IFFCO Tokio General Insurance Co. Ltd.

Stand-Alone Motor Own Damage for Two Wheeler

UIN: IRDAN106RP0001V01201920
(FORM 51 OF THE CENTRAL MOTOR VEHICLE RULES, 1989)

OD Policy No 54186194 Policy Type Renew Proposal No. & Date P24069291, 20 Oct 2023
25 Oct 2023 12:00AM to 24 Oct 2024 11:59PM
Policy Issued On 20 Oct 2023 5:38PM Period of Own Damage Cover
Tenure 1 Year
Insured Name MR. ABHINAV SHARMA Previous Policy No. 3409/00294567/000/00
69/179 SETH BADA TILAK DWAR MATHURA ,
Insured Add. MATHURA , UTTAR PRADESH-281001 Previous Insurer Cholamandalam MS General Insurance Co. Ltd.
GSTIN: NA
PAN EJMPS4336G GSTIN: 09AAACI7573H2Z9
Servicing Office of Insurer: Unit Nos. 5263, Mezzanine Floor, Ansal Fortune Arcade, Sec 18, UTTAR PRADESH , UTTAR PRADESH-201301 State Code : 09
INSURED MOTOR VEHICLE DETAILS INSURED DECLARED VALUE (IDV) (in Rs.)
Make Royal Enfield Motors India Ltd. Vehicle IDV 119121
CLASSIC 350- CLASSIC 350-CLASSIC 350 EFI
Model-Variant Non-Elec. Accessories 0
PURE BLACK
Registration No.-RTO UP 85 BU 2917- MATHURA Elec. Accessories 0
Manufacturing Year-Body Type 2020- BIKE Total IDV 119121
Engine No.-Chassis No. U3S5F1LL611084- ME3U3S5F2LL977925 :
Cubic Capacity-Seating capacity 350 - 2
Hypothecation/Lease* No
Fuel Type-Invoice Date PETROL- 25 Oct 2020
Liability Policy
Liability Policy No. Liability Policy Insurance Comp. Liability Policy End Date
Start Date
Cholamandalam MS General
3410/00079200/000/00 25 Oct 2020 24 Oct 2025
Insurance Co. Ltd.
Schedule of Premium (Amount in Rs.)
Own Damage Premium (A)
Basic Premium Amount (Rs.) Discounts Amount (Rs.)
Vehicle 1468 Voluntary Deductibles (0) (IMT - 22A) 0
Electrical Accessories (IMT - 24) 0 Anti Theft Device (IMT - 10) 0
Non Electrical Accessories 0 AA Membership(IMT - 8) 0
Sub Total (Basic Premium) 1468 No Claim Bonus (35%) 514
Sub Total (Discounts) 514 Handicap Discount (IMT-12) 0
Add On Coverages (NIL DEP ) 1430
Geographical Area Extension (IMT - 1) 0
IMT 33 0
Sub Total Addition 2898
Net Own Damage Premium (A) 2384
SGST(9.00%) 215
CGST(9.00%) 215
Gross Premium Paid 2814
Note: 1.Policy issuance is subject to realization of cheque
2.Consolidated stamp duty paid to state exchequer
3.The policy is subject to compulsory deductible of Rs.100 (IMT-22)
4.Geographical Area- India

*Subject to IMT Endt. Nos.& Memorandum:,22

Insured Declared Value :The schedule of age-wise insured declared(IDV) as shown in the below table is applicable for the purpose of Total loss including Theft/Constructive Total Loss(TL/CTL)
claims only on basis of loss date falling in the respective year. A vehicle will be considered to be a CTL, where the aggregate cost of retrieval and/or repair of the vehicle subject to terms and
conditions of the policy exceeds 75% of the IDV.
25 Oct 2023 to 24 Oct
Tenure - - - -
2024
Total IDV 119121 0 0 0 0
Limitations as to use: The policy covers use of the vehicle for any purpose other than (1) Hire or Reward (2) Carriage of goods (other than samples or personal luggage) (3) Organized racing
(4)Pace making (5) Speed testing (6) Reliability trials (7) Any purpose in connection with motor trade.
Driver's Clause: Any person including the insured: Provided that a person driving holds an effective driving license at the time of the accident and cois 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.
Disclaimer: The Compulsory Personal Accident cover has not been opted in this policy as the Owner driver has a separate existing Personal Accident cover against Death and Permanent Disability
(Total and Partial) for Sum Insured of at least Rs.15 lakhs.
Note: Own Damage Cover is subject to a valid Third Party Policy. No Claim Bonus: No Claim Bonus is subject to no claim on the previous policy. Benefits under the policy stands forfeited if claim
is/was made in previous policy
Grievance Clause: For resolution of any query or grievance, Insured may contact the respective branch office of the company or may call at(18001035499 ) or may write an email at
(support@iffcotokio.co.in). In case the insured is not satisfied with the response of the office, insured may contact the Grievance Officer of the Company at (support@iffcotokio.co.in).In the event
of unsatisfactory response from the Grievance Office, he/she may, subject to vested jurisdiction, approach the Insurance Ombudsman for the redressal of grievance. Details of Insurance
Ombudsman offices are available at IRDA website:www.irda.org , or on the website of General Insurance Council: www.irda.org or on the company website (www.iffcotokio.co.in).
The Policy wording is available on request at free of cost. The Same can be downloaded from our Website www.iffcotokio.co.in.
Hypothecation Details: ----NA----
MISP Code : AB-MRE000244 MISP Name : ARYAMAN ENTERPRISES DP Name : KRISHNA KUMAR BANSAL DP Code : AB-DPRE000253-0832
Important Notice: The insured is not indemnified, if the vehicle is used or driven otherwise than in accordance with the schedule. Any payment made by the company by reasons 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 & RIGHT OF RECOVERY"
For legal interpretation, English version will hold good.
I/we hereby certify that the policy to which this certificate relates as well as this certificate of insurance are issued in accordance with the provisions of Chapter X and Chapter XI of Motor Vehicle
Act, 1988
SAC 997134 Description of Service : Motor Insurance Place of Supply : UTTAR PRADESH(State Code-09)
For & On Behalf of IFFCO Tokio General Insurance Co. Ltd.

Authorized Signatory
Broker Name & Add : Aditya Birla Insurance Brokers Limited , Regd. Office: Indian Rayon Compound, Veraval - 362 266. Corporate Office: One World Centre, Tower-1, 7th floor, Jupiter Mill
Compound, 841, Senapati Bapat Marg, Elphinstone Road, Mumbai 400 013. Tel. No.: +91 22 43568585. Fax: +91-22-4356 8511 License Number: 146 CIN: U99999GJ2001PLC062239 Broker
Code : 10000001926
Receipt No. : Payment Mode : APD
For Renewal/Claims assistance - please contact Insurance.Co./Broker through : ARYAMAN ENTERPRISES at +91-(05656)451