Travel Real-Time Application - UAT (8) (3) 5
Travel Real-Time Application - UAT (8) (3) 5
Travel Real-Time Application - UAT (8) (3) 5
We thank you for choosing Motor Secure insurance policy. Your Policy No. is VD135560. Motor Secure policy offers your vehicle and
yourself protection against any unforeseen vehicle accidents and loss to third party property or life arising there from as per the coverage
mentioned in the attached policy terms and conditions. We request you to kindly go through the same to acquaint yourself with the
available coverage.
Our initiatives will provide you with the highest standards of service, convenience and quality in motor insurance.
In the unfortunate circumstances of an accident, you may notify us for a claim by sending an SMS MOTORCLAIM to 9222211100
(Standard SMS charges applicable) or by calling us at 1800-220-233/ 1860-500-3333/ 022-67837800 or email us at
fgcare@futuregenerali.in or walk into any of our nearest offices.
It will always be our endeavour to constantly better your experience by innovating and evolving our basket of conveniences. We strive to
deliver service which is personalized and is totally transparent. It is our aim to be with you in your time of need.
The policy has been issued on the basis of the information provided by you. The extract of the information has been enclosed for
your reference. We would request you to peruse the policy and satisfy yourself that it meets with your requirement fully.
Please note : Transfer of benefits under this insurance policy is not automatic on the sale of the vehicle. The transferee must apply
within 14 days from the date of transfer of vehicle in writing to the insurance company with full details in a duly signed fresh proposal
form along with evidence of sale and transfer fees of ₹. 50/- + Goods and Service tax .
**NCB has been allowed 50% on the basis of your declaration of 'No Claims' in your expiring policy. In case, we find that this
declaration is incorrect and/or false, all benefits under the Policy in respect of Section I of the policy will stand forfeited.
We would like to assure you that the electronic copy of your policy is as authentic and valid as the physical copy and it can be used as a
proof of insurance wherever required.
As a part of the government’s Digital India drive, you can now store your insurance policy documents digitally and securely under
DigiLocker . Download and install the App “DigiLocker” from Playstore and with your Aadhaar number and mobile number create a
User ID using an OTP. Under Banking and Insurance submenu, you will find Future Generali Total Insurance Tab wherein when you
can select the product and update our 8 digit policy number, the Policy PDF of the active policy can be viewed. For more deta ils on
DigiLocker, visit https://digitallocker.gov.in/
Once again, thank you for choosing to insure your vehicle with Future Generali and we look forward to being of service to you.
Assuring you of our best services at all times.
(Authorised Signatory)
Future Generali India Insurance Company Limited, Registered and Corporate Office address: 801 and 802, 8thFloor, Tower C, Embassy 24X7 Park,
L.B.S. Marg, Vikhroli - West, Mumbai, Maharashtra - 400083 Care Line:- 1800-220-233, 1860-500-3333, 022-67837800, Email: fgcare@futuregenerali.in,
Website: www.futuregenerali.in. IRDA Regn.No. 132, CIN - U66030MH2006PLC165287.
Please review the communication address, email or contact nos. noted on this letter for correctness. In case of any change please contact our
nearest branch or call our care lines mentioned above. This will ensure you do not miss out on 'Service Updates' and 'Renewal Reminders'.
Now you can buy Health, Personal Accident, Travel, Home, Motor insurance & also renew your Future Generali Private Car Insurance policy
online. Visit us at www.futuregenerali.in
Future Generali India Insurance Company Limited, Registered and Corporate Office address: 801 and 802, 8thFloor, Tower C, Embassy 24X7 Park,
L.B.S. Marg, Vikhroli - West, Mumbai, Maharashtra- 400083 Care Line:- 1800-220-233,1860-500-3333,022-67837800, Email: fgcare@futuregenerali.in,
Website: www.futuregenerali.in. IRDA Regn.No. 132, CIN - U66030MH2006PLC165287
Tax Invoice
INSURED DETAILS
Policy Number : VD135560 Address of Service Provider: Off Code-2J,Future Generali India Insurance Co
Ltd, 4th Floor, Windfall, Sahar Plaza Complex,
Invoice Number : 202427PNT0161135 Andheri Kurla Road, J.B.Nagar, Andheri (East),
Mumbai, Maharashtra, Pincode - 400059
Place of Supply(State Code): 18 Intermediary Name \ Code: Probus Insurance Broker Limited \ 60047581
GSTIN / UIN Number : - Date of Issue / Invoice : 01/07/2024
Date
Period of Insurance : From 00:00 hours of 02/07/2024
To Midnight of 01/07/2025 Nature of Service : General Insurance Service
Received with thanks from a sum of ₹ 20,601.00 towards Premium on the above mentioned policy.
