Issued At: Broker
Issued At: Broker
Issued At: Broker
The Coverage under this policy is only for Own Damage and no other liability in connection with the vehicle
Issued at HERO INSURANCE BROKING INDIA PVT
Policy No. Tata AIG General Insurance Co. Ltd. LTD.
3196099301/000000/00 15th floor,Tower A,Peninsula Business IRDA Registration No.: 649
Park Ganpatrao Kadam Marg,Off Toll-Free No.: 1800 102 4376
Prev. Policy No. Senapati Bapat Marg Lower Parel 264, Okhla Ind. Estate, Phase-III, Delhi-
P0023200002/4113/530300 Tel:18002667780 110020
customersupport@tataaig.com
Insured Business/Profession Address of The Insured OD Valid From OD Valid To
C/O:RAJESH BHANSALI HOUSE NO
Mr ADITYA 1243 FIRST FLOOR SECTOR 7 BLOCK 26-01-2024
Self Employed Midnight of 25-01-2025
BHANSALI D SECTOR 7 Faridabad HARYANA 0:00:00
121006
Cubic GSTIN No.
Vehicle Regn No. Engine No. Chassis No. Make & Model Year of Mfg
Capacity (Customer)
Hero MotoCorp
HR-29-BA-4887 HA11EDN9L00463 MBLHAW126N9L42476 SPLENDOR + 2023 97
BS6-I3S DRS
Declared Value Side Car IDV Non-Electrical Electrical CNG/LPG/Bi-Fuel Total IDV
(IDV) of Vehicle Accessories IDV Accessories IDV
IDV
59269.00 NA 0.00 0.00 0.00 59269
Place of Regn. Body Type HP/Lease/Hire- Branch Office Seating Capacity Premium
Purchase Agreement of
With HP/Lease/Hire-
Purchase
Faridabad Solo , --- 2 1399.00
OWN DAMAGE (Section A)
Basic OD Premium : 993.00
Non-Electrical-Fitting Premium : 0.00
Electronic & Electrical Accessories : 0.00
Bi-Fuel Kit : 0.00
Geographical Extension : 0.00
Depreciation Allowance : 391.00
Less :
Handicapped Discount : 0.00
For Anti-Theft Discount : 0.00
NCB (20 %) : 199.00
Total Own Damage Premium(A) : 1185.00
CGST @ 9.00% : 107.00
SGST @ 9.00% : 107.00
Gross OD Premium : 1399.00
1.RegistrationNo.:108||2.CINNo.:U85110MH2000PLC128425|| GSTIN No.:06AABCT3518Q1Z0 ||UIN No.-IRDAN108RP0002V01201920||IRDAN1
08RP0002V01201920/A0017V02201920
Bundled Two Wheeler Policy (1 Year Term for Own Damage & 5 Years for Third Party) details
TP Cover Start TP Cover End
Certificate & Policy No. Policy Type Insurance Company Name
Date Date
Bundled Auto Secure - Two
P0023200002/4113/530300 Wheeler Policy (1 Year Term Magma HDI General Insurance Co Ltd. 26/01/2023 25/01/2028
for Own Damage & 5 Years
for Third Party)
Sum Insured of Optional PA Cover:-Sum Insured of Optional PA Cover "Unnamed Passenger"-NA and "Unnamed Hirer/Driver"-NA
LIMITATIONS AS TO USE:--The Policy covers use of the vehicle 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.
DRIVER: Any person including insured: Provided that a person driving holds an effective driving licence at the time of the accident and is not
disqualified from Holding or obtaining such a licence.Provided also that the person holding an effective Learner's Licence may also drive the
vehicle and that such a person satisfies the requirements of Rule 3 of the Central Motor Vehicle Rules, 1989.
IMPORTANT NOTICE:--The insured is not indemified 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 RIGHTS OF RECOVERY'
I/We certify that the policy to which the certificate relates as well the certificate of insurance are issued in accordance with the provisions of
Chapter X & XI of M.V. Act 1988
Note: The policy covers damage to Vehicle only & NO other Liability is attached to this policy.
