नवीकरण सूचना Renewal Notice : Motor - Two Wheelers Package

समाप्त होनेवाली पॉलिसी की पॉलिसी संख्या/ Expiring

Policy Number :36140031226202429598
जारीकर्ता कार्यालय/Issuing Office:
कार्यालय कोड/Office Code:361400
कार्यालय पता/Office Address:Gurgaon Division ISCO
41-43, Sector 31/32 A, Gurgaon, Gurgaon,
Haryana
राज्य कोड/State Code: 6 , Haryana
GSTIN: 06AAACN9967E2Z6
व्यवसाय स्रोत/ Business Source Code : 910631
विक्रय चैनल कोड/ Sales Channel Code :91063100000002
नाम/ Name : Gurgaon Division I
संपर्क संख्या/ Contact Number: 8766323549
Customer Care Toll Free Number:
1800 345 0330
email:customer.support@nic.co.in

ग्राहक का नाम Customer Name: JITENDRA

कस्टमर आई.डी./ Customer ID: 9566149934 पैन /PAN:
SINGH
पता/ Address: VPO - SIKOHPUR###, शहर/ City: फोन /Phone:
GURGAON - DISTRICT OTHERS, जिला/ District:
GURGAON, राज्य/ State:HARYANA, पिन/
ई-मेल E-Mail: umed08@gmail.com
PIN:122051
सेल/Cell: 9717000022

Dear Sir/Madam,
This is to bring to your kind notice that your insurance policy expires on 11/01/2024. In case you require to revise the insured value or any other details
for the renewal period, Please contact us at an early date at the above mentioned address. We will advise you the revised premium payable on receipt of changes
required by you.
1. To enable the insurance to be kept in force the annual premium should be paid on or before the date of Expiry.
2. Kindly bring RC Copy of the vehicle for our records, if not given earlier.
3. No claim Bonus is subject to no claim made on the company on or before the date of expiry in respect of loss or damage to the said vehicle and/or policy is
renewed with the company within 90 days from the date of expiry.
4. For all policies having an effective date on or after 1st April 2023, if there is any revision in Motor Third Party (TP) rates, the difference in premium due to the revised
rates will be payable by the policyholder immediately, and if such revised premium is not paid then the motor insurance policy will not be valid.

The renewal details of the expiring policy are given below.

36140031216201938638 & दावे/

पिछली पॉलिसी एवं दावा की गिनती/ Claims:0
नवीकरण प्रीमियम/ Renewal Premium ` 801.99
Previous Policy and Claims Count: 36140031226202429598 & दावे/
Claims:0
सीजीएसटी/ CGST ` 72.00
` 72.00 प्रस्ताव संख्या व तारीख/ Proposal 22122836140010002437 दिनांक/Dt.
एसजीएसटी/यूटीजीएसटी/SGST/UTGST
Number and Date 14/11/2023
` 0.00
IGST
स्टाम्प ड्यूटी/ Stamp Duty ` 0.00
( रूपए/Rupees Nine Hundred Fourty Six केवल/ Only.)
कुल राशि /Total Amount* ` 946.00
Vehicle Details
Vehicle IDV ` 12,498.00 Regn. Number HR-26-DB-0510
IDV <Trailer / Sidecar> NA Engine or M/c No. JF50E76053116
Electrical Accessories NA Chassis Number ME4JF509AH7053048
Non Electrical Accessories NA Regn. Authority Gurgaon
Fiber Glass Tank NA Geographical Area India
Honda Motorcycle and Scooter India Pvt
CNG/LPG Unit NA Make
Limited
Total IDV ` 12,498.00 Model Honda Activa
Addl. Towing Charges NA Variant 110 3G
CC / GVW 110 Class of Vehicle Motor Cycle
Licensed Seating / Carrying Capacity 2 Body Type / Colour OTHERS/White
Year of Mfg. 2017 Regn. Date 01/01/2017

Vehicle Own Damage Insurance Details

No Claim Bonus%* 50 *No claim Bonus is subject to no claim made on the company on or before
Foreign Embassy Name N the date of expiry in respect of loss or damage to the said vehicle and/or
Sidecar Seating Capacity 2 persons policy is renewed with the company within 90 days from the date of expiry.
Compulsory Excess ` 100.00
Imposed Excess ` 0.00 Loss of Accessories Covered No
Nil Depreciation Covered No

Third Party Insurance Details

Limit of liability
Such amount as is necessary to meet the requirement of the motor vehicles Act 1988
under section II-I(i)
under section II-I(ii) ` 1,00,000.00 in respect of any one claim or series of claims arising out of one event/occurrence.

