Go Digit General Insurance Ltd.

Schedule/Certificate
Digit Private Car Liability Only Policy
UIN No.: IRDAN158RP0002V01201718

N Name MR SURESH Vehicle Registration No. GJ06FC3426

TURTLEMINT INSURANCE
C / O M MOHANLAL, # 12-3-77 /,B, RAJENDRA Partner Name BROKING SERVICES PRIVATE
Address LIMITED
GUNJ, RAICHUR,RAICHUR-584102
Partner Code 1000088

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Mobile xxxxxxxxx1981 Partner Mobile No. --

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Email bxxxxxxxxxxxxe@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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Policy No. D112149572 / 16082023 Policy Issue Date 16-Aug-2023 Invoice No. IA104538762

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From 17-Aug-2023 10:53:45 Invoice Date 16-Aug-2023
Period of Policy

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To 16-Aug-2024 23:59:59

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YOUR VEHICLE DETAILS

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Seating

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RTO Location Vadodara,GUJARAT 7
Capacity

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Make MAHINDRA AND MAHINDRA Model/Vehicle Variant (Sub-Type) XUV500/W8 1.99 mHawk

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Engine No. HJC4F80028 Chassis No. MA1YL2HJUC6F89652 Cubic Capacity 1997 CC

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Fuel Type Diesel Year of Mfg. 2012 Year of Regn. 2012
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FASTag
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1 Odometer NA
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IG FASTag NUMBER DECLARATION

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The Policy has been issued subject to your affirmative declaration that a valid FASTag has been affixed on the insured vehicle.
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ENDORSEMENT
Prime
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Invoice Number Invoice Date Net Premium Igst Cgst Sgst Utgst Cess Gross Premium
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IA104538762 2023-08-16 7897.00 1421.46 0.00 0.00 0.00 0.00 9318.46

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LIABILITY PREMIUM (`)

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7897.00 PA cover for Owner-Driver (`) --

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Basic Third-Party Liability (`)

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PA cover for 7 passengers 0 (`) -- TP for Bi-fuel kit (`)

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B Legal Liability to Paid Driver (`) --

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Legal Liability for Operation / Maintenance (`) --

PA Cover for Paid Driver (`)
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Net Premium (`) 7897.00

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IGST @ 18% = (`1421.46) 7897

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1421.46
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Final Premium (`) 9318.46

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OTHER DETAILS
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Bajaj Allianz General Insurance Co. Ltd.

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Previous Insurer
Previous Policy No. 201520020122703124100000 Previous Policy Expiry Date 08-May-2023
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G0 IMT - Endorsements
GSTIN/UIN No. Unregistered State Code 24
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Online
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Payment Mode Cheque/Transation No TM-ih5UnBQswvEyVD-1

Bank Name IFSC/MICR No --
Receipt No. RA117601334 Receipt Date 16-Aug-2023

Nominee Details --

Other details --
 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. 3) Under Section II - 1 (ii) of the policy:
Damage to Third Party Property - ` 750000 4) P.A. Cover for Owner Driver under Section III (CSI) - ` 0

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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

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Driving License on or before the date of commencement of this Policy / already have an alternate Personal Accident insurance cover of Rs. 15 Lakhs

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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 the date of commencement of the

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Policy .

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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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Cheque dishonor / Non-receipt of payment premium paid through Cheque, the policy is void ab-initio in case of dishonor of Cheque or non-receipt of payment. Violation of Motor

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Vehicle Act: This policy is issued in accordance with the provision of Chapter X and Chapter XI of MV act, 1988 and any subsequent amendment as applicable. Any violation will

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forfeit all benefits and coverages under the Policy. The insured is not indemnified if the vehicle is used or driven otherwise than in accordance with this Schedule. Any payment made

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by the Company by reason of wider terms appearing in Certificate in order to comply with the Motor Vehicle Act, 1988 is recoverable from the insured. See the Clause headed
(Avoidance Of Certain Terms And Right Of Recovery) in the policy. This policy is subject to the standard policy wordings, warranties and conditions applicable for this product in

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addition to Indian Motor Tariff. Policy would be void on the ground that it was obtained by non- disclosure of material fact or by a representation of fact which was false in some

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material particular.

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Note: The policy is issued in utmost good faith, relying on the information shared by insured at the time of obtaining the policy. The terms and conditions detailed in this policy schedule as

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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

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In case of claim or any other query, please

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contact our 24-hour Call Centre at 1800-258-

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5956 or email us at hello@godigit.com or visit
our website www.godigit.com
-0 Praveen Bhat
Senior Vice President-Customer Experience
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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
Authorization No.67-B/04/2017-18 Date: 30th May 2017
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issued by Department of Stamps and Registration ,

Bengaluru- 560009 - KARNATAKA.
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Hey, our document is now digitally signed

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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:Andheri Business Centre,Office No 314,Summit
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Business Bay, Andheri Kurla Rd,Opp PVR Cinema, Andheri (E),Mumbai,Maharashtra,PIN-400093

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