Go Digit General Insurance Limited Schedule/Certificate

Digit Commercial Vehicle Liability Only Policy UIN No.: IRDAN158P0001V01201718

Policy Number D014321128 / 26032020 Issue Date 26-Mar-2020

Period of Policy From 26-Mar-2020 23:55:00 Mobile xxxxxxxxx3463
9
To 25-Mar-2021 23:59:59 Email axxxxxxxxxxxs@gxxxl.com
IGST GST State Code 3
GSTIN Unregistered

Name MANSAB PATEL Partner Code 1012209 / 1002081

Address WARD NO 14,Mansa-151505 VELOC ITY INSURANC E BROKING
123
2 Partner Name SERVICES PRIVATE LIMITED
Partner Contact --
N Partner Email cc@iassure.com
MA
FH
1 Registration, Make Policy Type CubicCapacity/Power Registration/ Trailer Reg.
Engine, Model Fuel Type GVW Manufacturing No. IMT Endorsements
Chassis No. Variant Body Type Licensed Capacity Year

N
BHARAT Private
PB31F5671 2400 CC 2008
MAK COMBINES Carrier
N NEW BHARAT 730 LicensePlate
IMT-28,IMT-42
XPEM07240 COMBINE Diesel 2520 Kg Number:-
HARVESTER --

C080170 TRACTOR Tractors 1

Premium Details
Third Party Liability Premium (Including CNG) (`) 6847
KH Legal Liability for Paid Driver (Persons:1)(`) 50
Net Premium ` 6897

IGST @ 18% = (`1241) ` 1241

50
1
6847
Total Premium ` 8138
Dies
ENDORSEMENT
Invoice Number Invoice Date Gross Premium Igst Cgst Sgst Utgst Cess Net Premium

IA012492047 2020-03-26 8138.00 1241.00 0.00 0.00 0.00 0.00 6897.00

0 Nominee Details

-- Financier Details --
Misc D
IGST
vehicles
Previous Insurer Policy Exp.
Name: -- Policy Number: -- --
Date:

Other Details

Receipt Details

Receipt No. RA013561207

Die Invoice No. IA012492047
Receipt Date 26-Mar-2020
Invoice Date 26-Mar-2020
27/1

Geographical Area - Any accidental loss damage and/or liability caused sustained or incurred within India shall be covered subject to Policy Terms and
Conditions, unless specifically agreed and endorsed. Limitation as to use - The policy covers use of the vehicle 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. The policy does not cover use for
Organised racing, Pace Making, Reliability Trials, Speed Testing, Use whilst drawing a trailer except the towing (other than for reward) of any one disabled
Mechanically propelled vehicle (only for Passenger Carrying Vehicle). Person or class of persons entitled to drive - Any person including the insured 1)
Provided that a person driving holds an valid and effective driving license at the time of the accident and is not disqualified from holding or obtaining such a
license. 2) Provided also that the person holding an vaild and 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 Rules, 1989 and any subsequent amendment as applicable. Limits of Liability - Under Section II - 1 (i)
of the policy - Death of or bodily injury: such amount is necessary to meet the requirements of Motor Vehicle Act, 1988 and any subsequent amendment as
applicable Under Section II - 1 (ii) of the policy - Damage to Third Party Property ` 750000 P.A. Cover under Section IV for Owner - Driver (CSI): ` 0
PA Owner Driver Declaration:The Policy has been issued without Compulsory Personal Accident Cover to Owner Driver on the basis of your declaration that
you do not hold a valid Driving License on or before the date of commencement of this Policy / already have an alternate Personal Accident insurance cover of
Rs. 15 Lakhs
Important Notice : 1) *Cheque dishonor / Non-receipt of payment: If premium paid through Cheque, the policy is void ab initio in case of dishonor or non-
receipt of payment. 2) Violation of Motor Vehicle Act: This policy is issued in accordance with the provision of Chapter X and Chapter XI of MV act, 1988
subsequent amendment as applicable. Any violation will forfeit all benefits and coverages under the Policy. 3) This policy is subject to the standard policy
wordings, warranties and conditions applicable for this product in addition to Indian Motor Tariff 4) Policy would be void on the ground that it was obtained
by non- disclosure of material fact or by a representation of fact which was false in some material particular. 5) The insured is not indemnified if the vehicle
is used or driven otherwise than in accordance with this Schedule. Any payment made by Company for reason of wider terms appearing in Certificate in
order to comply with the Motor Vehicle Act, 1988 is recoverable from the insured. See the Clause headed (Avoidance of Certain Terms and Right of
Recovery). in the policy.

PUC Declaration:The Policy has been issued subject to valid Pollution Under Control (PUC) Certificate disclosed by you as an insured on or before the date
of commencement of the Policy . If the PUC Certificate is not found valid at any point of time during the policy period, the Company reserve the right to
cancel the policy.
Important note: Please inform the Company in case of change on account of addition of CNG/PNG kit.
Note: The terms and conditions detailed in this policy schedule as well as the policy document sent by Digit shall prevail in case of any dispute.

For & On Behalf of Go Digit General Insurance Ltd.

Consolidated Stamp Duty is Deposited

Authorized Signatory with Department of Stamps, Bengaluru
Praveen Bhat HSN: 9971/General Insurance Services In
Vice President - Customer Experience
praveen.bhat@godigit.com Hey, our document is now digitally signed
Printed, Signed, and Executed at Click here to view the certificate.
Bengaluru

Go Digit General Insurance Ltd. Address: Atlantis, 95, 4th B Cross Road, Koramangala Industrial Layout, 5th Block, Bengaluru, Karnataka 560095. A
Company incorporated under Indian Companies Act, 2013 and licensed by Insurance Regulatory and Development Authority of India [IRDAI] vide Reg No.
158, Corporate Identification Number U66010PN2016PLC167410 | GST Reg. No.: 27AACCO4128Q1Z0 GSTIN Address: Pune Business Centre Smartworks
Business Centre Nyati Unitree West Wing 1st Floor Yerawada Pune Maharashtra PIN 411006

In case of claim or any other query, please contact our 24-hour Call Centre at 1800-258-5956 or email us at hello@godigit.com or visit our website
www.godigit.com.