Leadership and Beyond... The New lndia Assurance Co. Ltd.

* IRDAI Regn. No.: 190

CERTIFICATE CUM POLICY SCHEDULE

MTEFORSUPPLIER.
TAX INVOICE/CERTIFICATE CUTI POLICY SCHEDULE
(FORM 51 OF TIrE CENTRAL MOTOR VEHICLES RULES, 1989)

Policl'\o. & Tlpe of lnsuroce Damage- to 03-Sep-2021

Polio Isrued On Identification \o.
ln!Lre,i \!m.

IDI),

.:i-::: Yr:a s 1- t:a

\lj- \lao! J?.{22t

Uodel & Ve&r \EW KI2[I \\'AC,ONRZx'] ACS BS.VT.1\"{C,o\RZXI AGS I2L 0
)qlffiion No 0
Br of M arulhctu re 0
larne- Chssis No 574228
: Csacih 1197
tn, C!]ra*11 I
.Te Of Bo4 |
il.ffi_-_-]
!::-i:-.g L,- -i: r:- t | 1-,).i ,n R) )
i Pr: Ll-{BILIT} SECTIO\ rBl
95:.1
0
27 -<

;i ::.::::": i:r':: ::F; i,' :r: .\1:. l: 375

r: ri'-'
NA
lst Pra,ur 1m'3 0

3x;:r,:: {:- :'.: ;\f '. \-A.

liga L:i-r:. i. P.-r:.: l\{T rir 0
Dn!ng Tuuo! L.drg On T? P.enrm 1600o) NA
sp. Trl--:; r.\fT il 0
Net Li.bilit] Premium (B) 10334
)n\rEA Tulaoo L&allg O, OD PEmlLn t5!!i) NA Total Premium (,{+B)
Fiber Clss Tuk 0 IGST Arr% 4552.20
Sub.Totrl Additions 0 Gross Premium Prid 29842

Dcductible
MISP - KVR Autoom Plt Ltd, PERINTHALMANNA
Voluntary Deductibles (IMT 22A) 0
{nti-Theff Device (lMT-10)
Notes :
{AI Membership (lMT-t) 0
),lo Claim Bonus 0 0 l. Policy Issumce is ths subjoctto tlto rcalisation of cheque.
fis@unt for lehicles designed for hodicapped NA 2 Consolidate stamp duty paid to State Exchequer
3 The Policl is subject to a compulsry Deductible oftu 1000 (IMT -22)
iub. ToEI Deductible. :5: -1 VoluErt ercess Ri (0)
to. ua Corrre;s : j-ijr-l u L-i-..xucir .:lL- . .. :r. .u.
6. UIN : IRDA)i190RP0023\'0l20ttl9
iil DepFci&@ 2t7 |
lngine Protet 861
letum To Invoi@ 514
(ey Prctect 250
Consumables IEnrs Cover 574
Net own Damage Premium (A) 14956

Nominee Details : FARSHANA K 25 Wife

Payment Method Cheque No./Transaction No, Bank Name Amount
Paymcnt Detail
Auto Debit 39t74052 29E42
Financier Type Finmed Name THE FEDERAL BANK LIMITED PANDIKKAD
or Reward, b) Cmiage c) Orguized ruing, d) Pae
0
a license;

- Deth 19t8. Under Section

Covor for Owner - Driver uder section III (CSI) Rs
Rs. 0 ed
Bonus; : The insured is for a No Own Dmage sectioo of the
Preceding Four

NOTICE: The Insured is trot indemnified ifthe vehicle is used or driven otheNise thm in rcorduce wi$ this Schedule. Any payment made by the Compily by rcdon
l of widor tems
Aot, 1988 isi recovomble from the Insured Seo the clause headed "AVOIDANCE OF CERTAIN TERMS AND RIGHT OF

that relalos d {ell 6 Cetificate the Xud

For THE NEW INDIA ASSULAT-CE CO LTD.

http:lll0.52.4.9lMarutilnsurance/Insurancesubsystem/InsurancecertificatePrint.aspx?pi... gl4l2O2O

rhis Poricv is sourced u (Vaiid rirr: 01-02-2021]

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