S T A ND- A LO NE O W N DA MA G E P R IVA T E C A R P O LIC Y

Summary

Hyundai Venue Valid from Valid till (midnight)

AP39FX9585 21 SEP 21 20 SEP 22
Car owner Owner number Owner email
G Ravindranath Reddy XXXXXX6246 rXXXXXXXXXXXX3@gmail.com
Plan Policy price Car value
Stand-Alone Own Damage ₹ 10443.86 ₹ 1116560.0
Zero Depreciation
Voluntary Deductible*
Please refer overlay for more details

*The policyholder will bear Rs. 5000 over and above the standard charges in the event of a claim.
WELCOME! We’re happy to have you at Acko, and promise to be there for you always. You’re now a part of the
Acko Advantage program, which takes care of everything if your car ever runs into trouble. Just call us
immediately on 1800 266 2256 when things go wrong and we’ll take it from there.

Acko Advantage* Non-Acko

Advantage
Free car pick-up
from home,
office or
accident site

Repairs at our
network of
expert garages.

3-day repair
guarantee.

Cab voucher**
worth Rs.
500/day if
there's a repair
delay.

Car drop at your

doorstep.

Cashless and
hassle-free
processing.

*Only applicable in selected cities provided you call us immediately - Ahmedabad | Bangalore | Chennai | Delhi | Hyderabad | Kolkata | Mumbai | Pune
**Cab vouchers available in the cities mentioned above. Please refer the Terms & Conditions for more details

Please Note: Previous Policy document is required in case of claim within 30 days of Acko Policy Start Date.

If you are a workshop or garage staf f

Please call Acko for quick settlements on 1800 209 9910 [ GST# for workshop Invoice 27AAOCA9055C1ZJ ]
Acko Ge ne ral Ins urance Ltd.
Unit No. 301, 3rd Floor, F Wing, Lotus Corporate Park, Goregaon (E), Mumbai- 400063
Email: hello@acko.com | Phone: 18 00 266 2256 | www.acko.com
Product: Private Car Package Policy | CIN : U66000MH2016PLC28 738 5
IRDAI Reg No. 157 | HSN: 997134 | GST: 27AAOCA9055C1ZJ
UIN: IRDAN157RP0033V01201920, A0035V01201920, A0036V01201920, A0003V01201920,
A0008 V012018 19, A0038 V01201920 Page 1 of 6
What’s Covered
A snapshot of all the coverages in this policy.

Accide nts Fire T he f t

Damages to the car due to an accident. In case your car catches fire, resulting If your car is stolen, we will pay you the
from self-ignition, explosion or lightning. value as per policy of your car.

C alamitie s C o ns umable s Extra C ar Pro te ct

Damage due to natural or man made Covers the cost of consumables like nut,
causes like earthquake, riots, etc. bolt, lubricant etc. consumed during car
repair due to accident.
1. In case of a breakdown, ensures road-
side assistance.
2. Covers the repair and replacement of
damaged or stolen car keys upto INR
7000.
3. Gets you a reimbursement of flat INR
6500 if repair takes more than 12 hours in
outstation emergency.

Ze ro de pre ciatio n
Covers the depreciation of parts which
are replaced during car repair.

What’s Not Covered

A snapshot of all the coverages that are not covered in this policy.

No n-Accide nt Damage C o ns e que ntial Lo s s & Nucle ar Ris k & War Ille gal Driving
Like wear & tear, breakdown, C o ntractual Liability Damages to your car due to Damage due to the car driven by a
failures & breakages, and Indirect damage or liability nuclear risk, war & mutiny person without a valid driving
deductibles. arising due to your car license or under influence of
accident. liquor/drugs.

T yre , T ube s & Engine C ar Re vie w Exce ptio n C o mme rcial us age o f the T hird - Party Lo s s e s
Not included unless the tyre, Pre-existing Damages as C ar Death, injury or property
tubes & engine are damaged found on vehicle inspection. If the Car is registered as damage to any third party
due to an accident. Private vehicle & if it is used arising from your car.
for commercial purpose than
the losses or liability due to
accident during such usage is
not covered in this policy.

Vo luntary de ductible
The policyholder will bear Rs. 5000
in the event of a claim, over and
above the aforementioned
exclusions.