Particulars HSN/SAC GWP (Rs.) Tax % CGST (Rs.) SGST (Rs.) IGST (Rs.)
Other Premium 997134 1,378.00 18% 248.04
TP Premium on goods carriage 997134 17,049.00 12% 1,925.88
vehicle
Total 18,427.00 2,173.92
Grand Total ( Premium + GST ) 20,600.92
NOTE :
1. In case of payment by cheque, in the event of dishonour of cheque for any reason whatsoever, insurance cover provided under this receipt automatically stands
cancelled from the inception irrespective of whether a seperate communication is sent or not.
2. Excess amount, if any, will be adjusted against subsequent policies, or will be refunded on demand.
3. 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.
(Authorised Signatory)
Note:This document is digitally signed by Mr Vaibhav Risbud, Authorised Signatory of Future Generali
India Insurance Company Limited on 01/07/2024
Future Generali India Insurance Company Limited, Registered and Corporate Office address: 801 and 802, 8thFloor, Tower C, Embassy 24X7 Park,
L.B.S. Marg, Vikhroli - West, Mumbai, Maharashtra- 400083 Care Line:- 1800-220-233,1860-500-3333,022-67837800, Email: fgcare@futuregenerali.in,
Website: www.futuregenerali.in. IRDA Regn.No. 132, CIN - U66030MH2006PLC165287
POS-Future Secure - Commercial Vehicle
CERTIFICATE OF INSURANCE CUM POLICY SCHEDULE - Form 51 of the Central Motors Vehicles Rules, 1989
Policy Servicing : Off Code-2J,Future Generali India Insurance Co Ltd, 4th Floor, Windfall, Sahar Plaza Complex, Andheri
Office Kurla Road, J.B.Nagar, Andheri (East), Mumbai, Maharashtra, Pincode- 400059.,Tel_No: -
Policy No. : VD135560 Period of Insurance : From 00:00 hrs of 02/07/2024 To
Insured : Mr. MS Bubul Ali Midnight of 01/07/2025
CKYC_No. :
:
Address : Gotanagar, Jalukbari, Goroimari, Covernote No : - Dated: Zone: B
Asam, 781011 Intermediary Name/Code : Probus Insurance Broker Limited /
60047581
Telephone(Hom) 7304332968
Email ID : care@probusinsurance.com
GSTIN Number : - FGI GSTIN Number : 27AABCF0191R2Z8
INSURED MOTOR VEHICLE DETAILS AND PREMIUM COMPUTATION
Registration No., Make/Model of Vehicle Engine No. Chassis No.
RTA Location
AS25FC1528 TATA MOTORS YODHA ARICOR12EXXJ12655 MAT464662NSE09046
GUWAHATI 1700
PICKUP
Year of Manufacture Cubic Capacity Seating Capacity Gross Vehicle Weight
2022 - 3 3490
DRIVERS CLAUSE - Any person including 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 learners license may also drive the vehicle when not used for the transport of goods *at the time of the accident and that
such a person satisfies the requirements of Rule 3 of the Central Motor Vehicles Rules 1989.
* When the vehicle is used for passengers add the following words: when not used for the transport of passengers at time of the
accident.
LIMITATIONS AS TO USE - The Policy covers use only under a permit within the meaning of the Motor Vehicle Act, 1988 or
such a carriage falling under Sub-section 3 of section 66 of the Motor vehicle's Act 1988. The policy does not cover use for a)
Organized racing b) Pace Making c) Reliability Trails d)Speed Testing
Geographical Area : INDIA ,
IMPORTANT NOTICE
The Insured is not indemnified if the vehicle is used or driven otherwise 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”.
For legal interpretation English version will be good.
For full details on coverage, terms, conditions and exclusions, please refer the standard policy wordings attached with this
schedule.
