Digit Two-Wheeler Policy – Bundled
Policy No. Issued at HERO INSURANCE BROKING INDIA PVT LTD.
Go Digit General Insurance Ltd. IRDA Registration No.: 649
D242445089
A K Empire , 1st Floor, BSF Chowk Kirti Nagar, Ladowali Toll-Free No.: 1800 102 4376
Road, Jalandhar City 144001 264, Okhla Ind. Estate, Phase-III, Delhi-110020
Tel:18002585956
hello@godigit.com
Insured Business/Profession Address of The Insured OD Policy Period TP Policy Period
S/O SURJEET SINGH , KANIAN HUSSAINI , P.O. SIDH 19-12-2025 TO 19-12-2025 TO 18-12-
Mr ROOP SINGH Self Employed
WAN BET JAGRAON PUNJAB 142033 18-12-2026 2030
Cubic GSTIN No.
Vehicle Regn No. Engine No. Chassis No. Make & Model Year of Mfg
Capacity (Customer)
Hero MotoCorp Splendor
New HA11F6SHL73007 MBLHAW470SHLJ9607 2025 100
Plus I3S DRSC FI
Declared Value (IDV) of Side Car IDV Non-Electrical Electrical Accessories CNG/LPG/Bi-Fuel Total IDV
Vehicle Accessories IDV IDV IDV
71241.00 NA 0.00 0.00 0.00 71241
Place of Regn. Body Type HP/Lease/Hire-Purchase Branch Office of Seating Capacity Premium
Agreement With HP/Lease/Hire-Purchase
AMRIT MALWA CAPITAL
JAGRAON Solo --- 2 6738.00
LTD., HPA
Section A B. Liability Premium Computation (Section II) in Rs.
Basic OD Premium : 478.00 Basic Third Party Liability : 3851.00
Non-Electrical-Fitting Premium : 0.00 TPPD Discount : 0.00
Electronic & Electrical Accessories : 0.00 Total : 3851.00
Geographical Extension : 0.00 CNG/LPG/Bi-Fuel Kit : 0.00
ND Cover : 356.00 Geographical Extension : 0.00
Emergency Medical Expenses : 500.00 Add
(Road Ambulance + Accidental Hospitalization + Daily Compulsory PA Cover (Owner Driver) : 525.00
Hospi Cash) Optional PA Cover(Un Named Passenger) : 0.00
Less : Optional PA Cover(Un Named Driver) : 0.00
Handicapped Discount : 0.00 Legal Liability Cover (Paid Drivers, Cleaners) : 0.00
For Anti-Theft Discount : 0.00 Legal Liability Cover (Per Licensed Passenger) : 0.00
NCB : 0.00 Total Liablity Premium (B) : 4376.00
Total Own Damage Premium(A) : 1334.00 Total Premium (A + B) : 5710.00
For any other extra : 0.00
CGST @ 9.00% : 513.90
SGST @ 9.00% : 513.90
Gross Premium : 6738.00
IRDAIRegnNo.:158||CIN.:U66010PN2016PLC167410||PAN.:AACCO4128Q|| GSTIN No.:03AACCO4128Q1ZA ||UIN No.-IRDAN158RPMT0045V01202425||IRDAN158RPMT00
45V01202425||IRDAN158RPMT0045V01202425
19-12-2025 To 18-12- 19-12-2026 To 18-12- 19-12-2027 To 18-12- 19-12-2028 To 18-12- 19-12-2029 To 18-12-
OD Policy Period
2026 2027 2028 2029 2030
IDV 71241 NIL NIL NIL NIL
CPA Sum Insured Rs. 15 lakhs. NIL NIL NIL NIL
Sum Insured of Optional PA Cover:-Sum Insured of Optional PA Cover "Unnamed Passenger"-NA and "Unnamed Driver"-NA
LIMITATIONS AS TO USE:--The Policy covers use of the vehicle for any purpose other than: a) Hire Or Reward b) Carriage of goods (other than samples or
personal luggage) c) Organized Racing d) Pace Making e) Speed Testing f) Reliability Trials g) Any purpose in connection with Motor Trade.
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: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 Vehicles
Act, 1988. Under Section II -1(ii) of the Policy - Damage to Third Party Property - Rs.100000 lakhs - (as per IMT 20) in respect of any one claim or series of
claims arising out of one event.
IMPORTANT NOTICE:--The insured is not indemnified if the vehicle is used or driven otherwise than in accordance with this Schedule. Any payment made by
the company by reason of wider terms appearing in the Certificate in order to comply with the Motor Vehicle Act, 1988 is recoverable from the insured. See the
clause headed 'AVOIDANCE OF CERTAIN TERMS AND RIGHTS OF RECOVERY'
We hereby certify that the policy to which this certificate relates as well as the certificate of insurance are issued in accordance with the provisions of Chapter XI of the Motor
Vehicles Act, 2019.
Broker : Hero Insurance Broking India Pvt. Ltd.
Premium of Rs. 6738.00 Received Vide
Cash/Cheque No.
SURJEET The policy is subject to a compulsory excess of Rs. 100/- &
Dated Nominee Name SINGH Depreciation is applicable as per policy terms & conditions*(Please
turn overleaf for details)
Drawn on Nominee Age 58 Consolidated Stamp Duty Paid Endorsements : IMT - 22,5
Scan to Renew / Acknowledgement 19-12- Nominee Relation Father
View Policy Dt 2025
FOR RENEWALS CONTACT: AMARDEEP KAUR Ph.No- 09814-005337 On behalf of GO DIGIT GENERAL INSURANCE
19-Dec-2025
Date & Signature of
proposer
Dealer's Stamp & Signature Duly Constituted Attorney
# : Received with Thanks Rs 6738.00 from Mr ROOP SINGH as premium against the money receipt no 02IA227083583
Go Digit General Insurance Limited 1st to 6th Floor, Ananta One (AR One), Pride Hotel Lane, Narveer Tanaji Wadi, City Survey No. 1579, (Bhamburda)
Shivajinagar, Pune 411005. IRDAI Reg No.158 CIN U66010PN2016PLC167410, GST Reg. No. 27AACCO4128Q1Z0 HSN: 9971
For further information about motor insurance policy please also visit www.irdai.gov.in >> Grievances >> Policyholder Handbooks
