Universal Sompo General insurance Co. Ltd. Servicing Ofle of insure: FIRST FLOOR, SCO 113, DISTRICT COMPLEX, VISHAL MEGA MART ROAD, RANJEET AVENUE, Anta, Punlab (state Code-08)-143001, PH-22-22222222 ‘Webste: wew.universalsompo.com PAN AAACUBSI7F.GSTIN: O3AAACU8S17F1ZG Insurer's IRDA Reghstration Number: 134 Toles Heptine: {800-200-4030 Ell: tataus@ universlsompa.com GN: Us6010Mi7007P16166770 ‘Motor Private Car- Bundled (UIN-IRDAN134RPO001V02201819) (FORM 51 OF THE CENTRAL MOTOR VEHICLE RULES, 1989) Polley No. 22367/69811199/00/000 Polley sued On. 23: MAR 2023 (18:56) Insured Name: M/S UNITED ENTERPRISES (Own Damage Petod. ; 23-MAR-2023(18:56) To 22-MAR-2024 Motor UablityPerlod :23-MAR-2023(18:56) To 22-AR-2026(Midnight) (dria) 2.MAR2003 Proposal No & Dat PPVBUI39E: Insred Add. :0,XATHUAKATHUA JAMMU AND KASHMIR ,KATHUA, [Previous insurer JAMMU KASHMIA State Code:01) 184101 GSTIN- CIABSPIGS7IHZ2M | preyous Plley No. NA BROKER DETAILS IRDA Ue No. 375 TaN No, | usosooi99701c145349 broker Category [composite Broker \Valdhy_(13-MAY-20 70 12-MAY.23 Name & Add TATA MOTORS INSURANCE BROKING ANO ADVISORY SERVICES LTD, 1ST FLOOR, AFL HOUSE, LOK BHARTI COMPLEX, MAROL| ROAD, ANDHERI (EAST, MUMBAI 400 059 Senet aera Nee ee oan ae MAROSH = ea Premium Pald : 63044 Teneque No. 117030311403 ‘Bank Name : NON CUG HOFC CCAVENUE. For & On Usha of Univeral Sompo General insurance Co, td ae Authorize Sigastory Incase of ary daim or uitance requires contact ou ep ie 218002090060 and you may aa each sat sippar@umibasl com .@ moroRs -300804000 Dealer CodeUniversal Sompo General Insurance Co. Ltd. Serving Office of insurer: FIST FLOOR, SCO 113, DISTRICT COMPLEX, VISHAL MEGA MART ROAD, RAJEET AVENUE, Atay, Punjab Sate Code-03) 143001, PH-22-22222222 Webs: wiv unierslzompa.com PAN AAACUDI7F. GSTIN: O3AAACUBSI7F126 Insurer's IROA Reghtration Number: 34 Tolree Helpline : 800-200-4020 Emal:tatauegl@riversazompo.com GN seox0%i12007P1c16670, ‘Motor Private Car - Bundled (VIN-IROAN134P001V02201819) (FORM 51 OF THE CENTRAL MOTOR VEHICLE RULES, 1985) Polley. 2367/69811183/00/000, Polley sued On 23 MAA.2025 (1856) Insured Name M/S UNITED ENTERPRISES ‘Own Damage Period. :23-MAR-2023(38:56) To 22-MAR2024 Motor Usity Period. :23.¥AA-2023(186) To 2-MAR-2026(Midright) (ond) SCHEDULE OF PREMIUM (AMOUNT IN RS.) ‘Basic Premium Deductibles Vehicle 19383) Voluntary Deductibies (0) IMT-22A) Non le. Acessories (0) Ant Theft Deve (IMF-10) ee. Accessories (IMT-24) (0| AAMembership (MTB) ‘CNG/LPG Ke (IMT-25) (0) No lim Bonus (4) ‘ub Total (Base Premium) 19,303| Handicapped Discount (6) ‘Geographical Area tension (IMT) 10) Sub Total (Deduebes) IMT23 Premiam ‘Add On Coverages (Refer Note 5) ‘Sub Total Adon ° ° ° ° ° Basie Third Party Usbilky ‘Third Party Lalit For BFFoel ke ‘hire Party Unity Fr Geographial Area A Cover For Owner Driver OF RO (MTS) oe rig at of nou be een he Bo dt ‘onesies we > Rep ne mpi ef) he nmrac conan wil anny tr cnet nt | re Sirens SESS one ye SENECATN Dr Casenbies RAN VOOR i = —— npanisnesen volo sisAnm VORA 1 “and Se Anite - _nDANISor:Vo.0(sINASSIVOI8 | Niet | IOAN ‘ypathecation Detail: INDUSIND BANK LIMITED -fathua -KATHUA MIP Name: AG MOTORS, MSP PAN Ne ABLACU, MIS Cote TMIBASUMISPARLEAOO tc97s Destin Saree aera rv, Plas Sap JANDMU KASHI Cd), tp Nore NoaSTASONIS Tete ect a pin wc i ees a wa i ri nee ied i i pve f Caper X Caper XI oft Vice Ae For & On Behalf of Universal Sompo General insurance Co. td. Dealer Code : AG MOTORS ~300804000 ee Authorized Signatary In cease of any dai o asistance required please contact ou help ine it 18002080060 and you may aso reach us at support@tmibasl.com ————