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MA Go Digit General Insurance Ltd.

Schedule/Receipt
Digit Two-Wheeler Liability Only Policy
UIN No.: IRDAN158RP0003V01201718

Name KARAN BAHADUR SINGH Vehicle Registration No. UP33BC3489

Address L 24 R.D.A COLONY INDIRA NAGAR,Rae Quickinsure Insurance Brokers Private
Partner Name
Bareli Uttar,RAEBARELI-229001 Limited
1000261

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Partner Code

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Mobile xxxxxxxxx6462 Partner Mobile No. --

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Email sxxxxxxxxxxxxxxx5@gxxxl.com Partner Email service@quickinsure.co.in

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Aadhar No. For Claims, contact us at 1800-258-5956

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YOUR POLICY DETAILS

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Policy No. D143751057 / 15042024 Policy Issue Date Invoice No. IA130717757

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16-Apr-2024 16:06:25

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From
IGS Period of Policy Policy Term 1 Year

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To 15-Apr-2025 23:59:59

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PB From --
Invoice 15-Apr-2024
Period of Policy for PA Owner Driver

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To -- Date

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YOUR VEHICLE DETAILS

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Raebareli,UTTAR

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Model/Vehicle JUPITER/CLASSIC DISC
RTO location PRADESH Make TVS

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MAK Variant (Sub- BSIV
G01 Engine No. EG4GJ1439375 Chassis No. MD626EG4XJ1G90747 Type)

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119.5
Body Type Scooter Fuel Type Petrol Year of Regn 2019

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Seating

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Capacity Cubic Capacity 110 CC 25 Year of Mfg. 2019
FASTag Financier
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Odometer
Number Details
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ENDORSEMENT
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Invoice Number Invoice Date Net Premium Igst Cgst Sgst Utgst Cess Gross Premium
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IA130717757 2024-04-15 664.00 119.52 0.00 0.00 0.00 0.00 783.52

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IGS LIABILITY PREMIUM (`)

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FH Basic Third-Party Liability (`) 664.00 PA cover for Owner-Driver (`) --

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PA cover for 2 unamed passengers each 0 (`) -- PA cover for Paid Driver 0 (`) --
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MAK Legal Liability to Employees (`) -- Legal Liability to Paid Driver (`) --
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Net Premium (`) 664.00

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IGST @ 18% = (`119.52) 119.52

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Final Premium (`) 783.52

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Previous Insurer -- Previous Policy No. --

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IMT - Endorsements IMT-20 Expiry Date --

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GSTIN/UIN No. Unregistered State Code 9

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Receipt No. RA158635183 Receipt Date 15-Apr-2024

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Nominee Details --
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Other Detials --
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Go Digit General Insurance Ltd, GST Reg No 27AACCO4128Q1Z0 , PAN No:- AACCO4128Q, HSN: 997134/General Insurance Services, GSTIN Address :Pune
Business Centre,1st to 6th Flr, Ananta One, Pride Hotel Lne, Narveer Tanaji Wadi,Pune,Maharashtra,PIN-411005. Website : www.godigit.com.
Corporate office Address : Atlantis, 95, 4thB Cross Road, Koramangala Industrial Layout, 5thBlock, Bengaluru, Karnataka, PIN – 560095, IRDAI Reg No. 158,
CIN – U66010PN2016PLC167410
https://

MA Go Digit General Insurance Ltd.

Schedule/Receipt
Digit Two-Wheeler Liability Only Policy
UIN No.: IRDAN158RP0003V01201718

POSP INFORMATION AKA PARTNER DETAILS

Name SANDEEP MAURYA

Unique Number Q558983338617012563

Location MRG

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PAN Number CETPM1512G

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Aadhaar Number xxxxxxxx8617

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Mobile Number 9621969664

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Geographical Area: Any liability incurred within India shall be covered subject to Policy Terms and Conditions, unless specifically agreed and

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endorsed. Limitation as to use: The policy covers use of the vehicle for any purpose other than hire or reward, racing, pace making, reliability trial,

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speed testing and use for any purpose in connection with the Motor Trade. Person or Class of persons entitled to drive: Any person including the

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insured. 1) Provided that a person driving holds a valid effective driving license at the time of the accident and is not disqualified from holding or

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obtaining such a license. 2) Provided also that the person holding a valid effective Learner’s License may also drive the vehicle and that such a

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person satisfies the requirements of Rule 3 of the Central Motor Vehicles Rules, 1989 and any subsequent amendment as applicable. Limits of

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Liability: 1) Under Section II - 1 (i) of the policy: Death of or bodily injury - Such amount as is necessary to meet the requirements of the Motor

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Vehicles Act, 1988 and any subsequent amendment as applicable. 2) Under Section II - 1 (ii) of the policy: Damage to Third Party Property - (`

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6000) 3) P.A. Cover for Owner Driver under Section III (CSI) -(`)(per annum).

