door no:116,14th cross street, rll nagar koranai kattankotathur Partner Name KUN CAPITAL AUTOMOTIVE Address Chennai - 603203 Partner Code 1014063, Mobile i090? Parner Mobite No, +919840444592 Ema poxmonae@pealcon Parner Email insurencemdv@luncoptalin fer Farhan tok sees. YouR poLy DETAs poicy Na, 0005170636 Poly eve peniy.2019 vole No 19002792736 Pid of Poly for From Oo ey 2019122959 eB (Curent Poti 0% Qwnamege 5 7 Moy 2020235959 dation Excess) ~ Pert ot Poly From so compulsory Dectible Peo of Poe 1 co-Moy 2019122989 ‘ee 1000 Casi te o7sey 2022235959 VountaryDeductbe (®) ~ Foss Depreciation PrteettRDANISERAGO25701619) asone)Opted {CnerUnlmed coms) Engine and Ger Box overages Opted _—_Poekage Poy (eseemoant95%A0026201619) YOUR VEHICLE DETALS CHENNAL TAMIL iucdsitvebice Verant Gab- AVUAZETL2 ro Location SGN Moke HONDA iia ‘sis Seating Fuel Type Petro! ‘Year of Regn/ Manufacturing 12015 Capacity 5 Type Pet ond curing --/2019 emene, —uizea7oanssa «MRM MAKOFSEHOKEICOD27 Cale Capodty gee YOUR VEHICLE IDV seem jehicle IDV Non-Elecrical Accessories IOV Electrical Accessories OV CNGAPG IDV Trailer OV Total IDV - 178805 Year 778905 . Yeor2 . : o Yeor3 : - : ° (OWN DAMAGE PREMIUM (AI (8) LIABILITY PREMIUM {8} ‘Own Damage Premium (®) 950 Basic Third Porty Liobity @) 9534 ‘Add-Onis} Premium ®) 5063 A cover for Owner-Driver (2) 908 [NCB Discount Amount 0 Legal Liability to Employee - Legal Liability to Paid Driver ®) Pa cover for5 passengers (2) 1500 CCNGILPG Premium (®) - ‘Total 00 Premium (2) 14013. Total Act Premium (8) 194 Net Premium (1 25956, CEST @ 9% = [8 2936) + SESTAITGST @ 99% = 2336) (4672 Final Premium i306ze {discounts viz (automobile association memberships, voluntary Note: The above total OD premium is inclusive ofall applicable loading ted vehicle etc, wherever Note: The above dco person drive tutton, fiber glass, CNGY LPG unt geographical extension impor ‘pplicable) . ‘OTHER DETAILS Previous insurer Previous Policy No. Details of Existing Damages Previous Policy Expiry Date IMT ~ Endorsements INeT-7.IMT-10, MT-15,IMT-16,(MT-22 {GSTIN/UIN No. Unregistered ‘State Code 8 Payment Mode Cheque CCheque/Transation No 990323 ‘Bonk Name IFSCIMICR No. 1690485003 Premium Payment Detoils Receipt No, RA003862215 Receipt Date (08-May-2019 Financier Details, indian bank [Nominee Details ' joyoro}, Father (25-Jun-1951) Other Details Follow these re ke you folow theres of the road en eyes drag enor toby cued, nustaned ered eh eth er Foe ana Canons Sa sed tat es ue oe oly cover ut! Poem eed rewora ou, pace Meng we rs roy psn canner Toot Perens ese ‘Any bars lang he So ony uP nga ecu cet oa a ui om he a aes te requrements of ‘Byes shown (irre i Proved toto person Ie 3 Prod oto en 9 nova aarrs crs mo ee So de Seca Wane 2 Pred oe tao any meen arene on ene Us of URE 1 Ss ae eae a oe lg, Seana Cr ae ee nl (SD Ncke veries Ack eh oe apy ape tT Pay Proper #759204 Gove ar Gwer Over uns Sen in eesh = 1500000