Go Digit General InsuranceLtd

GROUND FLOOR,APEEJAY HOUSE,15, PARK STREET,BLOCK A,,TALTALA, KOLKATA, WEST

BENGAL 700016,KOLKATA,WEST BENGAL,700016
GSTIN Number: 19AACCO4128Q1ZX
IRDA RegistrationNo: 482 UIN No: IRDAN158RP0009V01201819
DIGIT TWO-WHEELER POLICY –BUNDLEDCUM RECEIPT
(Form 51 of the central motor vehicle rules, 1989)
Policy No/IssueDt & Time ••D474908366/ 28-Jun-2023 16:55 ProposalNo. & Date • YC2210131854056490& 28 JUN 2023 16:53
Insured Name ••MR.KRISHNA KUMAR GUPTA Period Of Own Damage Cover • 28-Oct-2023(18:55) to 27-Jun-2024 (Midnight)
Period Of Liability Cover ••28 JUN 2023 16:52 -27 JUN 2024 PeriodOf PA Owner Driver • S3A/1 MURRY ROAD BADARTALA S.O
WESTBENGAL-700044
(MIDNIGHT ) PreviousInsurer ••N/A PreviousPolicy No
Reg. Address •• S3A/1 MURRY ROAD BADARTALA S.O Comm. Address
WEST BENGAL
CustomerGSTIN 700038

ProductType:STANDARD
Make Model Sub Model Cubic Capacity Manufacturing Year Seating Capacity
BAJAJ AUTO LTD PULSAR AS 150 BAJAJ 150 2015 2
BodyType Registration No. RTO Hypothecation/Lease* Fuel Type Chassis No
SOLO OLD 24 PGN Yes PETROL MD2A82DZ0FCH57695
Engine No Invoice Date VehicleIDV Elec. Accessories Non-Elec. Accessories Total IDV
JEZCFH67834 28-JUN-2023 83724 0 0 32000

Scheduleof Premium (Amount in Rs.)

