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Low Floor City Pass KFZ: Padma Sri Travels

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Go Digit General Insurance Ltd.

Schedule/Certificate
Digit Commercial Vehicle Package Policy - Passenger Carrying Vehicle UIN No.: IRDAN158RP0002V01201819

Low Name PADMA SRI TRAVELS Vehicle Registration No. TS11UB8111


Floor Partner Name xxxxxxx
H NO 2-17-127/24/1, Raghavendra colony,
City Address 1058739
Uppal,Hyderabad-500039 Partner Code
1058439
KFZ Mobile xxxxxxxxx1418 Partner Email xxxxxxxxxxx
Pass Email gxxxxxxxxxxxn@gxxxl.com Partner Mobile No. -
Aadhar No. -- For claims,contact us at 1800-258-5956
J YOUR POLICY DETAILS
FH Policy No. D033283482 / 23042021 Policy Issue Date 23-Apr-2021 Invoice Date 23-Apr-2021
1
From 28-Apr-2021 00:00:01
J Period of Policy
To 27-Apr-2022 23:59:59
NCB % (Current Policy) 35 % Policy Type Public Carrier
Compulsory Deductible 1000 Voluntary Deductible -- Additional Deductible

YOUR VEHICLE DETAILS


Make TATA Trailer Reg. No. RTO Location Hyderabad,TELANGANA

Model/Vehicle Variant LPO 10.2 T / 52/36 Year of Regn. / 2018 / -- Licensed Seating 37
AGEN (Sub-Type) Seater/SCH BUS Manufacturing Capacity

Engine No. CRY502235 Chassis No. MAT751025JFC04746 Cubic Capacity 3783 CC


Fuel Type Diesel Gross Vehicle Weight 9600KG Vehicle Body Type Low Floor City Bus AC

Goods Type -- Permit Type Public Carrier Wheels 6

FASTag Number NA

G0 FASTag NUMBER DECLARATION


36
The Policy has been issued subject to your affirmative declaration that a valid FASTag has been affixed on the insured vehicle.

KFZ YOUR VEHICLE IDV (THE MAXIMUM MONEY YOU CAN GET IN CASE OF A CLAIM)

Vehicle IDV IDV of Electrical IDV of Non-Electrical CNG/LPG KIT IDV Trailer IDV Body IDV Total IDV
G01 (`) Accessories (`) Accessories (`) (`) (`) (`) (`)
IG 2052000 -- -- -- -- -- 2052000
83
ADD-ONS (THE EXTRA COVERAGE FOR YOUR VEHICLE)
Add Name Other details
OWN DAMAGE PREMIUM [A] (`) LIABILITY PREMIUM [B] (`)

18 Own Damage Premium (`) 1999 Basic Third-Party Liability (`) 46390
Add-Ons Premium (`) 0
PA cover for Owner-Driver (`) --
NCB Discount Amount (`) -700
Legal Liability to Paid (`) Driver (Persons:1) 50
23
Legal Liability to Paid (`) Cleaner (Persons:1) 50

Total OD Total Act


46 Premium
(`) 1299 Premium (`) 46490
49
0 Public
Carrie
Net Premium [A+B} (`) 47789
r 8602
IGST @ 18% = (`8602)

Total Premium (`) 56391

This policy is issued on the basis of declaration provided by you that the Vehicle shall only be used for the purpose of Carrying employees and/or staff
of the organization/entity for travel to workplace from residence and vice versa. Any deviation in usage of this vehicle other than what has been
declared, shall amount to misrepresentation and Insurer shall have the right to cancel the policy and/or reject any claim on above stated gross
violation.
Note: The above total OD premium is inclusive of all applicable loading / discounts viz (automobile association memberships, voluntary excess, anti-theft
N handicap person, driver tuition, fiber glass, CNG/ LPG unit, geographical extension, imported vehicle etc., wherever applicable).
If the “Own Damage Cover” under your policy is cancelled during the policy period, then your policy shall be governed by the standard terms and conditions
of “Act only” policy for the Third Party Cover during the remaining period of policy.

ENDORSEMENT
AG
E Invoice Number Invoice Date Gross Premium Igst Cgst Sgst Utgst Cess Net Premium

0.00 0.00 0.00 0.00 0.00 0.00 0.00

Policy No: D033283482


Page No: 1 of 2
Go Digit General Insurance Ltd. Address: Atlantis, 95, 4th B Cross Road, Koramangala Industrial Layout, 5th Block, Bengaluru, Karnataka 560095. IRDAI Reg
No. 158 CIN U66010PN2016PLC167410, GST Reg. No.: 06AACCO4128Q1Z4 HSN: 9971/General Insurance Services, GSTIN Address: Gurgaon Business
Centre,1st Floor, Vatika City Point, Mehrauli Gurgaon Road,Gurgaon,Haryana,PIN-122002
Go Digit General Insurance Ltd. Schedule/Certificate
Digit Commercial Vehicle Package Policy - Passenger Carrying Vehicle UIN No.: IRDAN158RP0002V01201819

