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MA Go Digit General Insurance Ltd.

Schedule/Receipt
Digit Two-Wheeler Liability Only Policy
UIN No.: IRDAN158RP0003V01201718

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Name POLISETTI SAI Vehicle Registration No. AP16EH6883
Address 5-7/5-6/4,5TH LINE,CHINNA CHURCH TURTLEMINT INSURANCE BROKING
Partner Name
BACK SIDE,VIJAYAWADA,KRISHNA- SERVICES PRIVATE LIMITED
521151 1000088
Partner Code

Mobile xxxxxxxxx8416 Partner Mobile No. -- PB

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Email sxxxxxxxxxxxxxxxxxxx3@gxxxl.com Partner Email support@turtlemint.com

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Aadhar No. For Claims, contact us at 1800-258-5956

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YOUR POLICY DETAILS

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22-Mar-2023 Invoice No.

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1 Policy No. D060054245 / 22032023 Policy Issue Date IA061308001

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From 23-Mar-2023 12:29:31

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Period of Policy Policy Term 1 Year
To 22-Mar-2024 23:59:59

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IGS

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From -- 22-Mar-2023
Period of Policy for PA Owner Driver Invoice

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PB To -- Date

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YOUR VEHICLE DETAILS

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Vijayawada,ANDHRA Model/Vehicle

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RTO location PRADESH Make HERO HONDA Variant (Sub- GLAMOUR/STANDARD

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MAK Engine No. JA06ERHGF05623 Chassis No. MBLJAR020HGF04142 Type)

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135.3 Body Type Motor Cycle Fuel Type Petrol Year of Regn 2017

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Seating
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Capacity Cubic Capacity 125 CC Year of Mfg. 2017

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ENDORSEMENT
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B Invoice Number Invoice Date Net Premium Igst Cgst Sgst Utgst Cess Gross Premium
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IA061308001 2023-03-22 752.00 135.36 0.00 0.00 0.00 0.00 887.36

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LIABILITY PREMIUM (`)

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M Basic Third-Party Liability (`) 752.00 PA cover for Owner-Driver (`) --

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IGS PA cover for 2 unamed passengers each 0 (`) -- PA cover for Paid Driver 0 (`) --
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Pri Legal Liability to Employees (`) -- Legal Liability to Paid Driver (`) --
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Net Premium (`) 752.00

IGST @ 18% = (`135.36)
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135.36
MAK
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Final Premium (`) 887.36

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OTHER DETAILS
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Previous Insurer -- Previous Policy No. --

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-- Previous Policy --
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IMT - Endorsements Expiry Date

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Unregistered 37
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GSTIN/UIN No. State Code

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Te Receipt No. RA063480086 Receipt Date 22-Mar-2023

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xt Financier Details -- Nominee Details --

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Other Detials --
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POSP INFORMATION AKA PARTNER DETAILS

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Name pokala sai sujitha

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Unique Number
Location Vijayawada
PAN Number FKGPP2823F
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Aadhaar Number xxxxxxxx7280
Mobile Number 9110357410

Go Digit General Insurance Ltd. Address: Atlantis, 95, 4th B Cross Road, Koramangala Industrial Layout, 5th Block, Bengaluru, Karnataka 560095.IRDAI Reg
No. 158 CIN U66010PN2016PLC167410, GST Reg. No.: 27AACCO4128Q1Z0 HSN: 997134/General Insurance Services, GSTIN Address: Fort Business
Centre,13th floor, Godrej Colesium, 628A/2, Kurla Village, Lokmanya Pan Bazar, Sion,Mumbai,Maharashtra,PIN-400022
https://

MA Go Digit General Insurance Ltd.

