https://

MA Go Digit General Insurance Ltd.

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

N
Name GAJANAN MADAVI Vehicle Registration No. MH29BH6466
Address SANJAY GANDHI NAGAR BHOSA Partner Name D2C Insurance Broking Private limited
YAVATMAL , YAVATMAL,, Yavatmal - 1000065
445002,Yavatmal-445002 Partner Code

y
Mobile xxxxxxxxx1304 Partner Mobile No. --

nl
O
Email jxxxxxxxxxxxxxx4@gxxxl.com Partner Email support@renewbuy.com PB

l ty
Aadhar No. For Claims, contact us at 1800-258-5956

bi
L ia
YOUR POLICY DETAILS

er
el
Policy No. D087254450 / 12122022 Policy Issue Date 12-Dec-2022 Invoice No. IA081914075

he
1 From 13-Dec-2022 16:22:08
Period of Policy Policy Term 1 Year

W
To 12-Dec-2023 23:59:59

o-
IGS From --
Invoice 12-Dec-2022

w
Period of Policy for PA Owner Driver
To -- Date

tT
PB YOUR VEHICLE DETAILS

i
ig
Yavatmal,MAHARASHT

D
Model/Vehicle CLASSIC/350 DARK
RA ROYAL ENFIELD

2
RTO location Make Variant (Sub- STEALTH BLACK

-1
Engine No. U3S5C2JC074511 Chassis No. ME3U3S5C2JC116299 Type)

12
MAK Body Type Motor Cycle Fuel Type Petrol Year of Regn 2018

3-
G01
245.8 Seating
2

2
Capacity Cubic Capacity 349 CC Year of Mfg. 2018

20
FASTag Financier CHOLA MANDALAM INVESTMENT
Odometer

3
Number -1 Details AND FINA
2
-1

B ENDORSEMENT
22

Invoice Number Invoice Date Net Premium Igst Cgst Sgst Utgst Cess Gross Premium
20

IA081914075 2022-12-12 1366.00 245.88 0.00 0.00 0.00 0.00 1611.88

I C
SS

LIABILITY PREMIUM (`)

A

M
FH
CL

IGS Basic Third-Party Liability (`) 1,366.00 PA cover for Owner-Driver (`) --
Nati PA cover for Paid Driver 0 (`)
D

PA cover for 2 unamed passengers each 0 (`) -- --

EL

FH -- Legal Liability to Paid Driver (`) --

Legal Liability to Employees (`)
FI

D0 Net Premium (`) 1366.00

EN

MAK IGST @ 18% = (`245.88) 245.88

L
YA
RO

Final Premium (`) 1611.88

66

OTHER DETAILS
64

Previous Insurer Go Digit General Insurance Limited Previous Policy No. D045976557
BH

J
Previous Policy 28-Sep-2022
29

IMT - Endorsements IMT-7 Expiry Date

H

Unregistered 27
M

Te GSTIN/UIN No. State Code

xt 12-Dec-2022
VI

Receipt No. RA089197862 Receipt Date

A

Nominee Details --
D
A
M
N

Other Detials --
A
N
JA

POSP INFORMATION AKA PARTNER DETAILS

A

Name Vaibhav Ravi Jadhav

G

Unique Number 9810797219

Location
http PAN Number BTIPJ5248M
Aadhaar Number xxxxxxxx3431
Mobile Number 9810797219

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.: 29AACCO4128Q1ZW HSN: 997134/General Insurance Services, GSTIN Address: Bengaluru HO
Business Centre,Atlantis, 95, 4th B Cross Road, Koramangala Industrial Layout, 5th Block,Bengaluru,Karnataka,PIN-560095
https://

MA Go Digit General Insurance Ltd.

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

Geographical Area: Any liability incurred within India shall be covered subject to Policy Terms and Conditions, unless specifically agreed and
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,
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

y
Vehicles Act, 1988 and any subsequent amendment as applicable. 2) Under Section II - 1 (ii) of the policy: Damage to Third Party Property - (`

nl
100000) 3) P.A. Cover for Owner Driver under Section III (CSI) -(`)(per annum).

O
l ty
PA Owner Driver Declaration:The Policy has been issued without Compulsory Personal Accident Cover to Owner Driver on the basis of

bi
your declaration that you do not hold a valid Driving License on or before the date of commencement of this Policy / already have an

ia
alternate Personal Accident insurance cover of Rs. 15 Lakhs

L
er
Important Note: Please inform the Company in case of change on account of addition of CNG/PNG kit.

el
he
PUC Declaration:The Policy has been issued subject to valid Pollution Under Control (PUC) Certificate disclosed by you as an insured on or before

W
the date of commencement of the Policy .Cheque dishonor / Non-receipt of payment premium paid through Cheque, the policy is void ab-initio in

o-
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

w
under the Policy. The insured is not indemnified if the vehicle is used or driven otherwise than in accordance with this Schedule. Any payment

tT
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

i
ig
the insured. See the Clause headed (Avoidance Of Certain Terms And Right Of Recovery) in the policy. This policy is subject to the standard

D
policy wordings, warranties and conditions applicable for this product in addition to coverages and exclusions specified in the motor vehicle tariff

2
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

-1
12
Note: The policy is issued in utmost good faith, relying on the information shared by insured at the time of obtaining the policy. The terms and

3-
conditions detailed in this policy schedule as well as the policy document sent by Digit shall prevail in case of any dispute.

2
20
3
For & On Behalf of Go Digit General Insurance Ltd.
-1
In case of claim or any other query, please
2
-1

contact our 24-hour Call Centre at 1800-

22

258-5956 or email us at hello@godigit.com Praveen Bhat

Senior Vice President – Customer Experience
20

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

Authorized Signatory
Printed, Signed, and Executed at Bengaluru
C

Consolidated Stamp Duty has been paid as per Letter of

I

Authorization No.67-B/04/2017-18 Date: 30th May 2017

SS

issued by Department of Stamps and Registration ,

Bengaluru- 560009 - KARNATAKA.
A

Hey, our document is now digitally signed

CL

Click here to view the certificate.

For instant resolution, you can ping us “Hi”
D

on WhatsApp at 702 606 1234

EL
FI
EN
L
YA
RO
66
64
BH
29
H
M
VI
A
D
A
M
N
A
N
JA
A
G

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.: 29AACCO4128Q1ZW HSN: 997134/General Insurance Services, GSTIN Address: Bengaluru HO
Business Centre,Atlantis, 95, 4th B Cross Road, Koramangala Industrial Layout, 5th Block,Bengaluru,Karnataka,PIN-560095