OTHER DETAILS
Previous Insurer Tata AIG General Insurance Co. Ltd.
Previous Policy No. 0160879900 Previous Policy Expiry Date 27-Apr-2021
IMT - Endorsements IMT-21,IMT-23,IMT-40,IMT-7

Invoice Number IA035336738

GSTIN/UIN No. 36BWKPP9184M2ZG State Code 36


Payment Mode Cheque Cheque/Transation No 839742
Bank Name PUNJAB NATIONAL BANK IFSC/MICR No 500024017
Premium Payment Details Receipt No. RA037253647 Receipt Date 21-Apr-2021
Financier Details Nominee Details --
TATA MOTORS FINANCE LTD

Details of Existing Damages --


Other details --

Follow these rules like you follow the rules of the road.

Geographical Area -Any accidental loss damage and/or liability caused sustained or incurred within India shall be covered subject to and
Conditions, unless specifically agreed and endorsed. Limitation as to use - The policy covers use of the vehicle only under a permit within the
meaning of the Motor Vehicles Act 1988 or such a carriage falling under sub-section (3) of Section 66 of the Motor Vehicles Act, 1988. The policy
does not cover use for Organised racing, Pace Making, Reliability Trials, Speed Testing, Use whilst drawing a trailer except the towing (other
than for reward) of any one disabled Mechanically propelled vehicle (only for Passenger Carrying Vehicle). Person or Class of persons entitled
to drive - Any person including the 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 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 person satisfies the requirements of Rule 3 of the Central Motor Vehicles Rules, 1989 and any subsequent
amendment as applicable. Limits of Liability: 1) Under Section I of the policy - IDV as shown in the schedule. 2) 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. 3) Under Section II - 1
(ii) of the policy: Damage to Third Party Property - `750000 4) P.A. Cover for Owner Driver under Section III (CSI): `
PUC Declaration:The Policy has been issued subject to valid Pollution Under Control (PUC) Certificate disclosed by you as an insured on or
before the date of commencement of the Policy . NCB Declaration: The premium has been charged and policy has been issued subject to NCB
declared by you as an insured. In the event of NCB found wrongly declared at any point of time during policy period, all benefits and coverages
under the Policy in respect of section I of the Policy will stand forfeited. If there is any disagreement, write to us within 7 days from the date of
issuance of policy or before the start date of period of insurance whichever is earlier.
Important Note: Please inform the Company in case of change on account of addition of CNG/PNG kit.
Break in Insurance: The policy is issued subject to acceptance of risk after evaluation of the Vehicle Inspection report. Own Damage cover
(Section - I) would not commence unless the satisfactory Vehicle Inspection report has been received by us. If the Company does not receive the
Vehicle Inspection report or the report is adverse, the Company, at its discretion, will cancel Policy as per the Motor Tariff.
Pre-existing Damages: All types of pre-existing damages or cost of repair of such damage will be excluded at the time of claim settlement.
Policy would be void on the ground that it was obtained of material fact or by a representation of fact which was false in some material
particular.
Cheque dishonor / Non-receipt of payment premium paid through Cheque, the policy is void ab-initio in 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 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. This policy is subject to the standard policy wordings, warranties and
conditions applicable for this product in addition to Indian Motor Tariff. Any payment 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 the insured. See the Clause headed (Avoidance Of Certain
Terms And Right Of Recovery) in the policy.
Note: The terms and conditions detailed in this policy schedule as well as the policy document sent by Digit shall prevail in case of any dispute.
For & On Behalf of Go Digit General Insurance Ltd.
In case of claim or any other query, please contact our 24-hour
Call Centre at 1800-258-5956 or email us at hello@godigit.com
or visit our website www.godigit.com.

Praveen Bhat
Vice President - Customer Experience
praveen.bhat@godigit.com
Authorized Signatory
Printed, Signed, and Executed at Bengaluru
Consolidated Stamp Duty has been paid as per Letter of
Authorization No.67-B/04/2017-18 Date: 30th May 2017
issued by Department of Stamps and Registration ,
Bengaluru- 560009 - KARNATAKA.
Hey,our document is now digitally signed
Click here to view the certificate.

Policy No: D033283482


Page No: 2 of 2
Go Digit General Insurance Ltd. Address: Atlantis, 95, 4th B Cross Road, Koramangala Industrial Layout, 5th Block, Bengaluru, Karnataka 560095. IRDAI Reg
No. 158 CIN U66010PN2016PLC167410, GST Reg. No.: 06AACCO4128Q1Z4 HSN: 9971/General Insurance Services, GSTIN Address: Gurgaon Business
Centre,1st Floor, Vatika City Point, Mehrauli Gurgaon Road,Gurgaon,Haryana,PIN-122002

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