Schedule/Receipt
Digit Two-Wheeler Liability Only Policy
UIN No.: IRDAN158RP0003V01201718

Geographical Area: Any liability incurred within India shall be covered subject to Policy Terms and Conditions, unless specifically agreed and
endorsed. Limitation as to use: The policy covers use of the vehicle for any purpose other than hire or reward, racing, pace making, reliability trial,
speed testing and use for any purpose in connection with the Motor Trade. Person or Class of persons entitled to drive: Any person including the
insured. 1) Provided that a person driving holds a valid effective driving license at the time of the accident and is not disqualified from holding or
obtaining such a license. 2) Provided also that the person holding a valid effective Learner’s License may also drive the vehicle and that such a
person satisfies the requirements of Rule 3 of the Central Motor Vehicles Rules, 1989 and any subsequent amendment as applicable. Limits of
Liability: 1) Under Section II - 1 (i) of the policy: Death of or bodily injury - Such amount as is necessary to meet the requirements of the Motor
Vehicles Act, 1988 and any subsequent amendment as applicable. 2) Under Section II - 1 (ii) of the policy: Damage to Third Party Property - (`
100000) 3) P.A. Cover for Owner Driver under Section III (CSI) -(`)(per annum).

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PA Owner Driver Declaration:The Policy has been issued without Compulsory Personal Accident Cover to Owner Driver on the basis of
your declaration that you do not hold a valid Driving License on or before the date of commencement of this Policy / already have an

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alternate Personal Accident insurance cover of Rs. 15 Lakhs

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Important Note: Please inform the Company in case of change on account of addition of CNG/PNG kit.

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PUC Declaration:The Policy has been issued subject to valid Pollution Under Control (PUC) Certificate disclosed by you as an insured on or before

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the date of commencement of the Policy .Cheque dishonor / Non-receipt of payment premium paid through Cheque, the policy is void ab-initio in

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case of dishonor of Cheque or non-receipt of payment. Violation of Motor Vehicle Act: This policy is issued in accordance with the provision of

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Chapter X and Chapter XI of MV act, 1988 and any subsequent amendment as applicable. Any violation will forfeit all benefits and coverages

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under the Policy. The insured is not indemnified if the vehicle is used or driven otherwise than in accordance with this Schedule. Any payment

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made by the Company by reason of wider terms appearing in Certificate in order to comply with the Motor Vehicle Act, 1988 is recoverable from

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the insured. See the Clause headed (Avoidance Of Certain Terms And Right Of Recovery) in the policy. This policy is subject to the standard

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policy wordings, warranties and conditions applicable for this product in addition to coverages and exclusions specified in the motor vehicle tariff

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published by IRDAI. Policy would be void on the ground that it was obtained by non- disclosure of material fact or by a representation of fact

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Note: The terms and conditions detailed in this policy schedule as well as the policy document sent by Digit shall prevail in case of any dispute.

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For & On Behalf of Go Digit General Insurance Ltd.

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In case of claim or any other query, please 24
contact our 24-hour Call Centre at 1800-
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258-5956 or email us at hello@godigit.com Praveen Bhat

Senior Vice President – Customer Experience
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or visit our website www.godigit.com. praveen.bhat@godigit.com

Authorized Signatory
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Printed, Signed, and Executed at Bengaluru

Consolidated Stamp Duty has been paid as per Letter of
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Authorization No.67-B/04/2017-18 Date: 30th May 2017

issued by Department of Stamps and Registration ,
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Bengaluru- 560009 - KARNATAKA.

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Hey, our document is now digitally signed

Click here to view the certificate.
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For instant resolution, you can ping us “Hi”

on WhatsApp at 702 606 1234
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Go Digit General Insurance Ltd. Address: Atlantis, 95, 4th B Cross Road, Koramangala Industrial Layout, 5th Block, Bengaluru, Karnataka 560095.IRDAI Reg
No. 158 CIN U66010PN2016PLC167410, GST Reg. No.: 27AACCO4128Q1Z0 HSN: 997134/General Insurance Services, GSTIN Address: Fort Business
Centre,13th floor, Godrej Colesium, 628A/2, Kurla Village, Lokmanya Pan Bazar, Sion,Mumbai,Maharashtra,PIN-400022