IMT Endorsements and GR also available on internet TAC website www. Cover under Section III for Registered Owner Cum Driver (CSI) : Rs.

Any payment made by the Company by reason of wider terms appearing in the Certificate in order to comply with the MVAct. In case of any query regarding the Policy please call Toll Free No. For and on behalf of The Oriental Insurance Company Limited Entered By : janakarthik@gmail. The Policy document duly stamped will be sent by post. 1988.Attached to and forming part of policy number 412200/31/2014/18814 accordance with the provision of Chapter X and Chapter XI of Motor Vehicles Act.orientalinsurance. B N Prasad General Manager Authorised Signatory Page 3 of 3 Now you can buy and renew selected policies online at www. 1988 is recoverable from the Insured.in All the Amounts mentioned in this policy are in Indian Rupees .org.com B N Prasad General Manager Authorised Signatory Place : Date : For and on behalf of The Oriental Insurance Company Limited CHENNAI 14/10/2013 This is an electronically generated document (Policy Schedule). 1800 11 8485 and 011 33208485. See the Clause headed "AVOIDANCE OF CERTAIN TERMS AND RIGHTS OF RECOVERY". In witness whereof the undersigned being authorised by and on behalf of the company has/have herein to set his/their hands at CHENNAI on 14-OCT-13 IMPORTANT NOTICE The Insured is not Indemnified if the vehicle is used or driven otherwise than in accordance with this Schedule.