The info rma tio n pro vide d he re in a bo ve is fo r the purpo s e o f illus tra tio n o nly. Fo r mo re de ta ils o n ris k fa cto rs , te rms ,
co nditio ns a nd e xclus io ns , ple a s e re a d the po licy wo rding s ( https ://www.a cko .co m/do wnlo a d ) ca re fully.
Page 2 of 6
 S T A ND- A LO NE O W N DA MA G E P R IVA T E C A R P O LIC Y
Private Car Package Policy

P O L IC Y D E T AIL S VE HIC L E D E T AIL S

Insured Name: G Ravindranath Reddy Registration Number: AP39FX958 5
Address/Pincode: 517325 Make/Model: Hyundai Venue
Period of Insurance: 21 Sep 21 (00:00 hrs) to 20 Sep 22 (23:59 Purchase Year: 2020
hrs) Engine CC: 998
Policy Issuance Date: 11 Sep 21
Policy Number: DCOR00421503141/00

INS UR E D D E C L AR E D VAL UE ( ID V)
Ve hicle IDV (₹) Acce s s o rie s (₹) Bif ue l Kit (₹) T o tal IDV (₹)

1116560 0.0 0 1116560.0

P R E M IUM D E T AIL S ( ₹)
Own Damage Pre mium (A)

Basic Own Damage ₹ 9748 .55

NCB Discount ₹ (1433.8 6)

Consumables ₹ 237.29

Extra Car Protect ₹ 298 .75

Net Own Damage Premium (A) ₹ 8 8 50.73

Total Package Premium ₹ 8 8 50.73

IGST (18 %) 1593.13

Total Premium ₹ 10443.8 6

Geographical Area: India Voluntary Deductible: ₹ 5000 Hypothecation: NA

No-Claim Bonus: 20% Compulsory Deductible: ₹ 1000
Limit at io ns As T o Us e : The Po licy co ve rs us e o f the ve hicle fo r any purpo s e o the r than: a) Hire o r Re ward b) C arriage o f go o ds (o the r than s ample s o r
pe rs o nal luggage ) c) Organize d racing d) Pace making e ) S pe e d te s ting f) Re liability Trials g) Any purpo s e in co nne ctio n with Mo to r Trade . Pe rs o ns o r
Clas s o f Pe rs o ns e nt it le d t o d rive : Any pe rs o n ((including the ins ure d), pro vide d that a pe rs o n driving ho lds a valid driving lice ns e at the time o f the
accide nt and is no t dis qualifie d fro m ho lding o r o btaining s uch a lice ns e . Pro vide d als o that the pe rs o n ho lding a valid le arne r's lice ns e may als o drive the
ve hicle and that s uch a pe rs o n s atis fie s the re quire me nts o f Rule 3 o f the C e ntral Mo to r Ve hicle s Rule s , 19 89 . T e rms , Co nd it io ns & Exclus io ns : As pe r
the Indian Mo to r Tariff. A pe rs o nal co py o f the s ame is available fre e o f co s t o n re que s t & the s ame is als o available at o ur we bs ite .
I / We he re by ce rtify that the po licy to which the ce rtificate re late s as we ll as the ce rtificate o f ins urance are is s ue d in acco rdance with the pro vis io n o f
chapte r X, XI o f Mo to r Ve hicle s Act, 19 88. "The s tamp duty o f Rs . 0.50 paid by e le ctro nic me dium vide GRAS De face no . 00016 49 200202122 date d 12/07/2021
as pre s cribe d in Go ve rnme nt No tificatio n Re ve nue & Fo re s t De partme nt No . Mudrank - 2017/C .R.9 7/M-1, date d 09 /01/2018. GS TN: 27AAOC A9 055C 1ZJ.
IMPO RT ANT NO T ICE: The Ins ure d is no t inde mnifie d if the ve hicle is us e d o r drive n o the rwis e than in acco rdance with this S che dule . Any payme nt made
by the C o mpany by re as o n o f wide r te rms appe aring in the C e rtificate in o rde r to co mply with the Mo to r Ve hicle s Act, 19 88 is re co ve rable fro m the
Ins ure d. S e e the claus e he ade d "AVOIDANC E OF C ERTAIN TERMS AND RIGHT OF REC OVERY” in the po licy wo rdings . Dis claime r: The Po licy s hall be vo id
fro m ince ptio n if the pre mium che que is no t re alize d. In the e ve nt o f mis re pre s e ntatio n, fraud o r no n-dis clo s ure o f mate rial fact, the C o mpany re s e rve s the
right to cance l the Po licy. The po licy is is s ue d bas is the info rmatio n pro vide d by yo u, which is available with the co mpany. In cas e o f dis cre pancy/no n
re co rding o f re le vant info rmatio n in the po licy, the ins ure d is re que s te d to bring the s ame to the no tice o f the co mpany within 15 days . This Po licy is to be
re ad in co njunctio n with the Po licy wo rdings (https ://www.acko .co m/do wnlo ad) available o n the we bs ite o f the C o mpany. On re ne wal, the be ne fits pro vide d
unde r the po licy and/o r te rms and co nditio ns o f the po licy including pre mium rate may be s ubje ct to change .

