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Motor Policy Schedule Cum Certificate of Insurance

(See Rule 51 of Central Motor Vehicle Rules 1989 of Motor Vehicle Act, 1988)
GENERAL INSURANCE
Business Location : CHANDIGARH - BRANCH Cover Note No. 59612531
Policy Number : 3379/01474024/000/00 Customer Code : 101186770965 Policy Type: Package – Goods Carrying Vehicle
Name & Communication Address:
Registration Address: -
AJAIB SINGH
306
306
GULAB NAGAR, THE RAJPURA DISTT PATIALA, IFP RAJPURA
GULAB NAGAR, THE RAJPURA DISTT PATIALA, IFP RAJPURA
S.O, PATIALA, PUNJAB, PIN – 140401
S.O, PATIALA, PUNJAB, PIN – 140401
Mobile – 9872379023, Landline -
Mobile – 9872379023, Landline -
Certificate Number: 3379/01474024/000/00 Geographical Area: India
Period if Insurance: From 27/07/2016 00:01 hours to midnight on 26/07/2018 Business of Profession: Individual
PARTICULARS OF THE VEHICLE INSURED
Date of Registration on: 23/03/2006 Place of Registration: PATIALA Registration Mark: PB-10-BS-5992
Make: EICHER Model: 11.10 Variant: HD Year of Mfg: 2006
Type of Body: OPENBODY Fuel Used: DIESAL Engine No.: E483CD6B136636 Chassis No: 33HC6B010501
Cubic Capacity: 90 Watts Gross Vehicle Weight (GVW): 11920 Public/Private Carrier: PUBLIC Registration Mark (Trailer) Contract No: SLCNDGR0101464
Licensed passenger Carrying Capacity: 2 Driver & Other: 1 Cleaner: - Conductor: - Total Seating Capacity Including Driver: 3 Chassis No. (Trailer):
IDV (Insured Declared Value)
Value of Chassis (Rs): 450000 Value of Body (Rs): 0 For Vehicle (Rs) : 4,50,000.00 For Trailer (Rs): 0.00 Non-Electrical Accessories (Rs): 0.00
Electrical/Electronic Accessories (Rs): 0.00 Value of CNG/LPG Kit (Rs): 0.00 Total Value (Rs): 4,50,000.00
A.OWN DAMAGE B.LIABILITY
No. of Premium No. of Premium
SI IMT SI IMT
Person (Rs) Person (Rs)
Basic OD 4,50,000.00 8,154.00 Basic TP 15,365.00
TOTAL 8,154.00 Paid Driver Cover 1 40 50.00
Own Damage Premium 8,154.00 TOTAL 15,415.00
Detariff Discount (60%) 4,892.40 TOTAL PREMIUM (B) 15,415.00
TOTAL (A) 3,262.00 C.PERSONAL ACCIDENT COVERS
E.OTHER SERVICES CHANGES (NON PREMIUM) 2,00,000.00 100.00
Chola Vakue