Insurance Purchase Statement

Mentioned below are the transaction details for your National Insurance policy purchased on Coverfox.com. A policy
document will be issued against these details.

Personal Details Policy Details

Name: Gaurav Pande Policy No.: 26020531206210059826

Mobile: +91 9891706300 Policy Type: Comprehensive

Email: gauravpande19@gmail.com Policy Issue Date: 09/11/2020

Address: 2nd Floor House No., 2 Block C4b Policy Start Date: 14/11/2020
Janakpuri, West Delhi, Delhi, 110058
Policy End Date: 13/11/2021

Total Premium: 1463.0

Payment Date: 09/11/2020

Vehicle Details

Suzuki Motorcycle India Pvt Limited Suzuki Access 125 124 (Petrol) Registration No.: DL-9-SBS-8381

Engine No.: AF211847930 Chassis No.: 8A20957

Registration Date: 01/11/2018 Financier: NA

Category: Private

Coverage

Vehicle IDV: 37720 Owner Driver Cover: 1500000

Value of CNG/LPG Kit: NA Passenger Cover (per 0

passenger):
Electrical Accessories: NA
Voluntary Deductible: 0
Non Electrical NA
Accessories:

Add-On: Personal Accident Cover

No Claim Bonus: 25%

Note:
This is only a transaction confirmation receipt and cannot be used for filing claims.
Have questions, suggestions or complaints? Connect with our Customer Service Unit:
Toll free no.: 1800 209 9930 (Mon to Sat, 9am-9pm) Email: help@coverfox.com

Coverfox Insurance Broking Pvt. Ltd. : Unit B2-601, Boomerang, Chandivali Farm Road, Near Chandivali Studio, Andheri East,
Mumbai - 400072
IRDAI Direct Broker Code : IRDA/ DB 556/ 13, Valid till: 26/12/2022