‘he Nese Assurance Co. Lh
Teen ot co tnacen DO 1722, NEW INDIA CENTRE, IST FUR, 17~A COOPERAGE ROAD.
Fer Oe Cocke 2) NNO, PH-D22-22821458 Went: pine 058
Aa see Cetin: TTAANCNAWGSC3ZP Insure s IRDA Rezisteation Number: 190
Fae nee 1800 00-1815 Pm mn. 121408@ neue coin CIN U9HED MUNDLS GOH 526
PRIVATE CAR PACKAGE POLICY-CERTIFICATE CUM POLICY SCHEDULE CUM
RECEIPT
(ona! OF THE CENTRAL MOTOR VEKICLE RULES, 199)
= masini ae en MH
art a eatonrenay nt ANNAN) sr tn Pine (NVIDIA
Sag TTT ST TRAST TT TIT
ie ek vraag am SUN TPNH
f — Tae Se =I
ai SGN ian = ial Sapiens am MTT
ae Ga RSURINCE DRORINGE ROVSORY SERTICESTIW, 1 FLOOR. AFC HOUSE (OK WHAERTT COMPLE MAROL NAROST ROAD:
rt eka MOMAL An 08 INDIA
= ‘Mowe ‘Seabed Manulctrng Yor ‘Scag pay
Beis ve een ero Teva Dae agi Gani
a en TECRROW TaN REVIRNOSORVIGSTIN | MATEOITEIKEES)
Your GIRO KE Ties cower | Newie Accoues Foe
“sae « o c Toa
‘Scveduls of Pramfom (Amount in RS)
‘ive Damage Premio (A) “Linley Prin (8)
{| ase Premium ‘Bask Third Pasty Labi 2
vehale Ti) ay Lay For Bs Ft a
of Tha Fay Lab Fo Gopal Asa Exton A
‘le Acseris (88725) Of PA Cove or Over river OF Rs. 1500000 (OT) a
af PA Cover Ford Pecoas ft 200000 Ech GATS)
[Sub ota (Base Presta) “Zaa| PA cover for Pad Dever of Rs 76,000 (TATE-17) 1 a
“a On Coverages (Referee!)
TL Fe Pave OA 2) a
cep ra en (AT) alr iy renee Open) OMT q
TAT Premium 9] Nes Liab Premium ()_ 3.8]
cer arAre “ies Toa Penton aH
Tei iesra ml
‘Voolaneary Dedhtibes (0) (UMT-22A) 10] Grose Premium Paid oe 12085}
ra Tt Deve (OT 1 {SS TN |
went NT) foe cscsacreetwag lies
[Sst Pe nen a
Se Fo Oro) | spate pias
“RES yom cane it hp enn ci wih
Sameer:
‘Nei Damage Premio (4) Tons) acai ho Namen 2823
[Rae of Nominee 1 ‘EET ws sored | Naw at Appatier Tenap wTNownee
NIKIEAT AFKOZ. ‘« MOTHER Nae oka
Tap UT SARTRE ae IC SH STFC BAS TTA
nai Totes lah PAX Nar 8 \NCAINAES. AIS Co:FMBASLAISPAANCSEIE
Sa HE OO A or hee Isaac Server, Maco Sopp UTTAR PRADESH CoGEID, trp etme 2 90006
See yl tw esc lasar wel ni cee sone ed cere wht rr Capes and Cee toe
‘For & On Behalf of The New India Assurance Co. Lid,
Dealer Coie: SRM MOTORS - 300020000 Ge
Asaterized Spans
nei ofan orssnee mye pect orp in 800209 Maan yoy sk eh a appari attr smeanehrkeram
OFFICE-
(422200) (Auto Deoters Divisional Office)