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MA Go Digit General Insurance Ltd.

Schedule/Receipt
Digit Two-Wheeler Liability Only Policy
UIN No.: IRDAN158RP0003V01201718

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Name JATIN CHUDASAMA . Vehicle Registration No. GJ11J8609
Address Telepone soc b.no-48,Sadhuvasvani PAYTM INSURANCE BROKING PRIVATE
Partner Name
marag,Rajkot-360001 LIMITED
1041113
Partner Code

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Mobile xxxxxxxxx4411 Partner Mobile No. -- PB

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insurance.support@paytminsurance.co.i

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Email jxxxxxxxxxxxxxxxx8@gxxxl.com Partner Email
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Aadhar No. For Claims, contact us at 1800-258-5956

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YOUR POLICY DETAILS
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02-Apr-2022

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Policy No. D061254714 / 02042022 Policy Issue Date Invoice No. IA062271572
03-Apr-2022 20:43:19

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From
IGS Period of Policy Policy Term 1 Year
02-Apr-2023 23:59:59

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To

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From 03-Apr-2022 20:43:19 02-Apr-2022
PB Period of Policy for PA Owner Driver Invoice
To 02-Apr-2023 23:59:59 Date

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YOUR VEHICLE DETAILS

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39.6
RTO location Junagadh,GUJARAT Make ROYAL ENFIELD Model/Vehicle

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Variant (Sub- BULLET/STD

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MAK Engine No. AD31862 Chassis No. JB299637 Type)

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G01
214.7

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Body Type Motor Cycle Fuel Type Petrol Year of Regn 1984

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Seating
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Capacity Cubic Capacity 350 CC 03 Year of Mfg. 1984

IU ENDORSEMENT
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Invoice Number Invoice Date Net Premium Igst Cgst Sgst Utgst Cess Gross Premium
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0.00 0.00 0.00 0.00 0.00 0.00 0.00

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LIABILITY PREMIUM (`)

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FH Basic Third-Party Liability (`) 1193.00 PA cover for Owner-Driver (`) 220.00
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IGS PA cover for Paid Driver 0 (`)

We PA cover for 2 unamed passengers each 0 (`) -- --
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FH Legal Liability to Employees (`) -- Legal Liability to Paid Driver (`) --

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D0 Net Premium (`) 1413.00

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MAK IGST @ 18% = (`254.34) 254.34

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Final Premium (`) 1667.34

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OTHER DETAILS
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Previous Insurer Go Digit General Insurance Limited Previous Policy No. D010377469
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Previous Policy 23-Nov-2021
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IMT - Endorsements --
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IU Expiry Date
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GSTIN/UIN No. Unregistered State Code 24

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xt Receipt No. RA064710148 Receipt Date

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Financier Details -- Nominee Details AshokBhai N

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FATHER
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02-Apr-1959
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Other Detials --
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Geographical Area: Any liability incurred within India shall be covered subject to Policy Terms and Conditions, unless specifically agreed and
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endorsed. Limitation as to use: The policy covers use of the vehicle for any purpose other than hire or reward, racing, pace making, reliability trial,
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speed testing and use for any purpose in connection with the Motor Trade. Person or Class of persons entitled to drive: Any person including the
insured. 1) Provided that a person driving holds a valid effective driving license at the time of the accident and is not disqualified from holding or
obtaining such a license. 2) Provided also that the person holding a valid effective Learner’s License may also drive the vehicle and that such a
person satisfies the requirements of Rule 3 of the Central Motor Vehicles Rules, 1989 and any subsequent amendment as applicable. Limits of
Liability: 1) Under Section II - 1 (i) of the policy: Death of or bodily injury - Such amount as is necessary to meet the requirements of the Motor
http Vehicles Act, 1988 and any subsequent amendment as applicable. 2) Under Section II - 1 (ii) of the policy: Damage to Third Party Property - (`
100000) 3) P.A. Cover for Owner Driver under Section III (CSI) -(`1500000.02)(per annum).

Go Digit General Insurance Ltd. Address: Atlantis, 95, 4th B Cross Road, Koramangala Industrial Layout, 5th Block, Bengaluru, Karnataka 560095.IRDAI Reg
No. 158 CIN U66010PN2016PLC167410, GST Reg. No.: 07AACCO4128Q1Z2 HSN: 997134/General Insurance Services, GSTIN Address: Institutional North
Business centre,5th Floor, B Wing, IFCI Tower, 61, Nehru Place,New Delhi,Delhi,PIN-110019
https://

MA Go Digit General Insurance Ltd.

Schedule/Receipt
Digit Two-Wheeler Liability Only Policy
UIN No.: IRDAN158RP0003V01201718
Important Note: Please inform the Company in case of change on account of addition of CNG/PNG kit.

PUC Declaration:The Policy has been issued subject to valid Pollution Under Control (PUC) Certificate disclosed by you as an insured on or before
the date of commencement of the Policy .Cheque dishonor / Non-receipt of payment premium paid through Cheque, the policy is void ab-initio in
case of dishonor of Cheque or non-receipt of payment. Violation of Motor Vehicle Act: This policy is issued in accordance with the provision of
Chapter X and Chapter XI of MV act, 1988 and any subsequent amendment as applicable. Any violation will forfeit all benefits and coverages
under the Policy. The insured is not indemnified if the vehicle is used or driven otherwise than in accordance with this Schedule. Any payment
made by the Company by reason of wider terms appearing in Certificate in order to comply with the Motor Vehicle Act, 1988 is recoverable from

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the insured. See the Clause headed (Avoidance Of Certain Terms And Right Of Recovery) in the policy. This policy is subject to the standard
policy wordings, warranties and conditions applicable for this product in addition to coverages and exclusions specified in the motor vehicle tariff

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published by IRDAI. Policy would be void on the ground that it was obtained by non- disclosure of material fact or by a representation of fact

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Note: The terms and conditions detailed in this policy schedule as well as the policy document sent by Digit shall prevail in case of any dispute.

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For & On Behalf of Go Digit General Insurance Ltd.

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In case of claim or any other query, please

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contact our 24-hour Call Centre at 1800-

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258-5956 or email us at hello@godigit.com Praveen Bhat
Senior Vice President – Customer Experience

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or visit our website www.godigit.com. praveen.bhat@godigit.com
Authorized Signatory

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Printed, Signed, and Executed at Bengaluru
Consolidated Stamp Duty has been paid as per Letter of
Authorization No.67-B/04/2017-18 Date: 30th May 2017
issued by Department of Stamps and Registration ,

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Bengaluru- 560009 - KARNATAKA.

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Hey, our document is now digitally signed
Click here to view the certificate.

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For instant resolution, you can ping us “Hi”

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on WhatsApp at 702 606 1234

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Go Digit General Insurance Ltd. Address: Atlantis, 95, 4th B Cross Road, Koramangala Industrial Layout, 5th Block, Bengaluru, Karnataka 560095.IRDAI Reg
No. 158 CIN U66010PN2016PLC167410, GST Reg. No.: 07AACCO4128Q1Z2 HSN: 997134/General Insurance Services, GSTIN Address: Institutional North
Business centre,5th Floor, B Wing, IFCI Tower, 61, Nehru Place,New Delhi,Delhi,PIN-110019