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© The Oriental Insurance Company Limited serial owt Keene” Slgng Ho MOTOR INSURANCE CERTIFICATE CUM POLICY SCHEDULE PRIVATE CAR PACKAGE POLICY - ZONE B Road Side Assistance included in this policy - Toll ree No. 18003081209 “Conditions Apply Posy No arraooaa0zuzetor2 ProvPoleyo Cover ovr Not Ot innate Code TETBENG Isso once Code ; 211200 raves Name RAGHUNATH SINGH CHANORA (GSTIN:0) Nome: 20 NEW DELHI (GST: IGeTRES) | fin cm! SrAAACTOBZTRZ1) Asross ALKARI GALI NEAR SAM MANOIR pores 1820, WEA, FIRST FLOOR NEAR SHASTRI RAUKISHORE NAGAR PARK, BIASHPUR PADAM SINGH ROAD, KAROL BAGH BILASPUR NEW OELH CCHATTISGARH 495008 NeW DELHI DELHI 110005 elFaxiEmai 1 /9770112100/rkchoncrs70@gmallom Tel Fax Emall ; —11-41052050, 4100200, 0547706567 1.412080 211200gorertravranc.coin Leaafireakn No: 0 Local Servicing Office Code : 211200 Local Servicing Office Details: D0 2 NEW DELH, 16/20, WEA, FIRST FLOORNEAR SHASTRI PARK, PADAM SINGH ROAD, KAROL BAGH NEW DELHI, 01 1-41052060, 41062060, ‘AgenUBroker Details, Dev.0ff Code ‘AgenvBroker ;LC0000000660 M/S POLICYBAZAAR INSURANCE BROKERS PRIVATE LIMITED address Plat No, 119, Sector44, Gurgaon, Gurgaon, Haryana, 12200,Tel- 1800-258 5070, GURGAON, HARYANA,122002 ‘Telvfax mall; —1800-258-5870/1800-256-5970/ 7 __ i FROM 00:00 ON 30/12/2022 TO MIDNIGHT OF 29/12/2023 ‘32006254331 - 20/122022 GST INVOICE NO:0721786963_UIN:0 Period of insurance Collection No & Dt (Gross Promium 9.406 ost 11998 Stamp Duty 5 Total: 11,099 Geographical Area: IND ‘rea Extension ticular of Insured Vehlle: Registration Mark Engine No. & ‘Type Ot Body CCuble Year Ot Seating Capacity Place Chassis No. Make-Model Capacity Mant. (Including Driver) typo Of Fuel 6G 10AW 1401 KI2MNO0K5760.-—-MARUTLOZIRE VXI OTHERS 407 2020-447 BILASPUR, MasCZF63SK.6122 PETROL 0 LUmitations as to use: +The Policy covers use othe vehi for any purpose cer han) Fre or Reward 8) Cartage of gods ota than sales of Teesratuggage)e)Grgeized rosng d)” Pace mainge) Speed tebing f) Rell Tils g)Use in connacton wih Motor Trade ivecAny person ncn the sued, Proves theta preon dng Reis anefecve ving loanse et he neo he accident and pt are yan helanger chaning ech ans, Proved ao al he parson lrg an atetve Leas cane may ao ave acute hal sucha person salistos the raqurements of Rule 3 fla Cail Moor Vencles Rules, 1989, Umit of Liabilty:Undor Section Is) In respect of any one accident: ws per Motor Vohleles Act, 1988, LUndor Section Ii) In respect of any one claim or series of clalms arising out of one events Rs, ‘50000 P.A. Cover under Section Il for Rogistered Owner Cum Driver (C8!) ° vrs ewan ede al rear daagtt yh oe OO Date. 20/12/2022 Page 1 0f3 This Document Digtay Signed The Oriental Insurance Company Limited ‘Signer (Bl Toe, De 40157 eco’ Senn ‘tached to and forming part of policy number 21 12001/202ar248012 18851779656 0851779656,211200@orientalinsurance.co.in Ingured's Declared Value For the Vehicle alors Non Electrical lectileal Value of CNG "Total Value ‘Accessories Accessories Po Kit 4,26.600 0 0 Nominee Detals “Nominee Name YASH CHANDRA ‘SCHEDULE OF PREMIUM BAsic oD COVER 1361300 | BASIC TP COVER 3416.00 MOTOR 00 BASIC. NEW 4361300 | BASIC TP TOTAL sais BASIC OD TOTAL 1361300 | TPTOTAL 341600 00 ADDON COVER NIL DEPRECATIN 4408400 | TOTAL PREMIUM ess00 LESS Discount 10,890.00 | STAMP DUTY 080 LESS Moa Aon Cover 817.00 ADD:IGST 1,690.00 ! iscount(Nil Depreciation) | OD TOTAL eon | TOTALAMOUNT 11.98000 I. MOTOR TOTAL OO 900.00 | | Desvebies under Sector: Compulsory Dect 1000 | ‘Subject to IMT Endorsement Printed herinattached to: IMT-Z2 , OIC-:Nl Depreciation Cover Details of IMT Endorsements are also avaiable onthe Companys Web Portal wow.orleniainsurance.orgin Hypothecation Agreement with ‘STATE BANK OF INDIA Hite PurchasefLessor Agreement with: In the event ofa claim under the policy exceeding Rs.1l8c ora claim fr refund of premium exceeding Rstlacthe insured wil comply with the provisions of the AML policy ofthe Company The AML plc is avalabe inal our operating Ofices as well as company’s website, ‘The Insurance under this policy is subject to conditions clauses, warranties, excluslons, INTs and OIC endorsements mentioned hereln ‘Tbove which are avallable on Company's website: wiw.orientalinsurance.org.in or on demand from the policy Issuing office, 1 \Werrented that incase of dishonour of premium cheque(s) the Company shal not be lable under the poy and the pole shall be void abit (rom Inception), ‘Glam isnot admissibe if Driving License Is found fake or isnot vad whether or not nthe knowledge ofthe insured. | Pee hrcoy cert that the pole to which the cartel relates a wel sts certeate of suance ae saved In acordance withthe provision of | ‘Chapter X and Chapter XI of Motor Vehicies Act, 1986. Chapter ereroo! ne undersigned boing aulhorised by and on behalf the company has/havshersin ose hisMheirhands at 00! NEW DELHI! (GSTIN: O7AAACTO527RIZ1) on 20DEC-22 IMPORTANT NOTICE “The insured isnot Indornified if the vehicle Is used or crven otherwise than in accordance with this Schedule. Any payment ‘hava by the Company by reason of wider terms appearing inthe Certicae in rcero comply wih he MVAC, 19868 roars rote rom he Invred, See the Clause headed "AVOIDANCE OF CERTAIN TERMS AND RIGHTS OF RECOVERY’. Seamer 0 Date. 20/12/2022 Page 2 of 3. I The Oriental Insurance Company Limited er Bau Gc speek 401s Ceaser hoon Reon Sin a Attached to and forming par of policy number 244200/31/2023/248012 Entered By POLICY BAZAR Examined By : POLICY BAZAR Digial Signed Polcy Prd By: PRTL P By Policy Prnied On: 200EC-22 16.4240 ‘Authorised Signatory In case of any query regarding the Policy please call Tol Free No, 1800 258 5870 (Customer service) & 1600 258 $881 (Claims). | ‘CIN. US60100L 1847601007158 All the Amounts mentioned i this palcy ae in Indian Rupees RDA Regn. No, 856 - Now you can buy and renew selected polices online et waw.orentalinsurance.orgin_ sevioetel MINAS

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