a ‘THE NEW INDIA ASSURANCE CO. LTD. (Wholly owned by the Govt. of India} POLICY SCHEDULE CUM CERTIFICATE OF INSURANCE Two Wheeler Package Policy sured Deal oiey Beale nsureais Name [UOHAYAKUMAR Poicy nomber: [1320031150100003874 [Customer 0 Jpoasesze0: Perio of cover 4607/2015 06:19:20 PN wo 1507/2016, ssa.s0 Pa Insureds Address: [NO ANI [Regiatation no. New Vehicle [STREET JAFFERKHANPET, [GteNA Yani NADU, £80083 Prev. Poieyn. lo makermode: [HONDA SCOOACTIVAIS [Emi [Receipt no. [rsszonesoooonns967 - 178 ‘Phone Number 7 19087780827 [Fax Number TNAINA, issuing office ow ina Contact [accross [POONAWALEE D0 (713200, lagen Gap. Aaert [NA IROc Ny SAnNATHY STREET” 2ND FLOOR, Boker Banc JPOONANALLeE.CHENNA lasorsnen taal | [rats AGU eO00S6 Sede Name | Phone no on | [Erene no — [oeazesa0or1oesp6as0os1 Faso. NA Faxro |oaa26ds0061 / NA Emad a Ema |a.13200€newidia.coin Development otter [ur DIRECT BUSINESS - (000000357) sts RematGode (Gam [GHENNAI (710007) Jciaim Contact | Macmilon House 2rd Floor. Block onze Seat 2h atutos Road chennr [bnanesassasersa Paley tals [Geographical Area Zone: [India [Year of manufacture: iors Name ofthe Financier: IHOFC Bank LTO [cnassis no/Engine no. Mes. FoDAFFTaa7SOGUFSDET2AA sto Type of foe Peta [Cubie capacty (c=): 0 ype of noe vet variant [AcTWAaG Seating capaciy including 2 eotour: lwnire (rivers [Automobile Association [none Namo of registration authori membership [Cover Note No/Gover Note lesue| | Sate tv Gn“) Vericie Teller Non-fiec Acc Eleewical Acs | BHfvel kt Total Vaue 49755.26 ° ° o ° 49757 ‘Schedule of Premium sbi Bane OD Cover [compulsory PA cover for Owner [OD Premium in Bree [Prema i‘THE NEW INDIA ASSURANCE CO. LTD. (Wholly owned by the Govt. of india), [Net Premium in r froaa ‘Serve Tax in 154 otal Payable in 2s Limitations as to use Limits of abiy [ihe Policy covers use of the vehicle for any purpose other |Limit ofthe amount the Companys Liability Under Section I [nan a) rear Rena 8 Cage of goa (cine than, |G ngegoeet a ny one accent ge pore Motor Vices samples or personal luggggo) c}Organisee racing @) Pace |Act, 1388" Lint el tne amount of the Comepeey aon raking © Speed testry Roly trials g) Any purpose In [der Socuan I Sy in eapccc eo ares oe of [omnection wth Moto Trace slaims arising out of ono event:Up 700.600) For inaividual covers (00) ww: [9757 Imposed excess in” lo Voluntary excess in lo. [Compulsory excess in 00 [Persons or classes of persons entitied to rive [Any person incising the insured provided that a parson driving haids an effective arving license atthe Uipe of the eceisere ee nt oases om ica a cainng sich a ican Croved sno tha na oid an aac arn icense ey a i the rea ule 3 of tho Bera! Motor Vehicias A cover for Owner Name efNeminee [Ago of Nominee leuopen win the [ape a me Apress [gsazoran ve NA INA Ina Ina INA PA cover for named parsons Name [est opted) Nominee Relationship lnone. lo [Ina Na In witness were of this polcy Rag bean signed at Mumbai on che 1610772075 WaKANTED THAT IN CASe OF DISHONOU OF THe PREMIUM CHEQUE. THiS DOCUMENT STANDS AUTOMATICALLY ANCES xd . : “ nis policy is subject tothe Terms, consitions and exceptions applicable to Package/Liablky policy attachadiavaliable on the lob Sto Rp Vingwinaia coun it Cadersemant Numbr(s) pried hesowth stigcned 22 important notice: ha rere ot indorrifieg re wan ued or eriven herwise than hr ata dnc with ig shod, Any payront made by the company by reason of wider terms apponring inthe certhcate in order to comply vath che Mouor Veniciee hee 808 cover ort inne eo aon Peaged AVODANGE Of GeRTAIN TERM NO RCTS GE ECOVERY: eis |lorfed that im ease the declaration regarcing te neo or cther previous policy etalls mace By the Insured, 1s TOU tO incorec al the benefit (ncluding clam) under section ofthis pote, wil Stand forfehed We hereby certy that the policy to which this Cortiicate ‘For ang on behalf of The New India Assurance Cor floes esol on ns Coreare Srinsurance sreiswdin —_Lantod = 'ccordance with the provisions of Chopter X and Xi of MV. et 1888 NIA'S'TREEN No: AAACN TRSCSTI TE. Date of issue: 16107/2015, peer mca yoda and! iB ‘ohare Duty Consttuted Attarney(s) KSN AUTOMOBILES