INT E R M E D IAR Y D E T AIL S

Policy Issuing Office: Direct - Mumbai Intermediary Name: Direct
Phone Number: NA Intermediary Code: NA

Acko Ge ne ral Insurance Lt d.

Unit No . 301, 3rd Flo o r, F Wing, Lo tus C o rpo rate Park, Go re gao n (E), Mumbai- 40006 3
Email: he llo @acko .co m | Pho ne : 1800 26 6 2256 | www.acko .co m Fo r Acko Ge ne ral Ins urance Ltd.
Pro duct: Private C ar Package Po licy | C IN : U6 6 000MH2016 PLC 287385 Duly C o ns titute d Atto rne y
IRDAI Re g No . 157 | HS N: 9 9 7134 | GS T: 27AAOC A9 055C 1ZJ
UIN: IRDAN157RP0033V012019 20, A0035V012019 20, A0036 V012019 20, A0003V012019 20, A0008V01201819 ,
A0038V012019 20

Page 3 of 6
 P R EMIUM R EC EIP T

Received with thanks from G Ravindranath Reddy a sum of ₹ 10443 .86 towards premium on Car Insurance
Policy

INS UR E D D E T AIL S
Name of Insured: G Ravindranath Reddy
Period of Insurance: 21 Sep 21 (00:00 hrs) to 20 Sep 22 (23:59
hrs)
Policy Number: DCOR00421503141/00
Payment Date: 11 Sep 21

P R E M IUM D E T AIL S ( ₹)
Gross Premium ₹8 8 50.73

IGST (18 %) ₹ 1593.13

Total Premium ₹10443.8 6

T E R M S & C O ND IT IO NS :
Issuance of this receipt does not amount to acceptance of the risk by Acko General Insurance Limited. The insurance cover for the risk shall be as
per the terms and conditions of the Insurance Policy if and when issued. * Cheque/DD/PO receipt is valid subject to realization of the instrument.

Acko Ge ne ral Ins urance Ltd.

Unit No. 301, 3rd Floor, F Wing, Lotus Corporate Park, Goregaon (E), Mumbai- 400063
Email: hello@acko.com | Phone: 18 00 266 2256 | www.acko.com
CIN : U66000MH2016PLC28 738 5 | IRDAI Reg No. 157 | HSN: 997134 | GST: 27AAOCA9055C1ZJ
UIN: IRDAN157RP0033V01201920, A0035V01201920, A0036V01201920, A0003V01201920, For Acko General Insurance Ltd.
A0008 V012018 19, A0038 V01201920 Duly Constituted Attorney
Page 4 of 6
 PRO PO S AL FO RM

Dear G Ravindranath Reddy,

We wish to inform you that the Insurance policy number DCOR00421503 141/00 has been issued on the
basis of the information and declaration given by you, the transcript whereof is mentioned below.

Please be informed that this Policy shall be construed to be void ab initio/invalid in the event we find that you have not disclosed
material or correct information required for the purpose of providing the below insurance cover and in case of any claim arising
under the policy in such a scenario, we shall be under no obligation whatsoever to settle such claim to you and the premium paid
by you under this policy shall stand fully forfeited.

