a SHRIRAM GENERAL INSURANCE COMPANY LIMITED iestainam E.EPIP SITAPURAINDUSTRIAL AREAJAPUR, B CONTACT(TOLL FREE): 1800 ~ 30030000, 1800 ~ 1033009, ceRT#IcATE CUM PoLicY scHEDULE “Eman aeer Re inane TE en (Branch Address 5-06, Near PG Colege, Ravra Setar 3/NH—Jeranch Office Phone Nar [1978-24161 278167 21, BILASPUR, HIMACHAL PRADESH - 17400) a Hiey NB {T0S0Si731/24/008755 ed's Code/ Name _|IN-31735801 / MR. RAINEESH KUMAR — |@sTIN No. Of Insured —_[U™edisiored “insured Address "HNO 49 PANSAL 3 VILL PANSAI TEH NADAUN PANSAI MANDI HIMACHAL PRADESH MAMIRPUR(HP) (ANDI, HIMACHAL PRADESH 177081 iz Q MORESH KUMAR ~ NANOODODATSS [Period of Insurance [From 10:32 Hrs of 08/01/2028 To [Mignight oF 07/01) 2025 IMOKESH KUMAR PSOD00005495. Hobie No.-7018214581- Tol/Phone No, 7018214581 CIN NO.U66010R32006PLC029979 ENR? 7aSU. RA-NA esue Date, RA 5787 ie Ser rjuTest Sar ons lrotat faara an Nominee for [Sucesh Kamer lOwner/Oriver Eg [Nominee Relationship _/v"e" nA intee Relationship — [A ENGINE NO. & CHASSIS NO. |WAKE= MODEL _|TYPE OF BODY / [CUBIC CAPACITY ] [DATE OF SEAT CAP FUELTYPE | |WATT/YEAROF | |REGN./ | INCL. os | wes — (MAN. ELIVERY m) KLOBNAAEDI22 & IMamuTi suzuxt- Juatcnsack 7 [998/0/2013 orazy201s Ja 1 {8 RTO HAMIRPUR A3eADE:SC082«267 Jaro 10x |perRou. ‘Battery Numi Motor Number {ov FORTHE ]rDv FoR NOW ELECTRICAL ELECTRICAL ‘SI FOR NAMED [ENG/(PGKICST | TOTAL VALUE ‘vent ‘TRAILER [ACCESSORIES [ACCESSORIES [PERSON ‘Own Damage Policy Period ‘ability Polley Period om oats eto [e/l/soot™ fo Cte 8 tne [07/1/2025 5:59 em Date Tine [OH/GH/z024 F Date 8 Tine [07/01/2025 23°59] 30:32 Hrs Hrs of Ment 30:52 Hrs Hrsof Meniaht ‘SCHEDULE OF PREMIUM xo TOABIAY 100 Tora. 1383.0 BASIC TP COVER 2098.0 "TOTAL PREMIUM [3782.00] ADD {GRI6A-PA FOR OWNER DRIVER. 35 ‘ADD : SGST/UTGST 9.00% 341.00 TP TOTAL 2409.0 340 PREMIUM AMOUNT 474.0 ‘The above Teta 00 Premizn inci of al appcable Loncing/ Dacor vi (AutomaieAsocion,Velutary Excess Ant Thel, Henieap Fern, Deve Tee, tre Cl non. Cnn xn, Enger ec ere apc) PA Owe Dive Cover Fe He 1aB0‘OnS:- ROAD Sibe ASSISTANCEROAN!37R°0016/01200808/A0001V01201520) ‘Sanject to IMT Endorsement Printed herein attached to IMT-15,IMT-22, INT-28 ypathecation Agcsment wit: bre Purehase/uease Aeestment lth: imi nb ther Seton 1-0) I repecto ny one accent: a er Motor Vege At 1988, fer Sc heap years cr tng ae eet ano EASEDRSR 9 lta prt 35 a Te Pr PvGTOS DATED ON O64 S0N4 Cia PMs uyeie or WA BDSED ENCSS BETAS rivers inure ‘Bees the recurements fle othe Contra Motor Vets Rules i508 ous pron ema eter rgitred AP mt fr rena Bfoe/ aftr the sneer eens {Sinetennd Samy Duty pi ie ory ne £77 )n/ 2023/4624 ete 12/06/2023 olcytsaing office" E',EPIP, RITCO TNDUSTAIAL SMiPUR RaasTiaN, 302022 acy wording, NEFT/TCé/IMPS or amy ater anne parmert Kindy we our bate ‘fore hviramglcom Vala of poley We eubjet to KC verifeation. sistemas eoenncnnne Sate Qa © scanned ihn scaer © scanned ith OREN Scanner. SHRIRAM GENERAL INSURANCE COMPANY LIMITED iestainam E.EPIP SITAPURAINDUSTRIAL AREAJAPUR, B eee CONTACT(TOLL FREE): 1800 - 30030000, 1800 - 1033009, CERTIFICATE CUM POLICY ScHEDULE “Eman aeer Re nna NS TE en sess cieescniecnainemeioncens {Te oe avers use a he vice for ny purpose cher ha a) Heo Renard») Catroge of 2045 (other han samples or parsonage) } orgarted acing) Face mani) Spec asin esate Tl) fy putose conection wn Wet Trade, The rouatce une” th ply ‘jet to coneRots, cause uate enanrerate a perform stnches Warrste ha ae of iaranaur of prem chun) he Sarpy Sat nt be ttle ur he ply andthe poly shal be vas abo rem mceton). Me hereby arty tht the poy to wich Ie cette aor tna Re hr arta rsuancs ae indir acareance wth ta proviso Caper and Chee Xf of Nr verter Ae 1988. Ik ‘renee ret the wnersied bing authrbed by an on bra the company hasfave herein to Se hath hans at SILASPOR. the Gores eee Pony toung incre an OO eam wl Oe reputed — airtime cri Se Ce TST iste «alee tp af. 2700 9 pepe a ram wold bn Woe wy Tere need See Sele rs ratte oregon Gera. act tS stim cnt contcan Yee Forint eww o yor ournce pote, Lo ono wewsriramcom or cortctus tur Hee ccs Ot ahN00 awa coract you oush phon e-mal intr rsitre sme ot fr renmua erat he Vener cee ‘Srdsthrrame om “ ne {Sinetennd Samy Duty pi ie ory ne £77 )n/ 2023/4624 ete 12/06/2023 ssuingetice 4 Ens, CO TNDUSTHUAL Sip taacrian, 202022 Far olcy Worsings, Nery InP or any other ang payment kingly wa our webs ‘fore hviramglcom Vala of poley We eubjet to KC verifeation. a= ‘Gotan wo, euanxesasoona2F avons Story © scanned ihn scaer © scanned ith OREN Scanner