Warranted that the *Vehicle insured herewith has a valid Pollution Under Control (PUC) Certificate as on the inception date
of the policy.(*Not applicable for Electric Vehicles and New Non- Electric Vehicles).
IMPORTANT - 1) All other Terms, Conditions and Exclusions as per Policy Wordings.
2) For complete terms, conditions and exclusions, please visit https://general.futuregenerali.in/customer-service/downloads/
3) For any redressal of grievance and for escalation matrix https://general.futuregenerali.in/customer-service/grievance-redressal
4) If the payment of premium amount has been made through a cheque or in online mode and (i) such cheque is dishonoured, for
any reason whatsoever, upon presentation, or (ii) the online payment does not yield a credit to the bank account of FGII, or (iii)
the policyholder reverses the premium amount through a chargeback, the insurance cover evidenced through this policy schedule
shall stand cancelled, from its inception, with immediate effect, irrespective of whether a separate communication is sent by FGII
or not.
**NCB has been allowed 50 % on the basis of your declaration of 'No Claims' in your expiring policy. In case, we find that this
declaration is incorrect and/or false, all benefits under the Policy in respect of Section I of the policy will stand forfeited.
LIMITS OF LIABILITY
Under Section II-I (i) :Death of or bodily injury -Such Under Section II-I (ii) : Damage to Third Part Property - ₹
amount as is necessary to meet the requirements of Motor 750000/- in respect of any one claim or series of claims arising out
Vehicles Act, 1988. of one event.
Future Generali India Insurance Company Limited, Registered and Corporate Office address: 801 and 802, 8thFloor, Tower C, Embassy 24X7 Park,
L.B.S. Marg, Vikhroli - West, Mumbai, Maharashtra- 400083 Care Line:- 1800-220-233,1860-500-3333,022-67837800, Email: fgcare@futuregenerali.in,
Website: www.futuregenerali.in. IRDA Regn.No. 132, CIN - U66030MH2006PLC165287
Under Section III : PA Owner – Driver as per premium Compulsory Deductible Under Sec I : ₹ 500.00
computation table.
Hypothecation Agreement with:- NIL
SPECIAL CONDITIONS – NIL
ADDITIONAL EXCESS – NIL
The nominee for Compulsory PA to owner driver cover is 01) Hussain Ali, aged :51 Years, Relationship : Father, Nomination %
: 100%
Future Generali India Insurance Company Limited, Registered and Corporate Office address: 801 and 802, 8thFloor, Tower C, Embassy 24X7 Park,
L.B.S. Marg, Vikhroli - West, Mumbai, Maharashtra - 400083 Care Line:- 1800-220-233, 1860-500-3333, 022-67837800, Email: fgcare@futuregenerali.in,
Website: www.futuregenerali.in. IRDA Regn.No. 132, CIN - U66030MH2006PLC165287.
Policy No : VD135560 Period Of Insurance : From 00:00 hrs of 02/07/2024 To Midnight of 01/07/2025
INSURED'S DECLARED VALUE
Type of Body For Vehicle For Vehicle For Non-Elec For Trailers-₹ For Elec / Electronic For Bi-Fuel Kit TotalValue-
-₹ Body- ₹ Accessories- ₹ Accessories - ₹ (CNG/LPG)- ₹ ₹
PICK-UP 592,420 0 - - - - 592,420
SCHEDULE OF PREMIUM
PARTICULARS ₹ ₹
A-OWN DAMAGE
Basic Premium on Vehicle 2,095.03
**Less : No Claim Discount 50% 1,047.52
Total Own Damage Premium (A) (rounded off) 1,048.00
B-LIABILITY
Basic Premium including Premium for TPPD 17,049.00
Add : Compulsory PA to Owner-Driver Rs. 15 lacs 330.00
Total Liability Premium (B) 17,379.00
Total Annual Premium (A+B) 18,427.00
Total Premium for the Policy Period 18,427.00
Goods and Service Tax 2,173.92
Total Premium (rounded off) 20,601.00
Class of Vehicle : Goods Carrying-Public Carriers (Other Subject to Endorsement Nos. 21 ,15 ,
Than 3 Wheelers)
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 M .V. Act, 1988.
