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KTM rc200 Insurance - MA877865 - E - 1

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IFFCO - TOKIO GENERAL INSURANCE CO.

LTD Servicing Office:

Regd. Office: IFFCO SADAN,C1 Distt Centre,Saket,New Delhi- 110017 IFFCO Tokio General Insurance Company Ltd.

Endorsement- Two Wheeler Policy 5th Floor,SONA Complex,Opp.BMC M ward Office,

Policy Schedule Cum Tax Invoice 1st Road,Chembur(East), Mumbai-400071

ORIGINAL FOR RECIPIENT Tel: 022 -25225902/25223217/25226208

GST Applicable State Code: 27, GSTIN: 27AAACI7573H1ZC

General Insurance Services:- 997134

Insured's name: NISHANT VASANT SAKPAL Original Invoice No. 1-18R62AB9

Address: 1E304 NG Suncity Phase 1 CHSL Thakur Village Kandivali East Unique Invoice No. 1-18R62AB900003

Mumbai Policy No……………………. : MA877865

GREATER MUMBAI (M CORP.) PART MAHARASHTRA 400101 Date of Issuance : 07/03/2023

State Code/ Place 27 Country Name: India GSTIN: Endorsement Effecitve Date : 07/03/2023

of Supply:

Phone Number: XXXXXXX168 Agent No. 46001812 Policy effective from 1330 hrs 15/10/2019

To MidNight 14/10/2024

Insured Motor Vehicle Details and Premium Calculations

Reg. Mark and Year of Manuf. Type of Make of Vehicle CC Coverage IDV in Engine No. Chassis No. Seating Capacity

No. body (Rs.)

MH03DJ8646 2019 - KTM RC 200 200 TP long term (TWP 180490 990627542 MD2JYCYG1KC033 2

5yr PCP 3yr) 892

Insured Declared Values


Two Wheeler Side Car Accessories Elec./Elec. Acc. Bi-Fuel Kit Total Value
180490 0 0 0 0 180490

Under Hire Purchase/Hypo/ Lease Agreement with BAJAJ FINANCE LTD

Not withstanding any thing contained to the contrary,it is hereby declared and agreed that

TRANSFER & OTHERS FEE

EM212309770376

REF.NO.YHDF1767235075

OWNER HAS BEEN TRANSFERRED FROM IRSHAD RAFIQUE SHAIKH

TO NISHANT VASANT SAKPAL

TRANSFER FEES OF RS.60.00

Inspection Status RECOMMENDED

Case Ref. Number: 752103 - 0

************************************************************

Signature Not Verified Two Wheeler Policy (UIN : IRDAN106RP0005V01201819 )


Digitally signed by SUBRATA MONDAL Attaching to and forming part of Policy Number MA877865
Date: 2023.03.07 12:34:12 IST
'Show Signature Properties'-->Click on 'Show signer´s Certificate'-->Go to Tab 'Trust'-->Click on 'Add to
Reason: Valid Policy Copy
Location: IFFCO Tokio General Insurance Company Ltd, India Trusted Certificates'-->Click on 'OK'-->Click on 'Close'
Subject otherwise to the terms,conditions and exclusions of the policy,upon which this endorsement has been issued

Exclusion: Losses or damages caused directly or indirectly due to any infectious or contagious disease, pandemic /epidemics as declared by WHO and / or

Government of India will be an exclusion under this policy.

Taxable Value CGST SGST IGST CESS

Rate 0.00 0.00 0.00 0.00

Amount 0.00 0.00 0.00 0.00 0.00

Total Tax ₹0.0 Total Value ₹0.00

Whether GST is Payable on Reverse Charge Basis – No


We hereby declare that though our aggregate turnover in any preceding financial year from 2017-18 onwards is more than the aggregate
turnover notified under sub-rule (4) of rule 48, we are not required to prepare an invoice in terms of the provisions of the said sub-rule.

Toll Free : 1-800-103-5499 ; Other : ( 0124) 428-5499 ; SMS "claim" to 56161

Policy Issuing Office: Delhi Consolidated Stamp Duty deposited as per the order of Government of National Capital Territory of Delhi

Signature Not Verified Two Wheeler Policy (UIN : IRDAN106RP0005V01201819 )


Digitally signed by SUBRATA MONDAL Attaching to and forming part of Policy Number MA877865
Date: 2023.03.07 12:34:12 IST
'Show Signature Properties'-->Click on 'Show signer´s Certificate'-->Go to Tab 'Trust'-->Click on 'Add to
Reason: Valid Policy Copy
Location: IFFCO Tokio General Insurance Company Ltd, India Trusted Certificates'-->Click on 'OK'-->Click on 'Close'

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