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nauunar HipUrarIGe Lompé (AGowt. of India CERTIFICATE CUM POLICY SCHEDULE TORTGINAT FON HECIMENTIDUPLICATE FOR SUPPT IE = EAE RVONCECPATICATE CoM POETS = eas (FORM S1 OF THE CENTRAL MOTOR VEINCLES KUL, 1989) aaa TET a mass ———— esate : oa =| fast si [excrurat 7 “| fea fe Te Peon Cmts AMET Tmo aa Segoe cee aT z coe heee ae ae Soe e ea 7 ae cara Raa Se oa festers fb Teas Te] Balan ts ie ea faicont ag : 5 Seren ae ten eae tetow ot 2 negara Pe ee a TS eee era [Nominee Detwils: [Nominee Name "CHRAMA TIRTHA [ee 45 [Relation T__ Brother vnent beat EEA Net [Giyie Norman Ra ik Name Famount : Dreque saz ICICI BANK LIMITED 489, Fmt pe Tames? Fanci ame Winsor Trach % imitations ato uses The iy covers ue of the vb for ay pups chr fan a) Heo Renard) Carige updater a spl or esa lua) ) Ormwizolracng. Pe king) Speeding Really Ta, ) Any purpose narecion ath Motor Trae Driver: Any person slang thins, Provided tha person diving hls an eetv rivig ene t thine fhe aiden ist ding fom holding ot bning sch ese, rd atthe pro lng an eficve leare eens may also dv the veil and at sucha pon sities terranes ale} of he Cental Mo Velen ale, 1989. ints of Liability: Unde Secon I (of he pley » eat of body iy Such anaes nets o met thereunto he Moor Veices At 188 Under Seton 1) of iy Damage Tid Pry Propey -RS 7a (a per MT 20k spect of any ene eam os of dams arsngow of ore event Cove fr Ove = Dive ude seton fl (1) Re 1000 Deductible ssn Rs 100(ConpulseryDedncble Rs 100 Imposed Deductible Re Oma Vointay Deuce Ke) fs» Claim tomas: Tenures cued fora No Chum Bonus (NCH) on te Own Danae secon te policy, ean ade png daring the preceding year (a perth lowing The evoking e204 ceding Tw consecutive yes 28% Pred Thee conse uve years 8%, Preceding Four Cmneaine yeas 9% rea Five cnscomveyears80M. No Cs Bones wi ay be lw oud he pli) enewed wha 90 dys fe exp de of he preva poy [SPORTANT NOTICE: The sred srt indented i the vce sed or dven others hn in acordnce wih WsSchale Any payment made by the Conpacy by reas of ier tems yay nh Crt moder to copy wh te Mott Vehicle et 945 ecveae rome lsc See the das hale AVOIDANCE OF CERTAIN TERMS AND RIGITT OF RICOVERY” For Legal mtsetaion, Engh vers wl bald ond Fur information ox ombudsman you may visit website: hr. hic iaombudansn hd {We ety ef fa the ie noch ths Cette estes vel ss Ceifewe oflesurince ae iste in aco i ihe ovis of Caper X and Chapter lef MV Aa. 8 For National Insure Company Lasar ‘ : 3 2 Sea De trae ‘Way Tang tinea Donon Bed Flay ETS Voss nay COONS "GsTIN SuAAACNO ma CN RE UiesOON Scanned with CamScanner

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