Insurance Purchase Statement

Mentioned below are the transaction details for your Bajaj Allianz General Insurance policy purchased on Coverfox.com. A
policy document will be issued against these details.

Personal Details Policy Details

Name: Mahesh Kumar Policy No.: OG-22-9906-1802-00015595

Mobile: +91 98*****294 Policy Type: Comprehensive

Email: ma*****com Policy Issue Date: 20/04/2021

Address: B-195 3rd Floor Gate No. 2 Duggal Colony, Policy Start Date: 28/04/2021
Deoli Road New Delhi, Delhi, Delhi,
Policy End Date: 27/04/2022
110062
Total Premium: 1156.0

Payment Date: 20/04/2021

Vehicle Details

BAJAJ PULSAR 150 DTSI ELECTRIC START 150 (Petrol) Registration No.: DL-7-SBL-6279

Engine No.: L17251 Chassis No.: L32665

Registration Date: 01/04/2011 Financier: NA

Category: Private

Coverage

Vehicle IDV: 25277 Owner Driver Cover: NA

Value of CNG/LPG Kit: NA Passenger Cover (per 0

passenger):
Electrical Accessories: NA
Voluntary Deductible: 0
Non Electrical NA
Accessories:

No Claim Bonus: 50%

Note:
This is only a transaction confirmation receipt and cannot be used for filing claims.
Have questions, suggestions or complaints? Connect with our Customer Service Unit:
Toll free no.: 1800 209 9930 (Mon to Sat, 9am-9pm) Email: help@coverfox.com

Coverfox Insurance Broking Pvt. Ltd. : Unit B2-601, Boomerang, Chandivali Farm Road, Near Chandivali Studio, Andheri East,
Mumbai - 400072
IRDAI Direct Broker Code : IRDA/ DB 556/ 13, Valid till: 26/12/2022