AUTO SECURE- STANDALONE OWN DAMAGE TWO WHEELER POLICY

Policy No. Issued at HERO INSURANCE BROKING INDIA PVT LTD.

HDFC ERGO General Insurance Company Limited IRDA Registration No.: 649
2312910084879702000
Plot no. C-9, 3rd flr, Pearl Best Heights-II, Netaji Toll-Free No.: 1800 102 4376
Subhash Palace, Pitampura,N.Delhi - 110034 264, Okhla Ind. Estate, Phase-III, Delhi-110020
Prev. Policy No.
Tel:+91 02262346234 / +91 12062346234
2312910084879701000
visit the help section of www.hdfcergo.com

Insured Business/Profession Address of The Insured OD Valid From OD Valid To

Mr MD VASI AHMAD Business F-39/30 ABUL FAZAL ENCLAVE PART-II SHAHEE 01-01-2023 0:00:00 Midnight of 31-12-
N BAGH DELHI DELHI 110025 2023
Cubic GSTIN No.
Vehicle Regn No. Engine No. Chassis No. Make & Model Year of Mfg
Capacity (Customer)
DL-14-SL-4338 JA06ETKGF09506 MBLJAW110KGF07148 Hero MotoCorp 2020 110
PASSION XPRO_
Declared Value (IDV) Side Car IDV Non-Electrical Electrical CNG/LPG/Bi-Fuel IDV Total IDV
of Vehicle Accessories IDV Accessories IDV
34920.00 NA 0.00 0.00 0.00 34920
Place of Regn. Body Type HP/Lease/Hire-Purchase Branch Office of Seating Capacity Premium
Agreement With HP/Lease/Hire-
Purchase
HDB FINANCIAL
EAST DELHI Solo SERVICES LIMITED, --- 2 786.00
HPA
OWN DAMAGE (Section A)
Basic OD Premium : 596.00
Non-Electrical-Fitting Premium : 0.00
Electronic & Electrical Accessories : 0.00
Bi-Fuel Kit : 0.00
Geographical Extension : 0.00
ND Cover : 279.00
Less :
Handicapped Discount : 0.00
For Anti-Theft Discount : 0.00
NCB (35 %) : 209.00
Total Own Damage Premium(A) : 666.00
CGST @ 9.00% : 60.00
SGST @ 9.00% : 60.00
Gross OD Premium : 786.00
RegistrationNo.:146||CINNo.:U66030MH2007PLC177117||HSN/SAC:997134|| GSTIN No.:07AABCL5045N1ZA ||UIN No.-IRDAN125RP0002V01201920||UIN No.-IRDAN125P
0001V01201516||IRDAN125RP0009V01202122/A0053V01202122||IRDAN125RP0002V01201920/A0015V01201920
Bundled Two Wheeler Policy (1 Year Term for Own Damage & 5 Years for Third Party) details
Certificate & Policy No. Policy Type Insurance Company Name TP Cover Start Date TP Cover End Date
Bundled Auto Secure - Two
Wheeler Policy (1 Year Term for
HRO/SH143178 Bharti AXA General Insurance 01/01/2020 31/12/2024
Own Damage & 5 Years for Third
Party)
LIMITATIONS AS TO USE:--The Policy covers use of the vehicle for any purpose other than: a) Hire Or Reward b) Carriage of goods (other than samples or
personal luggage) c) Organized Racing d) Pace Making e) Speed Testing f) Reliability Trials g) Any purpose in connection with Motor Trade.
DRIVER: Any person including insured: Provided that a person driving holds an effective driving licence at the time of the accident and is not disqualified from
Holding or obtaining such a licence.Provided also that the person holding an effective Learner's Licence may also drive the vehicle and that such a person
satisfies the requirements of Rule 3 of the Central Motor Vehicle Rules, 1989.
IMPORTANT NOTICE:--The insured is not indemnified if the vehicle is used or driven otherwise than in accordance with this Schedule. Any payment made by
the company by reason of wider terms appearing in the 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 RIGHTS OF RECOVERY'
I/We certify that the policy to which the certificate relates as well the certificate of insurance are issued in accordance with this provisions of Chapter X & XI of M.V. Act 1988
Note: The policy covers damage to Vehicle only & NO other Liability is attached to this policy.
Broker : Hero Insurance Broking India Pvt. Ltd.
Premium of Rs. 786.00 Received Vide CASH
Cash/Cheque No.
NAZMA The policy is subject to a compulsory excess of Rs. 100/- &
Dated Nominee Name Depreciation is applicable as per policy terms & conditions*
KHATUM
Drawn on Nominee Age 45 (Please turn overleaf for details)
Consolidated Stamp Duty Paid Endorsements : IMT - 22,5
Acknowledgement 28-12- Nominee Relation Wife
Dt 2022
FOR RENEWALS CONTACT: HIMGIRI AUTOMOBILES PVT. LTD. Ph.No- 011- On behalf of HDFC ERGO General Insurance Company
22813135 Limited

01-Jan-2023
Date & Signature of A-74 MAIN ROAD KANTI NAGAR DELHI
proposer

Dealer's Stamp & Signature Duly Constituted Attorney

# : Warranted that the insured named herein/owner of the vehicle holds a valid Pollution Under Control (PUC) Certificate and/or valid fitness
certificate, as applicable, on the date of commencement of the Policy and undertakes to renew and maintain a valid and effective PUC and/or fitness
Certificate, as applicable, during the subsistence of the Policy. Further, the Company reserves the right to take appropriate action in case of any
discrepancy in the PUC or fitness certificate.
# : Received with Thanks Rs 786.00 from Mr MD VASI AHMAD as premium against the money receipt no 029100848797020
Customer Service Address : D-301, 3rd Floor, Eastern Business District (Magnet Mall), LBS Marg, Bhandup (West), Mumbai - 400 078
For further information about motor insurance policy please also visit www.irdai.gov.in >> Grievances >> Policyholder Handbooks