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‘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)

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