Vrpower Equipments PVT LTD Bharti

Date: 27 Jun 2019
Policy Number : APG/I3986746/R1/06/006231

M/s VRPOWER EQUIPMENTS PVT LTD
VR HOUSE B25
LOHIYA COLONY
VAISHALI NAGAR JAIPUR
JAIPUR-302021
RAJASTHAN
INDIA 302021
Phone Number :
narendra.singh@parthivgroup.com
Dear M/s VRPOWER EQUIPMENTS PVT LTD,

We thank you for choosing Bharti AXA General Insurance.
Your SMART GROUP PERSONAL ACCIDENT INSURANCE POLICY policy no APG/I3986746/R1/06/006231 is enclosed.The terms,
conditions,guidelines and other relevant details of your insurance coverageare available in the enclosed policy document.
Bharti AXA General Insurance is amongst the fastest growing multi-line general insurance companies in India. We are the first
General Insurance company in India to be both ISO 900I :2008 and ISO 2700I :2005 certified in our first year of operations.
Our bouquet of products is designed to cover all your insurance needs: from Health insurance, Motor insurance, Personal Accident
Insurance, Home insurance to other insurances pertaining to your Business. To know more about our product range or to buy online,
kindly visit www.bharti-axagi.co.in.
In order to assist you and service you better, we provide
Tie-up with 2000+ garages & over 4300 Hospitals across India that offer cashless facility
24x7 claims assistance
A quick and hassle free Claims Settlement process.
Visit us at www.bharti-axagi.co.in to know more. We take pride in going the extra mile in our service and look forward to a
lasting relationship.
Should you require any further assistance on your policy or would like to know more about our products, please do reach
Efficient Insurance Brokers Pvt. Ltd. (R1000933)
at (Office) 9807071666
Warm regards,
Authorized Signatory
Registered Office Address:

BHARTI AXA GENERAL INSURANCE COMPANY LTD
HOSTO CENTRE No.43, Millers Road,Vasanth Nagar.
Bangalore - 560046. INDIA. IRDA Regn. No.139
Tel:1800-103-2292 (Toll free) Fax:80 40260101
Insurance is the subject matter of solicitation.WL/08/13
Page 1 of 7
Page 2 of 7
FIFTH FLOOR OF ROYAL WORLD,
SANSAR CHAND ROAD,
OPPOSITE CITY CENTER,
JAIPUR 302001, RAJASTHAN
Tel:0141-4157000 Fax:
Email: customer.service@bhartiaxa.com
SMART GROUP PERSONAL ACCIDENT INSURANCE POLICY - TAX INVOICE

NEW BUSINESS Original
GROUP PA - POLICY SCHEDULE NEW BUSINESS Original
Policy No. : APG/I3986746/R1/06/006231
Advisor Details
Advisor ID : ( 02 ) R1000933
Advisor Name : Efficient Insurance Brokers Pvt. Ltd. (R1000933)
Advisor Contact : (Office) 9807071666
Insured Name : VRPOWER EQUIPMENTS PVT LTD
Address : VR HOUSE B25

LOHIYA COLONY
JAIPUR-302021
RAJASTHAN
INDIA 302021
Contact Number :
Email Id : narendra.singh@parthivgroup.com
Period of Insurance : From 00.0000::0 hours on 21/06/2019 to midnight on 20/06/2020
Transaction No. :1
Billing Currency : INR Exchange Rate : 1.0000
Gross Premium Charges Total Payable
INR INR INR
44,866.95 GST 8,076.06 52,943.01
Issued by - INB6427 on 27/06/2019

HOSTO CENTRE No.43, Millers Road,Vasanth Nagar. Bangalore - 560046. INDIA. IRDA Regn. No.139
Tel: 1800-103-2292 (Toll free) Fax: 80 40260101 Email: customer.service@bhartiaxa.com Page 3 of 7
Page 4 of 7
SANSAR CHAND ROAD,
Tel:0141-4157000 Fax:
SMART GROUP PERSONAL ACCIDENT INSURANCE POLICY - POLICY SCHEDULE

