https://

MA Go Digit General Insurance Ltd.

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

N
Name MANOJA KUMAR SAHOO Vehicle Registration No. HR03N8223
Address 117 Compo pl#,Panchkula-713420 POLICYBAZAAR INSURANCE BROKERS
Partner Name
PRIVATE LIMITED
1000158
Partner Code

e
he
Mobile xxxxxxxxx5950 Partner Mobile No. -- PB

W
Email mxxxxxxxxx0@gxxxl.com Partner Email crtmotor@policybazaar.com

o-
1800-258-5956

Tw
Aadhar No. For Claims, contact us at

it
ig
YOUR POLICY DETAILS

D
6
1 Policy No. D071456544 / 27072022 Policy Issue Date 27-Jul-2022 Invoice No. IA070383284

-0
From 07-Aug-2022 00:00:01

08
Period of Policy Policy Term 1 Year
To 06-Aug-2023 23:59:59

3-
IGS
From -- 27-Jul-2022

2
Period of Policy for PA Owner Driver Invoice

20
PB To -- Date

7
YOUR VEHICLE DETAILS

-0
RTO location Panchkula,HARYANA Make HERO MOTOCORP Model/Vehicle

08
SPLENDOR PLUS/KICK
Variant (Sub-
START DRUM BRAKE

2-
Engine No. HA10EFCHB19708 Chassis No. MBLHA10EZCHB03188 Type)

2
MAK
G01 Body Type Motor Cycle Fuel Type Petrol Year of Regn 2012

20
119.5
Seating
2

S
Capacity Cubic Capacity 100 CC Year of Mfg. 2012

U
ENDORSEMENT PL
R
O

B Invoice Number Invoice Date Net Premium Igst Cgst Sgst Utgst Cess Gross Premium
D
N

IA070383284 2022-07-27 664.00 119.52 0.00 0.00 0.00 0.00 783.52

LE
SP

LIABILITY PREMIUM (`)

RP

Basic Third-Party Liability (`) 664.00 PA cover for Owner-Driver (`) --

M
CO

FH PA cover for 2 unamed passengers each 0 (`) -- PA cover for Paid Driver 0 (`) --
IGS
TO

We Legal Liability to Employees (`) -- Legal Liability to Paid Driver (`) --

FH
O

Net Premium (`) 664.00

M

D0 IGST @ 18% = (`119.52) 119.52

O

MAK
ER
H

Final Premium (`) 783.52

2 3

OTHER DETAILS
82
3N

Previous Insurer Go Digit General Insurance Limited Previous Policy No. D041919560
R0

N Previous Policy 06-Aug-2022

IMT - Endorsements IMT-20
H

Expiry Date
O

GSTIN/UIN No. Unregistered State Code 6

O

27-Jul-2022
H

Te Receipt No. RA074929403 Receipt Date

SA

xt Financier Details -- Nominee Details --

R
A
M
KU

Other Detials --
JA

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

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,
N

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
A

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
M

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
Vehicles Act, 1988 and any subsequent amendment as applicable. 2) Under Section II - 1 (ii) of the policy: Damage to Third Party Property - (`
http 6000) 3) P.A. Cover for Owner Driver under Section III (CSI) -(`)(per annum).

PA Owner Driver Declaration:The Policy has been issued without Compulsory Personal Accident Cover to Owner Driver on the basis of
your declaration that you do not hold a valid Driving License on or before the date of commencement of this Policy / already have an
alternate Personal Accident insurance cover of Rs. 15 Lakhs

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 Online
Website Business,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
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

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

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

W
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

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

it
ig
D
6
For & On Behalf of Go Digit General Insurance Ltd.

-0
08
In case of claim or any other query, please
contact our 24-hour Call Centre at 1800-

3-
258-5956 or email us at hello@godigit.com

2
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

7
Consolidated Stamp Duty has been paid as per Letter of

-0
Authorization No.67-B/04/2017-18 Date: 30th May 2017
issued by Department of Stamps and Registration ,

08
Bengaluru- 560009 - KARNATAKA.

2-
Hey, our document is now digitally signed
Click here to view the certificate.

2
For instant resolution, you can ping us “Hi”

20
on WhatsApp at 702 606 1234

S
U
PL
R
O
D
N
LE
SP
RP
CO
TO
O
M
O
ER
H
2 3
82
3N
R0
H
O
O
H
SA
R
A
M
KU
JA
O
N
A
M

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 Online
Website Business,Atlantis 95 4th B Cross Road Koramangala Industrial Layout 5th Block,Bengaluru,Karnataka,PIN-560095