P O L IC Y D E T AIL S P R E VIO US P O L IC Y D E T AIL S

Policy Number: DCOR00421503141/00 Previous Policy Expired: Not Expired
Period of Insurance: 21 Sep 21 (00:00 hrs) to 20 Sep 22 (23:59 Previous Policy Insurer: Kotak Mahindra General Insurance
hrs) Company Limited
Policy Issuance Date: 11 Sep 21

C AR D E T AIL S C AR O W NE R D E T AIL S
Car Number: AP39FX958 5 Name: G Ravindranath Reddy
Make/Model: Hyundai Venue Email Address: rXXXXXXXXXXXX3@gmail.com
Type: Private Mobile Number: XXXXXX6246
Fuel Type: petrol NCB: 20%
Registration Year: 2020 Address/Pincode: 517325
Registration Month: Sep
Insured Declared Value (IDV): 1116560
Accessories (IDV): 0.0

Acko Ge ne ral Ins urance Ltd.

Unit No. 301, 3rd Floor, F Wing, Lotus Corporate Park, Goregaon (E), Mumbai- 400063
Email: hello@acko.com | Phone: 18 00 266 2256 | www.acko.com
CIN : U66000MH2016PLC28 738 5 | IRDAI Reg No. 157 | HSN: 997134 | GST: 27AAOCA9055C1ZJ
UIN: IRDAN157RP0033V01201920, A0035V01201920, A0036V01201920, A0003V01201920, For Acko General Insurance Ltd.
A0008 V012018 19, A0038 V01201920 Duly Constituted Attorney
Page 5 of 6
 PRO PO S AL FO RM

C O VE R D E T AIL S
Add-o ns / Othe rs Include d Exclude d

PA Cover -

Consumables -

Zero Depreciation -

Roadside Assistance Car -

Key Protect Car -

Outstation Emergency Cover -

Voluntary Deductible (₹ 5000) -

T E R M S & C O ND IT IO NS :
“I/We desire to insure with Acko General Insurance Limited in respect of the vehicle described in this proposal form and confirm that the
statements contained in this application are my/our true and accurate representations. I/We undertake that if any of the statements are found to
be false or incorrect, the benefits under this policy would stand forfeited. I/We agree that this application and declaration shall be promissory and
shall be the basis of the contract between me/us and Acko General Insurance Limited. I/We agree to the Company taking appropriate measures to
capture the voice log for all such telephonic transactions carried out by me/us as required by the procedures/regulations internal or external to the
Company and shall not hold the Company responsible or liable for relying/using such recorded telephonic conversation. In the event of
nonrealization of the cheque or non-receipt of the amount of premium by the Company the policy shall be deemed cancelled ‘ab-initio’ and the
Company shall not be responsible for any liabilities of whatsoever nature under this Policy.” I/We agree to receive ‘Certificate of Insurance or Policy
Schedule’ only and shall access the policy terms, conditions and exclusions on the company’s website.

P R O HIBIT IO N O F R E BAT E D ( S E C T IO N 4 1 ) O F T HE INS UR ANC E AC T - 1 9 3 8 ( AS AM E ND E D ) :

1. No person shall allow or offer to allow, either directly or indirectly as an inducement to any person to take out or renew or continue and insurance
in respect of any kind or risk relating to lives or property in India, any rebate of the whole or part of the commission payable or any rebate of the
premium shown on the policy, nor shall any person taking out or renewing or continuing a policy accept any rebate expect such rebate as may be
allowed in accordance with the prospectus or tables of the Insurer.
2. Any person making default in complying with the provisions of this section shall be liable for a penalty which may extend to 10 lakh rupees.

Acko Ge ne ral Ins urance Ltd.

Unit No. 301, 3rd Floor, F Wing, Lotus Corporate Park, Goregaon (E), Mumbai- 400063
Email: hello@acko.com | Phone: 18 00 266 2256 | www.acko.com
CIN : U66000MH2016PLC28 738 5 | IRDAI Reg No. 157 | HSN: 997134 | GST: 27AAOCA9055C1ZJ
UIN: IRDAN157RP0033V01201920, A0035V01201920, A0036V01201920, A0003V01201920, For Acko General Insurance Ltd.
A0008 V012018 19, A0038 V01201920 Duly Constituted Attorney
Page 6 of 6