TAX INVOICE Spadkng® RocsterAutomobiies | Ince Wo. Ia No.168, 100Ft Road, Opp to RTO, | 16-177251 4-Jun-2016 Ansari Gureisemy Nagar Mudalarpet, Delon Noe | Mode/Terms of Payment Pondicherry - 605004 | ‘Suppliers Ret | other Raference(ay Bayer | ayersomecns _ ‘MANLR(5247) a — 9 SOUTH STREET | Despatch Document No MANGALAM ace WEE. iP oe _ PONDICHERRPONDICHERRY 94429929317 Despatched through Destination 605010 Terms of Delivery _ | 3 Description of Goods [Fe PBR] Aron Ne 4 |Royat Enfield Standard UCE 350 Black | 99,429.00 Nos | | 99,429.00 Chassis No. : MESUSKSCOGEOSS74S | | ENG. NO.U3K5COGEO65745 | | | | | VAT Collected@ 3%) 8% | 7,984.00, | | | | | | | Total] “Amount Chargeable (in words) z r ~ INR One Lakh Seven Thousand Three Hundred Eighty Three Only Companys VATTIN. —: 34860017698 | Companys CST No. 34850017698 DT 04.12.12 Company/s Bank Details | Company's Service Tax No. : AAOFRE59BNSDO03 Bank Name Declaration Alc No. We have received Tool Kit, Manual & Duplicate Key Branch & IFS Code : Customers Signature Lfesmsean SUBJECT TO PUDUCHERRY JURISDICTION This is @ Computer Generated Invoice7 ‘THE NEW INDIA ASSURANCE CO. LTD. (Wholly owned by the Govt. of Inia} POLICY SCHEDULE CUM CERTIFICATE OF INSURANCE. Two Wheeler Package Policy UIN Number - rod’ Detalle Pal insureds Name: MAN Policy number 7410013116010000%600 [customer ib: Posaiaiees Period of ever: acoso ea-2 PM io os8 2017 insureds Address: [9 SOUTH STREET MANGALAM.. |Roglation nos New Venic PONDIGHERYY PONDIGHERRY, ooso10 Prov. Polley no, NA MakeModa: [ROYAL ENFVBULLET femal Recelpt no. 71100:et1e0000002460- cee Phone Number: 7 Toaaos2=34 Fax Number INA/NA issuing offts Now iia Contact [Adress PONDY BRANCH 1 (11001 Gap, Agent BO 2oa204 2nD FLOOR, ManATIA GanoHi RO. | Boke Bese PAN NGARAGHeTOSC ln [SER TAXNO:AAAGNS 6SCST750, [Goce Name) #08 [PONDICHERRY 600001, ene no a Phone no _[2ss7i64 2201455 Fax oo. Ina Faxno. —[2sase0e /NA Ema NA Emel nla. 711001@newhaia con \Covekzomentoffcar| DIRECT BUSINESS -[owsaaa540) love NametGse [iain [PONDY BRANCH 1 711001) [Gein contact [D.N0 202208, ND FLOOR, MARATIA onto. Beta IGANOHI RD. Ban INOAAAACN 66 sea TACNO:AAACNAt8sC5| sores? oases ase) Potcy Dota [Geographical Area Zone: [inde Year of manufacture oie [Name of te Financier: [Chassis no/Engine ni MESUaKECOGEDSSTASLIKGCOG Eossrs Type of tut Pevel ube capacity (co sso [type otto eta avin: [sto UCE Seating capacity metal 2 [Colour jatack oe pacity ting /Auomebie Associaton —__[rone Name oF registration authori: [Cover Note NoiCover Note osu] Bata wv tn) Vohieie Trailer Non-fiecAce [”lecwieal Ace | BHuel kt Total Value 102014 ° 0 0 ° 102014 Schedule of Premium ‘Own Damega Labi Basie OD Cover asic Te Cover |Gompuisory PA cover for Owner Bese (0D Prom 5 706 Te Premium in fas Petey Mo: 718014 (00000180 Oscumat grated y DL RSTRPDY ot W818 105R6% Hour Mead oc: New nt Aasries Dp 7 Moe For. Manel -400001 TOLLFRE es aoo sr 616 Farms Arun anpenc ary oe oe faonng fe. Pole leang oes Relea ofc. Hod oe cae, yous ot neg wh cern rac mt mata: you may