Reliance Two Wheeler Vehicle Certificate cum Package Policy Schedule

Policy / Certificate No. : Proposal /Covernote No : Name of Insured : Address : Contact details : Email ID : THE BRANCH MANAGER UAE EXCHANGE AND FINANCIAL SERVICES LTD GROUND FLOOR , CASINO COMPLEX KOKKALA THRISSUR THRISSUR682011 KERALA 910484 3048458 / 9847549920 NA Hypothecated with : Zone B Geographical Area India Period of Insurance : 2213712312003335 221309019828 Business/Occupation: None From 00:00 Hrs on 30/11/2011 to 29/11/2012 on 23:59

Particulars of vehicle Insured : Registration Number and Place KL08AL1799 THRISSUR Limitations As To Use The Policy covers use 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 Persons/Classes of Persons entitled to drive : Any person including the Insured provided that a person driving holds an effective driving license at the time of the accident and is not disqualified from holding or obtaining such a license. Provided also that the person holding an effective Learner's License may also drive the vehicle and that such a person satisfies the requirements of Rule 3 of the Central Motor Vehicles Rules, 1989. Limits of Liability : a. Under Section II-1(i) of the Policy-Death of or bodily injury to any person so far as it is necessary to meet the requirements of the Motor Vehicle Act, 1988. b. Under Section II (1)(ii) of the Policy-Damage to property other than property belonging to the insured or held in trust or in the custody of control of the insured up to the limits specified Rs.1 lakhs . Deductible under Section-I (i)Compulsory deductible Rs. 50/-(ii) Additional compulsory deductible Rs. 0/-(iii) Voluntary deductible Rs. 0 /- (iv) PA Cover for owner-driver under section III CSI Rs. 100000/Special Conditions: NA It is hereby declared and agreed that all pre-existing damages to the vehicle having occurred prior to the commencement of cover are excluded from the scope of the policy. The policy wording with detailed terms, conditions and exclusions are available on our website Consolidated stamp duty paid vides Receipt No. 70300 dated 03/08/2011 Not applicable for the State of Jammu and Kashmir. I/We hereby certify that the Policy to which the certificate relates as well as this certificate of insurance are issued in accordance with the provision of Chapter X and Chapter XI of M.V. Act, 1988. Note: In the event of dishonor of cheque, this policy document automatically stands cancelled from inception irrespective of whether a separate communication is sent or not. No Claim Bonus will only be allowed, provided the policy is renewed within 90 days of the expiry of the previous policy. Insured's Declared Value For the Vehicle (Rs) 22,000.00 For Trailers (Rs) 0.00 Non Elec. Accessories (Rs) 0.00 Elec./Electronic Accessories (Rs) 0.00 Value of CNG/LPG Kit (Rs) 0.00 Total IDV (Rs) 22,000.00 www.reliancegeneral.co.in Make / Model Engine / Chassis No.Vehicle Type of body Cubic Capacity Year of Seating Capacity Manufacture of side car (if any) including driver 2006 2 Net Premium Rs. IDV (Insured's Declared Value) Rs 670.00 22,000.00

HONDA CB SHINE 125 ES DISC BRAKE

0042559 68013739

125

Premium Schedule
Own Damage Basic OD Basic Own Damage Premium Deduct 25% for NCB TOTAL OWN DAMAGE PREMIUM 387.00 Basic Liability 387.00 Basic Liability Premium -96.80 PA Benifits 290.40 Compulsory PA cover to Owner Driver of CSI 100000(IMT-15) Total PA Premium Legal Liability Total Liability Premium Package Premium Add:Service Tax (10% of Net Premium) Add:Education Cess (2% of Service Tax) Add:Secondary & Higher Education Cess(1% of Service Tax) FINAL PREMIUM Subject to I.M.T. Endt.Nos. & Memorandum printed/herein/attached hereto. IMT22,15 380.00 670.00 67.00 1.34 1.00 739.00 Service Tax Reg.No. AABCR6747BST001 Category-General Insurance Business Service 00440005 Liability 330.00 330.00 50.00 50.00

The policy has been issued based on the information provided by you and the policy is not valid if any of the information provided is incorrect. Subject otherwise to the terms, conditions and exclusions of the Reliance Two Wheeler Package Policy. In Witness whereof this Policy has been signed at Mumbai on 30/11/2011 in lieu of Cover Note No:221309019828 dated 30/11/2011 In the unfortunate event of a claim,Please call along with your Policy No.on 1800 103 1999 (toll free) or 022 41112600 (Standard STD Rates Apply) and register your claim immediately within 7 days from the date of loss.For Customer service, Please call along with your Policy No. on 1800 300 28282(toll free) or 39898282(local charges apply)|www.reliancegeneral.co.in IMPORTANT NOTICE : The insured is not indemnified if the vehicle is used or driven otherwise than in accordance with this Schedule. For Reliance General Insurance Co. Ltd. Any payment made by the Company by reason of wider terms appealing 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 RIGHT OF RECOVERY'. For legal interpretation,English version will hold good.NOTE: Kindly acknowledge receipt of this policy. In case you find any variations against your proposal or anydiscrepancy in the policy,kindly contact us immediately Reliance General Insurance Co. Ltd. Registered Office: Policy Issuing Office : Policy servicing office : Reliance Centre, 19, Walchand Hirachand Marg, Ballard Estate, Mumbai - 400 001 570, Naigaum Cross Road, Next to Royal Industrial Estate, Wadala (W), Mumbai - 400 031 1st Floor Vishnu Building,K.P Vallon road Kadavanthra, Cochin,KERALA - 682020 Duly Constituted Attorney(s)

Intermediary Code\Name: Intermediary Contact No:

22A07866 / KOSHY P SAMUEL 4288244058