IFFCO - TOKIO GENERAL INSURANCE CO.

LTD Servicing Office:

Regd. Office: IFFCO SADAN,C1 Distt Centre,Saket,New Delhi- 110017 4th Floor, Above Bandhan Bank,

Endorsement Commercial Vehicle Package Policy Opp: T.T.D. Kalyana Mandapam,

Policy Schedule Cum Tax Invoice M.V.P. Double Road,

ORIGINAL FOR RECIPIENT Visakhapatnam-530017

GST Applicable State Code: 37, GSTIN: 37AAACI7573H1ZB

General Insurance Services:- 997134

Insured's name: SRIRAMA TRAVELS . Original Invoice No. 1-2DLUU1XB

Address: REP BY KARTHEEK KASIMKOTA D.NO. 2-284 Unique Invoice No. 1-2DLUU1XB00002

KORUPROLU, Policy No……………………. : MO840817

KORUPROLU Andhra Pradesh 531083 Date of Issuance : 16/05/2022

State Code/ Place 37 Country Name: India GSTIN: 37HUTPK0621K1Z5 Endorsement Effecitve Date : 16/05/2022

of Supply:

Phone Number: XXXXXXX772 Agent No. 61000376 Policy effective from 1712 hrs 13/04/2022

To MidNight 12/04/2023

Insured Motor Vehicle Details & Premium Calculation

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

Manufacture

AP39UD2804 2022 MARUTI ERTIGA 1500 Comprehensive 987499 K15BN9264452 MA3BNC22SNC461833

Seating Capacity 7 Make of Vehicle ICV CLASS C.1A CC1500 Geographical Area Within India Only

CARRY 7

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

987499 0 0 0 0 987499 0.00

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

ADDITION OF HYPOTHECATION

HYPOTHECATION WITH MAHINDRA AND MAHINDRA FINANCIAL SERVICES

LTD

OTHER POLICY DETAILS REMAINS SAME.

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

Signature Not Verified Commercial Vehicle - Package Policy (UIN : IRDAN106RP0005V01200607 )

Digitally signed by SUBRATA MONDAL Attaching to and forming part of Policy Number MO840817
Date: 2022.05.16 15:46:25 IST
'Show Signature Properties'-->Click on 'Show signer´s Certificate'-->Go to Tab 'Trust'-->Click on 'Add to
Reason: Valid Policy Copy
Location: IFFCO Tokio General Insurance Company Ltd, India Trusted Certificates'-->Click on 'OK'-->Click on 'Close'
 Transfer Fee Taxable Value CGST SGST IGST K.F.CESS

Rate 0.00 0.00 0.00 0.00

Amount 0 0.00 0.00 0.00 0.00 0.00

Total Tax ₹0.0 Total Value ₹0.0

Whether GST is Payable on Reverse Charge Basis - No

Under Hire Purchase/Hypo/ Lease Agreement with ₹MAHINDRA AND MAHINDRA FINANCIAL SERVICES LTD

Subject to IMT Endorsement Nos. ₹7

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

Exclusion: Losses or damages caused directly or indirectly due to any infectious or contagious disease, pandemic /epidemics as declared by WHO and / or

Government of India will be an exclusion under this policy.

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 Commercial Vehicle - Package Policy (UIN : IRDAN106RP0005V01200607 )

Digitally signed by SUBRATA MONDAL Attaching to and forming part of Policy Number MO840817
Date: 2022.05.16 15:46:25 IST
'Show Signature Properties'-->Click on 'Show signer´s Certificate'-->Go to Tab 'Trust'-->Click on 'Add to
Reason: Valid Policy Copy
Location: IFFCO Tokio General Insurance Company Ltd, India Trusted Certificates'-->Click on 'OK'-->Click on 'Close'