Policy No: 0171277372 00 02

MR SAHIL SAURABH
NEW ATWARPUR ADITYAPURI, KURTHAUR, KURTHAUR,
PATNA
PATNA ­ 804453
PATNA
BIHAR
INDIA
Place of supply ­BIHAR
State code ­10
Date: 03/02/2023
Dear Sir/Madam,

Sub: Endorsement of your Request

Re.: Policy Details:
Policy Number 0171277372 00 02
Own Damage Policy Period 31/03/2022 to 30/03/2023
Liability Policy Period 31/03/2022 to 30/03/2027
Endorsement No. 2
Endorsement Effective Time and 00:01 Hours ;
Date 03/02/2023
A.Own Damage Total Premium (Including
00.00
GST)
B.Liability Total Premium (Including GST) 00.00
C.Transfer Fee (Including GST) 50.00
Total Premium A + B + C (Including GST) 50.00

Greetings from Tata AIG General Insurance Company Limited!

Transfer Of Ownership of vehicle­Normal

In accordance with your intimation, we hereby confirm that the interest in the captioned policy is transferred and vested in you. You shall be deemed to be the insured and your
proposal and declaration shall be deemed to be incorporated in and shall be the basis of this policy. Provided always that for the purpose of No Claim Bonus, no period during
which the interest in this policy has been vested in any previous insured shall accrue to your benefit

This endorsement forms part of the captioned policy with all other terms, exceptions, conditions and limitations of the policy remaining unaltered.

We assure you of our best services at all times.

Regards,

For Tata AIG General Insurance Company LTD.

Authorized Signatory

TATA AIG General Insurance Company Ltd. Regd. Office: 15th floor, Tower A, Peninsula Business Park,Ganpatrao Kadam Marg, Off Senapati Bapat Marg, Lower Parel, Mumbai­ 400 013.
IRDA Registration No.108, CIN No : U85110MH2000PLC128425, PAN : AABCT3518Q, UIN No.: IRDAN108RP0007V01201819
Website: www.tataaig.com 24X7 Tollfree Helpline 1800­266­7780 E­mail: customersupport@tataaig.com
 RECEIPT

Receipt No. : 102001041613051 Receipt Date : 03/01/2023

Policy No : 0171277372 00 02

Received with thanks from TATA AIG GICL CS a sum of 50.00 ( Rupees Fifty And Paise Zero Only)

Sr. Policy Utilized from the receipt for

Total Premium ( ) Balance ( )
No. Number policy ( )
1 0171277372 00 02 50.00 50.00 0.00

Note:
1. This is a computer generated receipt and does not require a signature.
2. Upon issuance of this Receipt, all previously issued temporary receipts, if any, related to this Policy shall be considered null and void.
3. Amounts received by cheque shall be subject to realisation.
4. Any amount received in excess of the Premium is being/shall be refunded by the Company.

GSTIN : 10AABCT3518Q1ZB ­ BIHAR Service Accounting Code : 997134

TATA AIG General Insurance Company Ltd. Regd. Office: 15th floor, Tower A, Peninsula Business Park,Ganpatrao Kadam Marg, Off Senapati Bapat Marg, Lower Parel, Mumbai­ 400 013.
IRDA Registration No.108, CIN No : U85110MH2000PLC128425, PAN : AABCT3518Q, UIN No.: IRDAN108RP0007V01201819
Website: www.tataaig.com 24X7 Tollfree Helpline 1800­266­7780 E­mail: customersupport@tataaig.com