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    FF - VMPB058537000100 2

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    Gourav Kala

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    © All Rights Reserved
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    FF - VMPB058537000100 2

    Uploaded by

    Gourav Kala
    2 views1 page

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    © All Rights Reserved
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    2 views1 page

    FF - VMPB058537000100 2

    Uploaded by

    Gourav Kala

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
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    of 1

    Service Branch Address: No.4B, 4th Floor, "" A"" Block, Mena Kampala Arcade,Sir Theyagaraya Road, T.Nagar.

    MAR 26, 2019

    Mr. Saroj Wo Shiv Narayan


    PLOT NO-1098, WARD-34, VIJAY N Intermediary Code: OA505227
    AGAR, MAIN JHAJJAR ROAD CHUNGI, NEAR FITS
    FACTORY AND MRF SHOWROOM,
    Intermediary Name: Policybazaar Insurance Web
    FARIDABAD, HARYANA Aggregator Private Limi
    124001
    Telephone : Contact: 1800 208 8787
    Mobile : 999999997

    CERTIFICATE OF INSURANCE & POLICY SCHEDULE


    (See Form 51 of The Central Motor Vehicles Rules, 1989) Motor Vehicles Act, 1988
    Two Wheeler Package Policy

    Certificate of Insurance & Policy No. Policy Period: Period Of Insurance

    VMPB058537000100 From 00:00:00 hours on 29/03/2021 To 23:59:59 hours on 28/03/2022


    INSURED DETAILS
    Name of Insured Insured Date of Birth Geographical Area Business/Profession Registration Authority Registration Date

    Mr. Saroj Wo Shiv Narayan 18/11/1965 INDIA FARIDABAD 01/09/2013


    INSURED'S DECLARED VALUE (IDV) (in Rs.)
    Year For the Vehicle For Side-car Non Electrical Accessories Electrical/ Electronic Total IDV
    Accessories

    1st Year 29,170.00 0.00 0.00 0.00 29,170.00


    The Vehicle: any of the following (Two-wheeler shall be deemed to include a sidecar attached to it)
    VEHICLE DETAILS
    Registration Number HR51AV0170 Type of Body SOLO
    Engine Number JF50E80097489 Cubic Capacity 109
    Chassis Number ME4JF501BD8098223 Year of Manufacturer 2013
    Make of the Vehicle HONDA MOTORS LTD. Seating Capacity 2
    Model Description ACTIVA -2 SEATER Total Premium (in Rs.) 1,122.00

    LIMITATIONS AS TO USE: DRIVER:


    The Policy covers use of the vehicle for any purpose other than: Any person including the Insured
    a) Hire or Reward • Provided that a person driving holds a valid Driving Licence at the time of the
    b) Tution accident and is not disqualified from holding or obtaining such a Licence.
    c) Carriage of goods (other than samples or personal luggage) • Provided also that the person holding an effective Learner’s Licence may also
    d) Organized racing drive the vehicle and that such a person satisfies the requirements of Rule 3 of
    e) Pace making The Central Motor Vehicles Rules, 1989.
    f) Speed testing
    g) Reliability Trials
    h) Any purpose in connection with Motor Trade

    LIMITS OF LIABILITY:
    Under Section I-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.
    Under Section I-1 (ii) of the Policy - Damage to Third Party Property - Rs.100,000/-
    Personal Accident cover for Owner - Driver under section III: CSI Rs. 15,00,000.00

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