Receipt No : X0509047
Date of Issue : 01/07/2024
Place of Issuance : Mumbai*
Note:This document is digitally signed by Mr. Vaibhav Risbud, Authorised Signatory of Future Generali
India Insurance Company Limited on 01/07/2024
For registration of your Motor claims SMS MOTORCLAIM to 9222211100 ( Standard SMS charges applicable )
Stamp Duty of Rs.0.50 is paid as provided under Article Policy of Insurance 47B of Indian Stamp Act,1899 and included in Consolidated Stamp
Duty Paid to the Government of Maharashtra Treasury vide Order of Addl. Controller Of Stamps, Mumbai at General Stamp Office,Fort,
MUMBAI-400001.,vide this Order No.( LOA/ENF-2/CSD/37/2024/(Validity Period Dt. 25-04-2024 To Dt. 31-03-2025)/OW No. 2060, Dated
16-04-2024. ) GRN NO. MH000119505202425E, Dated: 03-04-2024, Bank Of Maharashtra And DEFACE NO. 0000212877202425, Dated:
08-04-2024.
Future Generali India Insurance Company Limited, Registered and Corporate Office address: 801 and 802, 8thFloor, Tower C, Embassy 24X7 Park,
L.B.S. Marg, Vikhroli - West, Mumbai, Maharashtra- 400083 Care Line:- 1800-220-233,1860-500-3333,022-67837800, Email: fgcare@futuregenerali.in,
Website: www.futuregenerali.in. IRDA Regn.No. 132, CIN - U66030MH2006PLC165287
Dear MS Bubul Ali,
We wish to inform you that the Insurance policy number VD135560 has been issued on the basis of the proposal(via e-
proposal/distance marketing/online/physical) and any other subsequent documents, submitted by you post understanding the
Terms & Conditions of the policy and consequences of the risk proposed, to the Company for issuance of the policy.
You have agreed to issue this policy, subject to the Company’s Board approved Underwriting Policy and that the Policy will
come into force only after the Company is in receipt and realisation of full prescribed premium.
The Company shall have no liability under the Policy/contract of insurance if it is found that any of your statements, particulars,
information, declarations, warranties, submitted in proposal or other documents are incorrect and/or untrue or any information
is suppressed or the information provided is misleading or false in any respect on any matter [whether material or not material]
which forms the base to issue the policy by the Company.
In case of any disagreement or objection or any changes with respect to the information mentioned in the transcript below, we
request you to please revert back within 15 days from the date of receipt of this transcript or the policy start date whichever is
earlier, failing which it shall be deemed that you are satisfied with the correctness of the details mentioned in the transcript.
POS-Future Secure - Commercial Vehicle - TRANSCRIPT/DECLARATION
Sr No Insured Details
1 Insured Name MS Bubul Ali
2 Registration address of the Insured Gotanagar, Jalukbari, Goroimari, Asam, 781011
3 Communication address of the Insured Gotanagar, Jalukbari, Goroimari, Asam, Pincode :- 781011
4 Residence Telephone no
5 Mobile no 9864497836
6 Email id djsikura@gmail.com
Policy Details
7 Policy Number VD135560
8 Risk start time and date 02/07/2024/00:00
9 Risk end date 01/07/2025
10 Renewal NCB % 50%
Vehicle Details
11 Make and Model of vehicle insured TATA MOTORS YODHA 1700 PICKUP
12 Registration No AS25FC1528
13 Engine No ARICOR12EXXJ12655
14 Chassis No MAT464662NSE09046
15 Cubic Capacity -
16 Year of Manufacturing 2022
17 RTO where vehicle is/will be registered GUWAHATI
18 Seating Capacity 3
19 Date of Registration / Purchase 30/06/2022
20 Usage of the vehicle A1
21 Fuel Type Diesel
22 Hypothecation/Lease/Hire Purchase -
23 Bank Name -
24 Vehicle * being insured has valid Pollution Under Yes
Control (PUC) Certificate as on inception date of
policy.(*Not applicable for New Vehicle)
