Saturday 12 February, 2022.

Insurance Provider Bajaj Allianz General Insurance Co Ltd

Policy Number OG-22-2204-1826-00003056

Valid Upto 04-FEB-2027 (TP),04-FEB-2023 (OD)

Policy Status ISSUED

Customer Name MR HARSHAL VIRENDRABHAI BHATT

Customer ID 251287867

Vehicle Type Two Wheeler

Vehicle Make YAMAHA

Vehicle Model FZ 16 FI

Vehicle Sub Type V3 ABS BS VI

Vehicle Reg No. NEW

Vehicle Engine No. G3N5E0193260

Vehicle Chassis No. MEIRG66G1N0004773

Vehicle is Hypothecated Yes

Name of the Pledgee (If Yes) HDFC BANK LTD

Total OD Premium 1767.685

Total Liability Premium 3616

Net Premium 5384

GST Amount 970

Final Premium 6354

Bajaj Allianz General Insurance Co. Ltd. © 2022 All Rights Reserved. | IRDA Reg. No. 113 | An ISO 27001:2005 Certified Company | Tollfree: 1800-209-
0144 | 1800-209-5858