Policy No. : APG/I3986746/R1/06/006231

Advisor Details
Advisor ID : ( 02 ) R1000933
Advisor Name : Efficient Insurance Brokers Pvt. Ltd. (R1000933)
Advisor Contact : (Office) 9807071666
Policy Details
Policy No. : APG/I3986746/R1/06/006231
Policy Type : SMART GROUP PERSONAL ACCIDENT INSURANCE POLICY
Period of Insurance : From 00.0000::0 hours on 21/06/2019 to midnight on 20/06/2020
Premium : INR 44,866.95
GST : INR 8,076.06
Total premium Due : INR 52,943.01

Insured Details
Insured Name : VRPOWER EQUIPMENTS PVT LTD
Address : VR HOUSE B25

LOHIYA COLONY
JAIPUR-302021
RAJASTHAN
INDIA 302021
Contact Number :
RISK DETAILS
Type of Risk : APG GROUP PA
Name of member Insured : NAMED GPA
Date of Birth :
Occupation :
Class :
Beneficiary :
RelationShip :
Benefits Capital Sum Insured (INR)
DTH+PTD+PPD+TTD+MEXT+TER 60,500,000.00
NO.OF MEMBERS COVERED: 121
Free Benefits:
01.Transportation of Mortal remains - 1% of Sum Insured or
Rs. 2500 or actual expenses, whichever is less
02.Funeral Expenses - 1% of Sum Insured or Rs. 5000 or
actual expenses, whichever is less
03.Educational Grant - in case of Death or PTD of the
insured, for one dependent child below 23 years of age,
Rs. 10000 and in case of two dependent children below the
age of 23 years, Rs. 20000.
Terms and Conditions:
01.Named Policy - from the date of policy inception 121
covered.
02.Member list submitted during policy issuance will be
considered as final.
03.All terms and conditions of the GPA policy will be
applicable as per policy wording.
04.Members are covered up to 65 years of age
05.Mid-term enhancement of S.I. - Sum Insured declared
during the inception of the policy will be final and
cannot be enhanced or changed during the course of the
policy
06.The company shall not be liable under this policy for any
claim arising or resulting from the Insured Person
committing any breach of law with criminal intent or
GROUPPA BHARTI AXA GENERAL INSURANCE COMPANY LTD

Page 5 of 7
Tel: 1800-103-2292 (Toll free) Fax: 80 40260101 Email: customer.service@bhartiaxa.com
SANSAR CHAND ROAD,
Tel:0141-4157000 Fax:
SMART GROUP PERSONAL ACCIDENT INSURANCE POLICY - POLICY SCHEDULE

Policy No. : APG/I3986746/R1/06/006231

participating in an actual or attempted felony,
07.riot, crime, misdemeanor or civil commotion
08.Additions and deletions in the policy have to be
intimated within 45 days from DOJ & DOL
Standard Exclusions :
01.Participation in actual or attempted felony, riot, civil
commotion, crime misdemeanor
02.Committing any breach of law of land with criminal intent
03.Death or disablement resulting from Pregnancy or
childbirth
04.Professional people involved in Water sports, exclusively
working on ship are excluded from the scope of policy ,
especially that of Perils of the sea.
05.Stand alone drivers are excluded from the policy.
06.Professional sports team in respect of specific benefit
for inability to perform
07.Participation in any kind of motor speed contest, While
engaged in aviation, or whilst mounting or dismounting
from or traveling in any aircraft.
08.Radioactivity, Nuclear risks, ionizing radiation
MEMORANDA, CLAUSES,WARRANTIES &ENDORSEMENT
Subject to the Memoranda,Clauses, Warranties & Endorsements attached hereto:

Page 6 of 7
SANSAR CHAND ROAD,
Tel:0141-4157000 Fax:
This document is digitally signed