Own Damage Premium (A) Liability Premium (B)
BasicPremium Basic Third Party Liability (Including TPPD) 690
Vehicle SubTotal (Third Party Liability) 690
Non-Elec. Accessories(IMT-24) 326 PA Cover For Owner Driver of Rs.2000000(IMT-15) For 3 Year
Elec. Accessories(IMT-24) 0
Sub Total (BasicPremium) PA Cover (0 Per Person)for 2 Persons(IMT-16) 0
IMT 33 0 GeographicalArea Extension (IMT-1) 0
Add On Coverages(Nil Depreciation) 0 SubTotal (PA Cover) 0
Add On Coverages(RTI) 0 Net Liability Premium (B) 690
Add On Coverages(Engine Protector) 0
Add On Coverages(EMI Cover) 0
GeographicalArea Extension (IMT-1) 0 Total Premium (A+B)
SubTotal-Addition 0 SGST(9 %) 760
Deductibles CGST( 9%) 780
Voluntary Deductibles(0) (IMT-22A) 0 IGST(0 %) 0
Anti Theft Device(IMT-10) 0
AA Membership(IMT-8) 0 GrossPremium Paid 812
No Claim Bonus (0%) 0 Note: 1.Policy issuanceissubject to realization of cheque
HandicapDiscount (IMT-12) 0 2.Consolidated Stamp duty paid to state exchequer
Sub Total (Deductibles) 0 3.The policy is subject to compulsory deductible of Rs.100 (IMT-22)
Net Own Damage Premium (A) *Subject to IMT Endt. Nos.& Memorandum: 15,22
UIN Details:
Name of Nominee Age Relationship with Insured Name of Appointee Relationship with Nominee
N/A
Insured DeclaredValue :The scheduleof age-wiseinsured declared(IDV) asshown in the below table is applicable for the purposeof Total loss including Theft/Constructive Total Loss (TL/CTL)
claims only on basisof loss datefalling in the respectiveyear. A vehicle will be consideredto be aCTL, where the aggregatecostof retrieval and/or repair of the vehicle subject to terms and
conditions of the policy exceeds75%of the IDV.
Tenure 28-Jun-2023 To 27 -Jun -2024 - - - -
IDV 32000 0 0 0 0
Limitationsastouse: Thepolicy coversuseof thevehiclefor any purposeother than (1) Hireor Reward (2) Carriageof goods(other than samplesor personal luggage)(3) Organized racing (4) Pacemaking (5) Speedtesting (6) Reliability trials(7) Any purposein connection with motor trade.
DriversClause: Any personincluding theinsured: Provided that theperson driving holdsan effectivedriving licenseat thetimeof theaccident and isnot disqualified from holding or obtaining such license. Provided alsothat theperson holding an effectivelearnerslicensemay also drivethe
vehicle& that suchaperson satisfiestherequirementsof Rule3 of theCentral Motor VehicleRules, 1989.
Limitsof Liablity Clause : Under Section II-1(i) of thepolicy-Death of or bodily injury: Suchamountasisnecessary to meettherequirementsof theMotor VehicleAct 1988.UnderSection II-1 (ii) of thepolicy-Damageto third party property isRs.1 lakhsPA Cover UnderSection III for Owner-
Driver isRs. 1500000.
GrievanceClause: : For resolution of any query or grievance, Insured may contact therespectivebranch officeof thecompany or may call at (18001034448) or may writean email at (emailone@test.com).In casetheinsured isnot satisfied with theresponseof theoffice, insured may contact the
GrievanceOfficer of theCompany at (emailone@test.com). In theevent of unsatisfactory responsefrom theGrievanceOffice, he/shemay, subject to vested jurisdiction, approachtheInsuranceOmbudsman for theredressal of grievance. Detailsof InsuranceOmbudsman officesareavailableat
IRDA website:www.irdaindia.org , or on thewebsiteof General InsuranceCouncil: www.generalinsurancecouncil.org.in or on thecompany website(emailone@test.com). ThePolicy wording isavailableon requestat freeof cost. TheSamecan bedownloaded from our
Website(www.godigit.com). .
HypothecationDetails:L&T FINANCE LTD, KOLKATA, KOLKATA , EMI CoverAmount: 0(2months)
Important Notice: Theinsured isnot indemnified, if thevehicleisused or driven otherwisethan in accordancewith theschedule. Any paymentmadeby thecompany by reasonsof wider termsappearing in thecertificatein order to comply with theMotor VehicleAct, 1988 isrecoverablefrom
theinsured. Seetheclauseheaded AVOIDANCE OF CERTAIN TERMS& RIGHT OF RECOVERY For legal interpretation, English version will hold good.
Disclaimer : : Additional deductible: Rs.1000/- or 10%of theclaim valuewhichever ishigher for 6th or subsequentadmissibleclaimsduring thepolicy period.
I/wehereby certify that thepolicy to which thiscertificaterelatesaswell asthiscertificateof insuranceareissued in accordancewith theprovisionsof ChapterX and ChapterXI of Motor VehicleAct, 1988

For & On Behalf of Go Digit General InsuranceLtd

MISP Code: TTIBI/Y/172502267

Authorized Signatory

SAC:997134 , Description Of Service:MOTOR VEHICLE INSURANCE SERVICES, PlaceOF Supply:WEST BENGAL (StateCode:33) , ReceiptNo:YC2210131854056490, PaymentMode:APD Wallet,
Broker Name & Address: Toyota Tsusho Insurancebroker India Pvt. Ltd., No 53(NP) Developed Plots, Industrial Estate,Ekkattuthangal, Chennai –600032
Broker Code : DB-403/08
For Renewal/Claimsassistance- pleasecontact Ins.Co. & Broker through :VELOCITY MOTORS, WEST BENGAL at (8336943303/ 8336943303)