Previous Insurance Details
25 Previous Insurer Name Reliance General Insurance Co. Ltd.
26 Expiring Policy No VB877195
27 Expiring Policy Expiry Date 01/07/2024
28 No Claim Bonus % under expiring policy 50.00 %
29 Is there any claim in expiring policy N
IDV Details
30 Vehicle IDV on Renewal ₹.592,420
Future Generali India Insurance Company Limited, Registered and Corporate Office address: 801 and 802, 8thFloor, Tower C, Embassy 24X7 Park,
L.B.S. Marg, Vikhroli - West, Mumbai, Maharashtra- 400083 Care Line:- 1800-220-233,1860-500-3333,022-67837800, Email: fgcare@futuregenerali.in,
Website: www.futuregenerali.in. IRDA Regn.No. 132, CIN - U66030MH2006PLC165287
31 Electrical Accessories IDV ₹.0
32 Non Electrical Accessories IDV ₹.0
33 CNG IDV ₹.0
Third Party Coverages Opted
34 Basic Premium including Premium for TPPD Opted
35 Add:-Trailers Not Opted
36 Less : Limit of Liability under sec II-1(ii)-₹. 6000 Not Opted
37 Add : Bi-Fuel Kit (CNG/LPG) Not Opted
38 Add : Geographical Area Extn Not Opted
39 Add : Compulsory PA to Owner-Driver ₹. 15 lacs Opted
40 Add : Legal Liability to Employees of the Insured Not Opted
(No. of persons 0)
41 Add : PA to Drivers/Cleaner/Conductors (No. of Not Opted
persons 0) PA Limit ₹.0 per person.
42 Add : PA to Passenger (No. of persons 0) PA Limit ₹.0 Not Opted
per person.
43 PA to Named Persons other than Owner Driver As per Not Opted
Annexure attached
44 Add : Legal Liablity to Employees/Non-Fare Paying Not Opted
Passengers (other than WC) (No. of persons 0)
45 Add : Legal Liability to Person for Not Opted
Operation/Maintenance (No. of persons 0)
46 Add : Legal Liability to Driver/Cleaner/Conductor Not Opted
(No. of persons 0)
47 Add : Increased Limit of Liability under sec II-1(ii)-₹. Not Opted
7.5lacs
48 Add : Indemnity to Hirer Not Opted
Own Damage Coverages Opted
49 Basic Premium on Vehicle Opted
50 Add : Non-Electrical Accessories Not Opted
51 Add:-Trailer Not Opted
52 Add : Electrical/Electronic Accessories Not Opted
53 Add : Bi-Fuel Kit (CNG/LPG) Not Opted
54 Add : Geographical Area Extn Not Opted
55 Add : Fibre Glass Tanks Not Opted
56 Add : Embassy Loading Not Opted
57 Add : Driving Tutions Not Opted
58 Add : IMT 23-Cover for mud-guards etc Not Opted
59 Add : Overturning during operational use Not Opted
60 Add : IMT 34 Not Opted
61 Less : Anti Theft Not Opted
62 Less : Use Confined to Own Premises Not Opted
63 Less : Vehicles Specially Designed/Modified For Not Opted
Handicapped Persons
64 Less : No Claim Discount 50% Opted
Nominee Details
65 Nominee Name Hussain Ali
66 Nominee Relationship with Insured Father
67 Nominee Age in Y or M 51Y
68 Nominee % 100
69 Appointee Name -
70 Relationship of Appointee with Nominee -
On examination of the Policy, if you notice any mistake, please return the Policy to the Company immediately for correction.
Any modification(s) in the policy resulting in additional premium, will be applicable from the inception of the policy and this has
to be paid by you immediately to keep the policy coverage intact.
Future Generali India Insurance Company Limited, Registered and Corporate Office address: 801 and 802, 8thFloor, Tower C, Embassy 24X7 Park,
L.B.S. Marg, Vikhroli - West, Mumbai, Maharashtra- 400083 Care Line:- 1800-220-233,1860-500-3333,022-67837800, Email: fgcare@futuregenerali.in,
Website: www.futuregenerali.in. IRDA Regn.No. 132, CIN - U66030MH2006PLC165287
ENDORSEMENTS
(Attached to and forming part of policy)
Future Generali India Insurance Company Limited, Registered and Corporate Office address: 801 and 802, 8thFloor, Tower C, Embassy 24X7 Park,
L.B.S. Marg, Vikhroli - West, Mumbai, Maharashtra- 400083 Care Line:- 1800-220-233,1860-500-3333,022-67837800, Email: fgcare@futuregenerali.in,
Website: www.futuregenerali.in. IRDA Regn.No. 132, CIN - U66030MH2006PLC165287