eo sppenh aon Ont For tae er eer sede dee ctececrene ne ‘Wa ur etapa Poot tat‘THE NEW INDIA ASSURANCE CO. LTD. (Wholly owned by the Govt. of India} ear a Swarm set lao aa om Ct Reroute pamiegaer —[igacthcaapne rans Coons Sa RoeastearRaned Searies racurcmce dae phe deatay mecarian eri oa, Leelee ete Rind aRce | |LTeeStant tenet ane carey ty en Sa enn rs Ry arn ire Sy ane get each abe TF My ote Mr See LI tee 2 Tes factahilcowr (00) atte “emotes 2 Nearer 2 core scr on [Persons or lasses of persons entitled to drive ae [Any person including the insured provided that a person driving holds an effecive driving Hcense at the rye ofthe accdane and Brox lsquoliies om notaing er obtaining ich a lcerse frovised sea tat the person hokdtng an afecove sorters Kcense may also drive the vehicie nd that such a person satafies te requirement of Rule 3 ofthe Cantal Moxor Vehicles A cover for Owner Dr [Name of Nominee [Age of Nominee eizscnship win the [Raine tne Appointee [Rplaorsip tothe NA. NA INA. NA, Na. PA cover for named persons [Name [esi Opteat) Nominee Relationship [none lo NA. NA. Tr witness where ofthis policy hes been signed at Mumbai on sis OB/OB R018 WARRANTED THAT WN CASE OF DISHONOUE OF THE PrEMIUM CHEGUE, THis GOCUMENT STANDS AUTOMATICALLY this policy te subjoct othe tions and exceptions epplcable to Package/Liblity policy sttached/valtable on ts ns poley fs suect tothe Terms, conditions an exceptions applicable to PackageLiability policy attachedlavallabe on the \wob See Mp newindi.co rc a Endorsement Nurbert)pia! heroumh ase 338 Important notice: [The insured is not indemnified. if, the vehicle s used or criven otherwise than in accordance with this schedule. Any payment Imade by the company by reason of wider torms appoaring in the tortilieate in order to comply withthe Motor Vahigies het, F988 1s recoverable from the insured: see clause headed "AVOIDANCE OF CERTAIN TERMS ANO RIGHTS OF RECOVERY" is, cared vat in case dhe declaration tego te nb or other previous poly detais mace byte insured, found tobe incorrect, al the benefits (including claim) under section of ths policy, wil stand forfeited, We hereby certify thet the policy to which this Cereicats For and on behalf of The New India Assurance Compary relates ts Belo eate o Uimited ecordance with Is Certificate of insurance are ested in ‘the provisions of Chapter X and Ki of MV. ‘Ack, T8BB.NIA S.T-REGN No: AAACNETESCSTITB. Date of sue: 06/06/2016 a= (SRINIVASAN R) {Seniee Brann Manage) Duly Constituted Artorney(s) ROOSTER AUTOMOBILES, IRDA Registration Number: 190 Potey No. 71013 601001699 Document geared by L_RSTRPOY t KDI 6:01 Hours. aga Hed Oe: Mor na Aarne Sl 7 WE Ren ert Mamba 40 0% TOLL FREE Wot 6020146 Ferterenl ot your gsevane, ayes may appeach ay an aligns Pease en 2. Ragone Nand fla ae, you ar ot ined with ‘som povance ese mechan ou maya opresnnarnce Gms Fe fer fn wlan ad aaare eo narnce Oban pe ‘aur wbae hp neh noo eae 7 pn CoveRnMENT OF PuoUCHERRY SS iSeopo cetimeten le. Sue ou ome TRANSPORT OEPARTHENT au aye rege