Very Important : In accordance with the provisions of Insurance Act 1938, renewal of the policy may not be effected unless the premium has been paid on or
before the renewal date. Your attention is drawn to the provisions of Section 41 of Insurance Act, 1938 – Prohibition of rebates (Amended as per The
Insurance Laws (Amendment) Act, 2015
1. No person shall allow or offer to allow either directly or indirectly, as an inducement to any person to take out or renew or continue insurance in respect of

Printed on 14/11/2023 पृष्ठ सं/Page no: 1

* This is a system generated document and does not require any signature
नवीकरण सूचना Renewal Notice : Motor - Two Wheelers Package
समाप्त होनेवाली पॉलिसी की पॉलिसी संख्या/ Expiring
व्यवसाय स्रोत/ Business Source Code : 910631
Policy Number :36140031226202429598
जारीकर्ता कार्यालय/Issuing Office: विक्रय चैनल कोड/ Sales Channel Code :91063100000002
कार्यालय कोड/Office Code:361400 नाम/ Name : Gurgaon Division I
कार्यालय पता/Office Address:Gurgaon Division ISCO संपर्क संख्या/ Contact Number: 8766323549
41-43, Sector 31/32 A, Gurgaon, Gurgaon,
Haryana Customer Care Toll Free Number:
राज्य कोड/State Code: 6 , Haryana 1800 345 0330
GSTIN: 06AAACN9967E2Z6 email:customer.support@nic.co.in
any kind of risk relating to lives or property in India, any rebate of the whole or part of the commission payable or any rebate of the premium shown on the
policy nor shall any person taking out or renewing or continuing a policy accept any rebate except such rebate as may be allowed in accordance with the
prospectus or tables of the Insurer.
2. Any person making default in complying with the provisions of this section shall be liable for a penalty which may extend to ten lakh rupees.

For and on behalf of

National Insurance Company Ltd.,

Authorized Signatory

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* This is a system generated document and does not require any signature
 Motor - Two Wheelers - Package
पॉलिसी संख्या/Policy Number:
जारीकर्ता कार्यालय/ Issuing Office
कार्य़ालय कोड/Office Code: 361400
कार्यालय का पता/ Office Address: Gurgaon Division
ISCO 41-43, Sector 31/32 A, Gurgaon, Gurgaon,
Haryana.
राज्य कोड/State Code: 6 , Haryana
जीएसटीआईएन/GSTIN GSTIN: 06AAACN9967E2Z6
संपर्क संख्या/Contact Number:
व्यवसाय स्रोत /Business Source: 910631
विक्रय चैनल कोड / Sales Channel Code:
91063100000002
नाम/ Name: POLICY BAZAAR INSURANCE
BROKERS PRIVATE LIMITED - OFFICE
संपर्क संख्या /Contact Number: 8766323549
Customer Care Toll Free Number:1800 345
0330
email:customer.support@nic.co.in

मोबाइल संख्या /Mobile Number:

Issuing Office - Gurgaon

Division ISCO 41-43, Sector 31/32 Insured's Address:VPO - SIKOHPUR###,City:GURGAON - DISTRICT
A, Gurgaon, Gurgaon, Haryana OTHERS,District:GURGAON,State:HARYANA,PIN:122051.Cell:9717000022
Telephone:

Dear Sir/Sirs/Madam,

Ref : Renewal Of Motor Policy 36140031226202429598

With reference to your renewal notice(s) please renew the policy 36140031226202429598 for further period of one year. A remittance
of 946/- only towards renewal premium is attached herewith by way of Cash/Cheque/DD No .___________Dt.__/__/______.

Date: Payment due on:

Place: pay by: Yours Faithfully

Note:

1.Kindly ignore this notice in case if you have already renewed the policy.

2.For better service, do attach, copy of RC Book.

Printed on 14/11/2023 पृष्ठ सं/Page no: 3

* This is a system generated document and does not require any signature