Signer: DS BHARTI AXA GENERAL
INSURANCE COMPANY LIMITED 3
Date: Thu, Jun 27, 2019 14:56:47 IST
Location: MUMBAI
Important:
This Schedule should be read in conjunction with the Terms and Conditions of the Policy.
Grievance
“For redressal of your grievance, if any, you may approach any one of the offices-
1.Policy issuing office 2.Corporate Office.In case, you are not satisfied with our own
grievance redressal mechanism; you may also approach Insurance Ombudsman. Details of
Insurance Ombudsman offices are available at IRDA website: www.irda.gov.in , or on the
website of General Insurance Council: www.gicouncil.in or on the company website
www.bharti-axagi.co.in”
Issued By - INB6427 on 27/06/2019

Page 7 of 7
TAX INVOICE U/S 31 of CGST Act, 2017
Supplier's Name : BHARTI AXA GENERAL INSURANCE COMPANY LTD

Supplier's address : FIFTH FLOOR OF ROYAL WORLD,
SANSAR CHAND ROAD,
Tel:0141-4157000 Fax:
Email: customer.service@bhartiaxa.com GSTIN of Supplier : 08AADCB2008D1ZC
Sold To Invoice No. : 2000807515

Buyer Name : VRPOWER EQUIPMENTS PVT LTD Date : 27/06/2019
Buyer Address : VR HOUSE B25

LOHIYA COLONY
JAIPUR-302021
RAJASTHAN
INDIA 302021
Contact Number :
Location of Recipient (State) : 08 -Rajasthan Location of Supply (State) : 08 -Rajasthan
GSTIN of the buyer/ Unique ID : 08AACCV8974F1ZU
IGST CGST SGST

Sr. No. Description SAC Gross Total Value
Value
Rate Amount Rate Amount Rate Amount
I3986746/00001/APG
01 997133 44,866.95 0.00 0.00 9.00 4,038.03 9.00 4,038.03 52,943.01
/0001/APG
Total Amount Due 52,943.01
Total Invoice Value (In figures) 52,943.01
Total Invoice Value (In words) Rupees Fifty-Two Thousand Nine Hundred Forty Three and One Paisa Only
Remarks, if any
For Bharti Axa General Insurance Co. Ltd.
Authorised Signatory

Vrpower Equipments PVT LTD Bharti

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Date: 27 Jun 2019

Policy Number : APG/I3986746/R1/06/006231

Dear M/s VRPOWER EQUIPMENTS PVT LTD,

In order to assist you and service you better, we provide

24x7 claims assistance

A quick and hassle free Claims Settlement process.

Registered Office Address:

SMART GROUP PERSONAL ACCIDENT INSURANCE POLICY - TAX INVOICE

Address : VR HOUSE B25

BHARTI AXA GENERAL INSURANCE COMPANY LTD

Issued by - INB6427 on 27/06/2019

BHARTI AXA GENERAL INSURANCE COMPANY LTD

SMART GROUP PERSONAL ACCIDENT INSURANCE POLICY - POLICY SCHEDULE

Policy No. : APG/I3986746/R1/06/006231

Total premium Due : INR 52,943.01

Address : VR HOUSE B25

GROUPPA BHARTI AXA GENERAL INSURANCE COMPANY LTD

SMART GROUP PERSONAL ACCIDENT INSURANCE POLICY - POLICY SCHEDULE

Policy No. : APG/I3986746/R1/06/006231

GROUPPA BHARTI AXA GENERAL INSURANCE COMPANY LTD

This document is digitally signed

BHARTI AXA GENERAL INSURANCE COMPANY LTD

Issued By - INB6427 on 27/06/2019

GROUPPA BHARTI AXA GENERAL INSURANCE COMPANY LTD

Supplier's Name : BHARTI AXA GENERAL INSURANCE COMPANY LTD

Sold To Invoice No. : 2000807515

Buyer Address : VR HOUSE B25

Location of Recipient (State) : 08 -Rajasthan Location of Supply (State) : 08 -Rajasthan

GSTIN of the buyer/ Unique ID : 08AACCV8974F1ZU

IGST CGST SGST

Total Amount Due 52,943.01

Total Invoice Value (In figures) 52,943.01

For Bharti Axa General Insurance Co. Ltd.

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