नवीकरण सूचना Renewal Notice : Motor - Two Wheelers Liability Only

समाप्त होनेवाली पॉलिसी की पॉलिसी संख्या/ Expiring

Policy Number :15450131206760006443
जारीकर्ता कार्यालय/Issuing Office:
कार्यालय कोड/Office Code:154501
कार्यालय पता/Office Address:Barrackpore
BranchAtindra Complex, 87/20, Ghosh Para Road,
Barrackpore,Dist: North Twenty Four
Parganas,West Bengal
राज्य कोड/State Code: 19 , West Bengal
GSTIN: 19AAACN9967E1Z0
व्यवसाय स्रोत/ Business Source Code : 154501
विक्रय चैनल कोड/ Sales Channel Code :9000019420
नाम/ Name : Barrackpore Branch
संपर्क संख्या/ Contact Number: 9830219070
Customer Care Toll Free Number:
1800 345 0330
email:customer.support@nic.co.in

ग्राहक का नाम Customer Name: SANAT KUMAR

कस्टमर आई.डी./ Customer ID: 9556391986 पैन /PAN:
BARUA
पता/ Address: KALYAN NAGAR BARUA PARA फोन /Phone:
PO-NATAGARH , WEST BENGAL ,, शहर/ City:
NORTH 24 PARGANAS - DISTRICT O, जिला/
District: NORTH 24 PARGANAS, राज्य/ ई-मेल E-Mail: sanatkumar@gmail.com
State:WEST BENGAL, पिन/ PIN:700113
सेल/Cell: 9836575859

Dear Sir/Madam,
This is to bring to your kind notice that your insurance policy expires on 10/12/2021. In case you require to revise the insured value or any other details
for the renewal period, Please contact us at an early date at the above mentioned address. We will advise you the revised premium payable on receipt of changes
required by you.
1. To enable the insurance to be kept in force the annual premium should be paid on or before the date of Expiry.
2. Kindly bring RC Copy of the vehicle for our records, if not given earlier.
3. No claim Bonus is subject to no claim made on the company on or before the date of expiry in respect of loss or damage to the said vehicle and/or policy is
renewed with the company within 90 days from the date of expiry.
The renewal details of the expiring policy are given below.

पिछली पॉलिसी एवं दावा की गिनती/ 15450131206760006443 & दावे/

नवीकरण प्रीमियम/ Renewal Premium ` 1,047.00
Previous Policy and Claims Count: Claims:0
सीजीएसटी/ CGST ` 94.00
` 94.00 प्रस्ताव संख्या व तारीख/ Proposal 20121115450160000013 दिनांक/Dt.
एसजीएसटी/यूटीजीएसटी/SGST/UTGST
Number and Date 12/10/2021
` 0.00
IGST
स्टाम्प ड्यूटी/ Stamp Duty ` 0.00
( रूपए/Rupees One Thousand Two Hundred Thirty Five केवल/ Only.)
कुल राशि /Total Amount* ` 1,235.00
Vehicle Details
Vehicle IDV NA Regn. Number WB-24-J-3438
IDV <Trailer / Sidecar> NA Engine or M/c No. 05JAMM33627
Electrical Accessories NA Chassis Number 05JAMC34795
Non Electrical Accessories NA Regn. Authority Barrackpore - WB 24
Fiber Glass Tank NA Geographical Area India
CNG/LPG Unit NA Make Hero MotoCorp Limited
Total IDV ` 0.00 Model Hero Honda Glamour
Addl. Towing Charges NA Variant Disk Kick
CC / GVW 125 Class of Vehicle Motor Cycle
Licensed Seating / Carrying Capacity 2 Body Type / Colour others/Black
Year of Mfg. 2005 Regn. Date 29/11/2005

Vehicle Own Damage Insurance Details

No Claim Bonus%* 0 *No claim Bonus is subject to no claim made on the company on or before
Foreign Embassy Name N the date of expiry in respect of loss or damage to the said vehicle and/or
Sidecar Seating Capacity 2 persons policy is renewed with the company within 90 days from the date of expiry.
Imposed Excess ` 0.00
Loss of Accessories Covered No
Nil Depreciation Covered No

Third Party Insurance Details

Limit of liability
Such amount as is necessary to meet the requirement of the motor vehicles Act 1988
under section -I(i)
under section -I(ii) ` 1,00,000.00 in respect of any one claim or series of claims arising out of one event/occurrence.