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PA Owner Driver Declaration:The Policy has been issued without Compulsory Personal Accident Cover to Owner Driver on the basis of

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your declaration that you do not hold a valid Driving License on or before the date of commencement of this Policy / already have an

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alternate Personal Accident insurance cover of Rs. 15 Lakhs

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Important Note: Please inform the Company in case of change on account of addition of CNG/PNG kit.

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PUC Declaration:The Policy has been issued subject to valid Pollution Under Control (PUC) Certificate disclosed by you as an insured on or before

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the date of commencement of the Policy .Cheque dishonor / Non-receipt of payment premium paid through Cheque, the policy is void ab-initio in
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case of dishonor of Cheque or non-receipt of payment. Violation of Motor Vehicle Act: This policy is issued in accordance with the provision of
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Chapter X and Chapter XI of MV act, 1988 and any subsequent amendment as applicable. Any violation will forfeit all benefits and coverages
under the Policy. The insured is not indemnified if the vehicle is used or driven otherwise than in accordance with this Schedule. Any payment
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made by the Company by reason of wider terms appearing in Certificate in order to comply with the Motor Vehicle Act, 1988 is recoverable from
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the insured. See the Clause headed (Avoidance Of Certain Terms And Right Of Recovery) in the policy. This policy is subject to the standard
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policy wordings, warranties and conditions applicable for this product in addition to coverages and exclusions specified in the motor vehicle tariff
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published by IRDAI. Policy would be void on the ground that it was obtained by non- disclosure of material fact or by a representation of fact
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Note: The policy is issued in utmost good faith, relying on the information shared by insured at the time of obtaining the policy. The terms and
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conditions detailed in this policy schedule as well as the policy document sent by Digit shall prevail in case of any dispute.
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For & On Behalf of Go Digit General Insurance Ltd.

Wish to go through your detailed policy wordings,
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click here .
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In case of claim or any other query, please contact our 24-

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hour Call Centre at 1800-258-5956 or email us at Praveen Bhat

Senior Vice President – Customer Experience
hello@godigit.com or visit our website Digit Insurance: Car,
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praveen.bhat@godigit.com
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Authorized Signatory
Bike, Health & Travel Insurance Online . Printed, Signed, and Executed at Bengaluru
Consolidated Stamp Duty has been paid as per Letter of
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For instant resolution, you can ping us “Hi” on WhatsApp Authorization No.67-B/04/2017-18 Date: 30th May 2017
issued by Department of Stamps and Registration ,
at 702 606 1234 Bengaluru- 560009 - KARNATAKA.
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For Claims Notification and Procedure click here. Hey, our document is now digitally signed
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Click here to view the certificate.

For instant resolution, you can ping us “Hi”
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on WhatsApp at 702 606 1234

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Go Digit General Insurance Ltd, GST Reg No 27AACCO4128Q1Z0 , PAN No:- AACCO4128Q, HSN: 997134/General Insurance Services, GSTIN Address :Pune
Business Centre,1st to 6th Flr, Ananta One, Pride Hotel Lne, Narveer Tanaji Wadi,Pune,Maharashtra,PIN-411005. Website : www.godigit.com.
Corporate office Address : Atlantis, 95, 4thB Cross Road, Koramangala Industrial Layout, 5thBlock, Bengaluru, Karnataka, PIN – 560095, IRDAI Reg No. 158,
CIN – U66010PN2016PLC167410
https://

MA Go Digit General Insurance Ltd.

Schedule/Receipt
Digit Two-Wheeler Liability Only Policy
UIN No.: IRDAN158RP0003V01201718

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Go Digit General Insurance Ltd, GST Reg No 27AACCO4128Q1Z0 , PAN No:- AACCO4128Q, HSN: 997134/General Insurance Services, GSTIN Address :Pune
Business Centre,1st to 6th Flr, Ananta One, Pride Hotel Lne, Narveer Tanaji Wadi,Pune,Maharashtra,PIN-411005. Website : www.godigit.com.
Corporate office Address : Atlantis, 95, 4thB Cross Road, Koramangala Industrial Layout, 5thBlock, Bengaluru, Karnataka, PIN – 560095, IRDAI Reg No. 158,
CIN – U66010PN2016PLC167410