IFFCO - TOKIO GENERAL INSURANCE CO.

LTD Servicing Office:

Regd. Office: IFFCO SADAN,C1 Distt Centre,Saket,New Delhi- 110017 IFFCO TOKIO General Insurance Co Ltd.,

Endorsement Private Car Package Policy Ist Floor, IFFCO Tower

Policy Schedule Cum Tax Invoice Plot No-3 Sector- 29,Gurgaon,

ORIGINAL FOR RECIPIENT Haryana-122001,Phone #: 124 2850100

GST Applicable

General Insurance Services:- 9971

Insured's name: RAVI SHANKAR WADEKAR Original Invoice No. 1-187BGJLO

Address: FLAT NO. 303 PLOT B-32 LANDMAR K SOLITAIRE SECTOR 16 KHARK Unique Invoice No. 1-187BGJLO00003

O P AR ULWE TALUKA PALVAN RAIG AD Policy No……………………. : MA544608

KALYAN-DOMBIVLI (M CORP.) MAHARASHTRA 421301 Date of Issuance : 05/02/2020

State Code: 27 Country Name: India GSTIN: Policy effective from 1431 hrs 30/09/2019

Phone Number: Agent No. 74000044 To MidNight 29/09/2020

Insured Motor Vehicle Details & Premium Calculation

Registration Mark & No Year of Type of Body CC Coverage IDV(Rs.) Engine No. Chasis No.

Manufacture

MH46AU6771 2016 1197 Comprehensive 341530 G4LAGM050655 MALA741CLGM183987

Seating Capacity 5 Make of Vehicle HYUNDAI XCENT 1.2 S Geographical Area Within India Only

Registration Authority
Insured Declared Value
Vehicle Trailor Non Electrical Acc. Electrical Acc. Bi Fuel Kit Total Value Gross Premium

341530 0 0 0 20000 361530 2339.83

Not withstanding any thing contained to the contrary,it is hereby declared and agreed that

NOTWITHSTANDING ANYTHING TO THE CONTRARY IT IS HEREBY

DECLARED AND AGREED THAT UNDER THE AFOREMENTIONED POLICY THE

FOLLOWING CHANGES ARE EFFECTED WITH EFFECT FROM 05.02.2020

++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++

THE 20% NCB HEREBY REMOVED.

++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++

IN CONSEQUENCE THEREOF:-

THE FOLLOWING ADDITIONAL PREMIUM IS HEREBY COLLECTED

GROSS :RS.2340

ADD:GST 18% :RS.421

NET PRE :RS.2761

++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++

ALL THE OTHER TERMS AND CONDITIONS IN THE POLICY REMAIN

UNALTERED.

Signature Not Verified

Digitally signed by SUBRATA MONDAL
Date: 2020.02.05 12:34:03 IST Attaching to and forming part of Policy Number MA544608
Reason: Valid Policy Copy
Location: IFFCO Tokio General Insurance Company Ltd, India 'Show Signature Properties'-->Click on 'Show signer´s Certificate'-->Go to Tab 'Trust'-->Click on 'Add to

Trusted Certificates'-->Click on 'OK'-->Click on 'Close'

Subject otherwise to the terms,conditions and exclusions of the policy,upon which this endorsement has been issued

Transfer Fee Taxable Value CGST SGST IGST CESS

Rate 0.00 0.00 18.00 0.00

Amount 0 2339.83 0.00 0.00 421.17 0.00

Total Tax ₹421.17 Total Value ₹2761.0

Under Hire Purchase/Hypo/ Lease Agreement with

Subject to IMT Endorsement Nos. 25

The Endorsement wordings are attached (as per IMT),.Please go through your Endorsement and in case of any discrepency, Please inform us.

I/we hereby certify that the Policy to which this Certificate relates as well as this Certificate of Insurance are issued in accordance with the provisions of Chapter X

and Chapter XI of M.V.Act .1

Toll Free : 1-800-103-5499 ; Other : ( 0124) 428-5499 ; SMS "claim" to 56161

Policy Issuing Office: Delhi Consolidated Stamp Duty deposited as per the order of Government of National Capital Territory of Delhi

Signature Not Verified

Digitally signed by SUBRATA MONDAL
Date: 2020.02.05 12:34:04 IST Attaching to and forming part of Policy Number MA544608
Reason: Valid Policy Copy
Location: IFFCO Tokio General Insurance Company Ltd, India 'Show Signature Properties'-->Click on 'Show signer´s Certificate'-->Go to Tab 'Trust'-->Click on 'Add to

Trusted Certificates'-->Click on 'OK'-->Click on 'Close'