Personal Accident Cover Details : CSI per head

Owner/driver of the vehicle
` 15,00,000.00
nm0,Son

Very Important : In accordance with the provisions of Insurance Act 1938, renewal of the policy may not be effected unless the premium has been paid on or
before the renewal date. Your attention is drawn to the provisions of Section 41 of Insurance Act, 1938 – Prohibition of rebates (Amended as per The
Insurance Laws (Amendment) Act, 2015
1. No person shall allow or offer to allow either directly or indirectly, as an inducement to any person to take out or renew or continue insurance in respect of
any kind of risk relating to lives or property in India, any rebate of the whole or part of the commission payable or any rebate of the premium shown on the
policy nor shall any person taking out or renewing or continuing a policy accept any rebate except such rebate as may be allowed in accordance with the
prospectus or tables of the Insurer.
2. Any person making default in complying with the provisions of this section shall be liable for a penalty which may extend to ten lakh rupees.

Printed on 12/10/2021 पृष्ठ सं/Page no: 1

नवीकरण सूचना Renewal Notice : Motor - Two Wheelers Liability Only
समाप्त होनेवाली पॉलिसी की पॉलिसी संख्या/ Expiring
व्यवसाय स्रोत/ Business Source Code : 154501
Policy Number :15450131206760006443
जारीकर्ता कार्यालय/Issuing Office: विक्रय चैनल कोड/ Sales Channel Code :9000019420
कार्यालय कोड/Office Code:154501 नाम/ Name : Barrackpore Branch
कार्यालय पता/Office Address:Barrackpore संपर्क संख्या/ Contact Number: 9830219070
BranchAtindra Complex, 87/20, Ghosh Para Road,
Barrackpore,Dist: North Twenty Four
Parganas,West Bengal
Customer Care Toll Free Number:
राज्य कोड/State Code: 19 , West Bengal 1800 345 0330
GSTIN: 19AAACN9967E1Z0 email:customer.support@nic.co.in

For and on behalf of

National Insurance Company Ltd.,

Authorized Signatory

Printed on 12/10/2021 पृष्ठ सं/Page no: 2

 Motor - Two Wheelers - Liability Only
पॉलिसी संख्या/Policy Number:
जारीकर्ता कार्यालय/ Issuing Office
कार्य़ालय कोड/Office Code: 154501
कार्यालय का पता/ Office Address: Barrackpore
BranchAtindra Complex, 87/20, Ghosh Para Road,
Barrackpore,Dist: North Twenty Four
Parganas,West Bengal.
राज्य कोड/State Code: 19 , West Bengal
जीएसटीआईएन/GSTIN GSTIN: 19AAACN9967E1Z0
संपर्क संख्या/Contact Number: 332 5920146
मोबाइल संख्या /Mobile Number: 0
व्यवसाय स्रोत /Business Source: 154501
विक्रय चैनल कोड / Sales Channel Code:
9000019420
नाम/ Name: Mr Nitya Gopal Roy
संपर्क संख्या /Contact Number: 9830219070
Customer Care Toll Free Number:
1800 345 0330
email:customer.support@nic.co.in

Issuing Office - Barrackpore

BranchAtindra Complex, 87/20,
Ghosh Para Road, Insured's Address:KALYAN NAGAR BARUA PARA PO-NATAGARH , WEST BENGAL ,,City:NORTH 24
Barrackpore,Dist: North Twenty PARGANAS - DISTRICT O,District:NORTH 24 PARGANAS,State:WEST BENGAL,PIN:700113.Cell:9836575859
Four Parganas,West Bengal
Telephone:332 5920146

Dear Sir/Sirs/Madam,

Ref : Renewal Of Motor Policy 15450131206760006443

With reference to your renewal notice(s) please renew the policy 15450131206760006443 for further period of one year. A remittance
of 1235/- only towards renewal premium is attached herewith by way of Cash/Cheque/DD No .___________Dt.__/__/______.

Date: Payment due on:

Place: pay by: Yours Faithfully

Note:

1.Kindly ignore this notice in case if you have already renewed the policy.

2.For better service, do attach, copy of RC Book.

Printed on 12/10/2021 पृष्ठ सं/Page no: 3