FUTURE GENERALI TOTAL INSURANCE SOLUTIONS. Future Secure Two Wheeler Insurance Policy- PACKAGE CERTIFICATE OF INSURANCE CUM POLICY SCHEDULE - Form 51 of the Central Motors Vehicles Rules, 1969 Policy Servicing : 801 and 802, &thFloor Tower C, Embassy 24X7 Park LBS. Marg, Vikhreli- West Mumbai Maharashtra - 400083, Policy No. + PEROS410 Period of Insurance + From 00:00 hrs of 28/07/2021 Insured Me Md Aslam To Midnight of 27/07/2022, : Covernote No 1+ Dated: Zona: 8 address AZAD NAGAR, BHUL! NAGAR (Dhanted JHARKHAND 928104 Polibazaar Insurance Brokers Private Intermediary Name/Code sed / 60084631 Telephone(Hom) 29271253745, mall 1D + Saidmd88@gmaiicom GSTIN Number FGI GSTIN Number + TOAABCFOTBTRIZO INSURED MOTOR VEHICLE DETAILS AND PREMIUM COMPUTATION Registration No, RTA Location Make/Model of Vehicle Engine No Chassis No, JH99W1863 Bokaro HERO PASSION PRO. HATOENDHLG0949 MBLHAIOAWDHLSST35 Year of Manufacture Cubic Capacity Type of Body Seating Capacity Premium 2018 100 BIKE 2 1123, TP Policy Insurer Name TP Palcy No TP Policy Period : 7 DRIVERS CLAUSE = Any person including the insured: Provided that a person driving holds an effective driving license atthe tie ofthe accident and is not disqualified from holding or obtaining such a license; Provided aso thatthe person holding an effective Learner's License may also dive the vehicle and that such a person satistes the requirements of Rule 3 ofthe Central Motor Vehicles Rules, 1989. LIMITATIONS AS TO USE - As per Motor Vehicle Rules, 1989 - The Policy covers use of the vehicle for any purpose other than: a) Hire or Reward, b\Carriage of goods (cther than samples or personal luggage). Orgarized racing d) Pace making, e) Speed testing) Reliability Tals g) Any purpose in connection with Motor Trade. ‘Geographical Area: INDIA Vehicle being insured has valid Pollution Under Control (PUC) Certificate as on inception date of policy IMPORTANT NOTICE The Insured is not indemnified ifthe vehicle is used or driven otherwise than in accordance with this schedule. Any payment made by the Company by reason of wider terms appeating in the certificate in order to comply with the Motor Vehicle Act, 1986 is recoverable from the Insured, See the clause headed “AVOIDANCE OF CERTAIN TERMS AND RIGHT OF RECOVERY’. For legal interpretation English version will be good, For fll details on coverage, terms, conditions and exclusions, plese refer the standard policy wordings attached with this schedule. [Not withstanding anything mentioned herein to the contrary ite agreed and declared thatthe cover under this policy does not extend to those parte mentioned as damaged /scratched /dented noted in the photographs/inspection report number 49-FGS-110718-794371 dated 10/07/2018 IMPORTANT - 1) ll other Terms; Concitions and Exclusions ae per attached Policy Wordings. 2) In case of payment by cheque, in the event of ishonor of cheque for any reason whatsoever, insurance cover provided under this document automatically stand cancelled from the inception respective of whether a seperate communication is sent or not. LIMITS OF LABILITY Under Section i- ): Death of or body injury~ Such amount asis [Under Section I+ i): Damage to Third Party Property- ¥ 100000 /- in necessary to meet the requements of Motor Vehicles Act. 1888 respect af any one claim or series of daims arising out of one event Under Section il: PA Owner — Driver as per premium computation table | Compulsory DeductibleUnder Sec -€ 100.00 Hypothecation Agreement with: NIL SPECIAL CONDITIONS - NL [ADDITIONAL EXCESS NiL [The nominee for Compulsory PA to owner driver covers 01) MD SAID ANSARI, aged 33 Years, Relationship : Son, Nomination % : 100% Future General india nauance Conpny Limite, corp, & Rage OMT: 8% an 2, Flr TawerC Ema) 2447 FORELAS. Marg VR Uscioamesrtesarsntsuscocr cnguine™ fou 420250 lash sop 903 ous ohas"aso Ema teetserutureganerain Vavet® worn uurepenrainFUTURE GENERAL TOTAL SURANGE SOLUTIONS Seta Town DANAE Tow Lily menken@) g Total Premium (rounded off) ~ recat no: Date of sue :26/07/2021 oi ecw ot ncnees Mab horsda. Ploce of unsnee Mba hess NotaThis decuments gally ned by Sharda Ramakishnan, Authorised igntery of Future Ga Inoue Company nied on 26/07/2021 Forse your Motor ar SUS NOTORGIAR ro SEEETTT00 Geandard SNS Gar op The stamp duty of Rs. 050)- paid by Letter Of Authorisation No. CSD/84/2020/1693, Dated 27-09-2020. Mudrank - 2017/CR97/M-1.dated 03/01/2018 Product UIN : RDAN132P0002V01201718 Future General na neurance Company Limite cop 8 Se08 Oc: 90} aps 02, slo Tawer © embas) 2017 FOMLL' Yara RNa Uectoamesitisnarsntssscucl cena fou 420 250 lac sop 003 ous ohas"aso Ema fgeetyetutureganeralin abet vor uurepenrin