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Bundled - Two wheeler Policy

Product Code: 3005 UIN:IRDAN115RP0020V01202122

CERTIFICATE CUM POLICY SCHEDULE

For all your insurance needs & query call us at our Toll free No.: 1800-2666(Accessible from your mobile also), you can also E-mail us at:
customersupport@icicilombard.com
Certificate cum Policy No : 3005/2012280812/00/0000004956
Name of the Servicing IL Ludhiana
Branch
Address of IL Branch TF 1 5, Third 88 The Mall The Mall, Ludhiana Punjab 141001
Tenure 5 Years RTO Location PUNJAB-BARNALA
OD-From 11:42 20/05/2023 To 19/05/2024 midnight
Period of Insurance Intermediary Code 2018563515750001
TP-From 11:42 20/05/2023 To 19/05/2028 midnight
Insured Name KULDEEP SINGH.,,, Policy Issued On 20/05/2023
S/O MALKIAT SINGH GURU TEG BHADAUR NAGAR GALI NUMBER 2 6/1 HDFC BANK
Insured Address Hypothecation With
HANDIAYA ROAD BARNALA , BARNALA, PUNJAB, Pin - 148101 LTD,BARNALA
Invoice No 17052328106106 Category
91-7355015026
Primary Vertical Name GEO-Motor Two Wheeler Contact No.
(Mobile No.)
Registration Mfg Seat
Make Model Type of body CC Chassis Number Engine Number
Number Year Cap
HONDA 2023 ME4JK156EPW139453
NEW ACTIVA DLX Solo With Pillion 109 2 JK15EW5139494
MOTORCYCLE
CNG/LPG
Vehicle IDV Side Car Additional Acc NonElectrical Acc Electrical/Electronic Acc Total Value
Unit
73894 0 0 3000 0 0 76894
SCHEDULE OF PREMIUM
Own Damage(A) Liability(B)
Basic Own Damage 557.16 Basic Third Party Liability 3851.00
Zero Depreciation 307.58 Total 3851.00
Non Electrical Accessories 22.62
Total 887.00
Total Own Damage Premium 887.00 Total Liability Premium 3851.00
Total Package Premium (A+B) 4738.00
Net Premium 4738.00
CGST@9% 426.42
SGST@9% 426.42
Total Tax Payable 852.84
Total Premium 5591.00
UIN Details
Zero Depreciation
IRDAN115A0020V01200910
For No claim Bonus (NCB), Coverages and exclusion of policy Please refer to the policy wordings attached with this schedule, in case of you have not received your
kindly write to us at the below mentioned mailing address.
Compulsory Deductibles : Rs.100 GeographicalArea India *** All Premium figures are in Rupees
Limits Of Liability : (a)Under Section II-1 (i) of the policy->Death of or bodily injury: Such amount as is necessary to meet there requirements of the Motor Vehicles
Act,1988.(b)Under Section II-1 (ii)of the policy-> Damage to Third Party Property Rs 100000.00;
The Compulsory Personal Accident cover has not been opted in this policy on account that, the vehicle to be insured is not owned by an individual.
LIMITATIONS AS TO USE: The policy covers use of the vehicle for any purpose other than : Hire or reward, Carriage of goods(other than samples or personal
luggage), Organized racing, Pace making, Speed testing, Reliability trials, Any purpose in connection with Motor Trade.
DRIVER'S CLAUSES: 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.
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 RIGHT OF RECOVERY.
In consideration of the premium for this extension being calculated at a pro-rata proportion of the annual premium, it is hereby declared and agreed by the insured that
upon expiry of this extension, this policy shall be renewed for a period of twelve months, failing which the difference between the extension premium now paid on pro
rata basis and the premium at short period rate shall become payable by the insured.
For legal interpretation,English version will hold good
Subject to IMT Endorsement Nos. & Memorandum printed herein / attached hereto : 22,28
Premium Collection Details :
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 XI of
Motor Vehicle Act, 1988.

Agency Code: ACLPK6451E58730 Agency Name: GLOBAL AUTOMOBILES

Agent's Mobile No.: 91-9814035061 Agent's Landline No.:
Disclaimer: Please visit www.icicilombard.com for the policy wordings, for complete details on terms and conditions governing the coverage and NCB. This document is
to be read with the policy wordings. The policy is valid subject to realization of cheque. We accept premium only via legally recognized modes. In case of dishonor of
premium cheque, The company shall not be liable under the policy and the policy shall be void ab-initio. In case of any discrepancy with respect to the policy, please

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