Insured is Liable for a voluntary deductible of Rs. Auto
Broker : Hero Insurance Broking India Pvt. Ltd. Secure- Two Wheeler Package Policy.
(649) TA16. Depreciation Allowances No of claim allowed 4,
Deductible: First Rs. 250 for each and every claim./- for
Premium of Rs. 1399.00 Received Vide CASH each Claim, if policy having ND product.
Cash/Cheque No. The policy is subject to a compulsory excess of Rs. 100/- &
Dated deductible under depreciation allowance is applicable as
per policy terms & conditions
Drawn on Consolidated Stamp Duty Paid
Acknowledgement Dt 22-01-2024 Endorsements: IMT - 22,TA16
FOR RENEWALS CONTACT: SEHGAL On behalf of Tata AIG General Insurance Co. Ltd.
AUTOMOBILES Ph.No- 0129-2225141
26-Jan-2024
Date & Signature of proposer 18/2, MATHURA ROAD,FARIDABAD, HR.
Dealer's Stamp & Signature Duly Constituted Attorney
# : Warranted that the insured named herein/owner of the vehicle holds a valid Pollution Under Control (PUC) Certificate and/or valid
fitness certificate, as applicable, on the date of commencement of the Policy and undertakes to renew and maintain a valid and
effective PUC and/or fitness Certificate, as applicable, during the subsistence of the Policy. Further, the Company reserves the right
to take appropriate action in case of any discrepancy in the PUC or fitness certificate.
# : Received with Thanks Rs 1399.00 from Mr ADITYA BHANSALI as premium against the money receipt no 023196099301/000000/00
Regd. & Head Office : Peninsula Business Park, Tower A,15th Floor, G.K. Marg, Lower Parel, Mumbai – 400013
For further information about motor insurance policy please also visit http://irda.gov.in >> Grievances >> Policyholder Handbooks
AVOIDANCE OF CERTAIN TERMS AND RIGHT TO RECOVERY
NOTE :This Schedule, Policy terms and conditions available on company website and Endorsements mentioned herein above shall read
together and word or expression to which a specific meaning has been attached in any part of this Policy or of the Schedule shall bear the
same meaning wherever it may appear. Any amendments/modifications/alterations made on this system generated policy document is not valid
and Company shall not be liable for any liability whatsoever arising from such changes. Any changes required to be made in the policy once
issued, would be valid and effective, only after written request is made to the Company and Company accepts the requested
amendments/modifications/alterations and records the same through separate endorsement to be issued by the Company.
You are advised to go through the policy schedule cum certificate of insurance which is issued based on your declaration and if any error/
discrepancy is found in respect of vehicle details, No Claim Bonus or any other material information, it should be brought to our notice within 15
days of receipt of this policy for necessary correction along with the supporting documents, otherwise it will be deemed correct. You may visit
company website at www.tataaig.com for detailed benefits, terms & conditions & exclusions of the policy. You may also reach us at our 24*7
helpline 1800 266 7780 in case you desire to have a printed copy of policy wording. Our grievance redressal procedure and details about
ombudsman is also available in our policy wording. Please note that any misrepresentation, non disclosure or withholding of material facts will
lead to cancellation of policy ab initio with forfeiture of premium and non consideration of claim, if any. We will specifically seek confirmation on
No Claim Bonus availed by you from your previous insurer. In case we receive confirmation that you had lodged claim with them then we will
forfeit all the benefits under section I i.e. own damage section of the policy.
This policy does not cover pre-existing damages as per Inspection photographs and Report.
GRIEVANCE CLAUSE:--For resolution of any query or you are not satisfied with our services and wish to lodge a complaint, please feel free to
call our 24X7 Toll free number 1800 266 7780 or you may email to the customer service desk at customersupport@tataaig.com or visit any of
our branch office. The detailed grievance redressal & query mechanism is available at https://www.tataaig.com/grievance-redressal-policy