Insured Business/Profession Address of The Insured TP Valid From TP Valid To
Mr KESHAVDAS S/O ABHIRAMDAS JI JAG NADI BAROD TEH 18-04-2024 Midnight of Self Employed MAKSOODANGARH Guna MADHYA PRADESH 473287 , BAIRAGI Mobile No XXXXXX1054 11:38:43 17-04-2029 Vehicle Regn No. Engine No. Chassis No. Make & Model Year of Mfg Cubic Capacity GSTIN No. (Customer) Hero MotoCorp HF New HA11EBR9C02697 MBLHAC043R9C55287 DELUXE 2024 100 N/A HDLXADRKCFI- Declared Value Side Car IDV Non-Electrical Accessories Electrical Accessories IDV CNG/LPG/Bi- Total IDV (IDV) of Vehicle IDV Fuel IDV 56951.00 NA 0.00 0.00 0.00 56951 Place of Regn. Body Type HP/Lease/Hire-Purchase Branch Office of Seating Premium Agreement With HP/Lease/Hire-Purchase Capacity Guna Solo HERO FINCORP LTD, HPA GUNA 2 5505.00 Section A B. Liability Premium Computation (Section II) in Rs. Basic OD Premium : 382.00Basic Third Party Liability : 3851.00 Non-Electrical-Fitting Premium : 0.00TPPD Discount : 0.00 Electronic & Electrical Accessories : 0.00Total : 3851.00 Bi-Fuel Kit : 0.00CNG/LPG/Bi-Fuel Kit : 0.00 Geographical Extension : 0.00Geographical Extension : 0.00 ND Plus Cover : 137.00Add Less : Compulsory PA Cover (Owner Driver) : 295.00 Handicapped Discount : 0.00Optional PA Cover(Un Named Passenger) : 0.00 For Anti-Theft Discount : 0.00Optional PA Cover(Un Named Driver) : 0.00 NCB : 0.00Legal Liability Cover (Paid Drivers, Cleaners) : 0.00 Total Own Damage Premium(A) : 519.00Legal Liability Cover (Per Licensed Passenger) : 0.00 Total Liablity Premium (B) : 4146.00 Total Premium (A + B) : 4665.00 For any other extra : 0.00 IGST @ 18.00% : 840.00 Gross Premium : 5505.00 1.RegistrationNo.:58||2.LicenceNo.:1424542||3.CNNNo.:U10200WB1906GOI001713||4.GST No.:07AAACN9967E1Z5 ||UIN No.-IRDAN0 58RP0005V01201819 18-04-2024 To 17-04- 18-04-2025 To 17-04- 18-04-2026 To 17-04- 18-04-2027 To 17-04- 18-04-2028 To 17-04- OD Policy Period 2025 2026 2027 2028 2029 IDV 56951 NIL NIL NIL NIL CPA Rs. 15 lakhs. NIL NIL NIL NIL DRIVER: Any person including insured: Provided that a person driving holds an effective driving licence at the time of the accident and is not disqualified from Holding or obtaining such a licence.Provided also that the person holding an effective Learner's Licence may also drive the vehicle and that such a person satisfies the requirements of Rule 3 of the Central Motor Vehicle Rules, 1989. LIMIT OF LIABILITY: Limit of the amount of the Company's liability under the Section II-I(i) in respect of any one accident as per M.V. Act 1988. Limit of the amount of the Company's liability under Secion II-I(ii) in respect of any one claim or series of claims arising out of one event : Upto Rs - 100000/ I/We certify that the policy to which the certificate relates as well the certificate of insurance are issued in accordance with the provisions of Chapter X & XI of M.V. Act 1988 Broker Hero Insurance Broking India Pvt. Ltd. The policy is subject to a Received Vide compulsory excess of Rs. 100/- & Premium of Rs. 5505.00 Cash/Cheque No. CASH Depreciation is applicable as per Dated Nominee Name ABHIRAMDAS JI policy terms & conditions* (Please turn overleaf for details) Drawn on Nominee Age 80 Consolidted Stamp Duty Paid Acknowledgement 18-04-2024 Nominee Relation Father Endorsements: IMT - 22,5 Dt On behalf of NATIONAL Registration No: 649 Tel No: 1800-102-4376 INSURANCE COMPANY LIMITED 18-Apr-2024 FOR RENEWALS CONTACT: POS: BRIJESH SAHU, AUTPS3141H Date & Signature of Ph.No- 942-5134560 proposer
# : Received with Thanks Rs 5505.00 from Mr KESHAVDAS BAIRAGI as premium against the money receipt no 024231244743968 Regd. & Head Office : Premises No.18-0374, Plot No. CBD-81, New Town, Kolkata-700156 Service Tax Registration Number - AAACN996EST099 For further information about motor insurance policy please also visit http://irda.gov.in >> Grievances >> Policyholder Handbooks