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Information about 1620722312004553

Published on March 11, 2014

Author: shahvishald

Source: slideshare.net

Reliance Two Wheeler Vehicle Certificate cum Package Policy Schedule Policy / Certificate No. : 1620722312004553 Proposal /Covernote No : 162008032856 Business/Occupation: None Name of Insured : MR VISHAL DINESHBHAI SHAH Period of Insurance : From 00:00 Hrs on 28/03/2013 to 27/03/2014 on 23:59 Address : C-1 JAY SOMESHWAR SOCIETY NEAR JAYMALA SOCIETY BUS STAND RING ROAD ISANPUR AHMADABAD CITY MANINAGAR AHMADABAD 380008 GUJARAT Contact details : 9898371572 Hypothecated with : Email ID : shahvishald@yahoo.com Zone A Geographical Area India Particulars of vehicle Insured : Own Damage Basic OD 386.00 Total Basic Own Damage Premium 386.00 Deduct 50% for NCB -193.22 TOTAL OWN DAMAGE PREMIUM 193.22 Liability Basic Liability 357.00 Total Basic Liability Premium 357.00 PA Benefits Compulsory PA cover to Owner Driver of CSI 100000(IMT-15) 50.00 Total PA Premium 50.00 Legal Liability Total Liability Premium 407.00 Package Premium 600.22 Add:Service Tax (12% of Net Premium) 72.03 Add:Education Cess (2% of Service Tax) 1.44 Add:Secondary & Higher Education Cess(1% of Service Tax) 0.72 FINAL PREMIUM 674.00 Subject to I.M.T. Endt.Nos. & Memorandum printed/herein/attached hereto. IMT22,15 Service Tax Reg.No. AABCR6747BST001 Category-General Insurance Business Service 00440005 The policy has been issued based on the information provided by you and the policy is not valid if any of the information provided is incorrect. Subject otherwise to the terms, conditions and exclusions of the Reliance Two Wheeler Package Policy. In Witness whereof this Policy has been signed at Mumbai on 04/03/2013 in lieu of Cover Note No:162008032856 dated 02/03/2013 Premium Schedule Registration Number and Place Make / Model Engine / Chassis No.Vehicle Type of body Cubic Capacity Year of Manufacture Seating Capacity of side car (if any) including driver Net Premium Rs. IDV (Insured's Declared Value) Rs GJ01ER5839 Ahmedabad BAJAJ PULSAR 150 DTSI ES 41631 03752 150 2005 2 600.22 21,553.00 Limitations As To Use The Policy covers use 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 Persons/Classes of Persons entitled to drive : 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. Limits of Liability : a. Under Section II-1(i) of the Policy-Death of or bodily injury to any person so far as it is necessary to meet the requirements of the Motor Vehicle Act, 1988. b. Under Section II (1)(ii) of the Policy-Damage to property other than property belonging to the insured or held in trust or in the custody of control of the insured up to the limits specified Rs.1 lakhs . Deductible under Section-I (i)Compulsory deductible Rs. 100/-(ii) Additional compulsory deductible Rs. 0/-(iii) Voluntary deductible Rs. 0 /- (iv) PA Cover for owner-driver under section III CSI Rs. 100000/- Special Conditions: NA It is hereby declared and agreed that all pre-existing damages to the vehicle having occurred prior to the commencement of cover are excluded from the scope of the policy. The policy wording with detailed terms, conditions and exclusions are available on our website www.reliancegeneral.co.in Consolidated stamp duty paid vides Receipt No. 33866 dated 07/01/2013 Not applicable for the State of Jammu and Kashmir. 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 X and Chapter XI of M.V. Act, 1988. Note: In the event of dishonor of cheque, this policy document automatically stands cancelled from inception irrespective of whether a separate communication is sent or not. No Claim Bonus will only be allowed, provided the policy is renewed within 90 days of the expiry of the previous policy. Insured's Declared Value For the Vehicle (Rs) For Trailers (Rs) Non Elec. Accessories (Rs) Elec./Electronic Accessories (Rs) Value of CNG/LPG Kit (Rs) Total IDV (Rs) 21,553.00 0.00 0.00 0.00 0.00 21,553.00 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 appealing in the Certificate in order to comply with the Motor Vehicle Act, 1988 is For Reliance General Insurance Co. Ltd. recoverable from the Insured.See the clause headed 'AVOIDANCE OF CERTAIN TERMS AND RIGHT OF RECOVERY'. For legal interpretation,English version will hold good.NOTE: Kindly acknowledge receipt of this policy. In case you find any variations against your proposal or anydiscrepancy in the policy,kindly contact us immediately Reliance General Insurance Co. Ltd. Duly Constituted Attorney(s) Registered Office: Reliance Centre, 19, Walchand Hirachand Marg, Ballard Estate, Mumbai - 400 001 Policy Issuing Office : 570, Naigaum Cross Road, Next to Royal Industrial Estate, Wadala (W), Mumbai - 400 031 Policy servicing office : III Floor Poonam Plaza,Main Rambag Road Maninagar, Ahmedabad,Gujarat Intermediary CodeName: 16A07643 / PRAPTI NIKHIL CHAUHAN Intermediary Contact No: 9376933748 Registered Office: Reliance Centre, 19, Walchand Hirachand Marg,Ballard Estate ,Mumbai - 400 001

To, Date: 04/03/2013 Reliance General Insurance Company Ltd. Ahmedabad II VERNEKAR BUILDING,OPP. HOTEL BARDEZ, ABOVE DENA,MAPUSA 403507 083226-2303 083226-253401 Dear Sir, Sub: Confirmation of No Claim Bonus(NCB)Declaration Insured Name MR VISHAL DINESHBHAI SHAH NCB% applied on the policy 50% Vehicle Insured BAJAJ PULSAR 150 DTSI ES Vehicle Registration Number GJ01ER5839 Type of Cover Package Only policy Your Policy No./Cover Note no. 1620522312000019 Policy Start Date 28/03/2012 Policy End Date 27/03/2013 The proposer has declared that the request was submitted to you for issuance of a NCB Certificate. However, as the proposer is unable to furnish the same issued from your office as proof of NCB Entitlement that may be availed as per provisions of the India Motor Tariff we have accepted the proposal and permitted the claimed NCB as per declaration submitted to us by the proposer| Accordingly, we would request you to: Confirm that the information mentioned above is correct: Yes/No If No,please state nature of incorrect information and the actual position thereof:- State whether any claim under your Policy has been reported(OD/Liability Claim): Yes/No If Yes,date & amount of claim lodged: This letter is being sent as per GR 27 of India Motor Tariff.We request you to kindly provide us with the desired information by filling up the same in the original & sending it to us. An early response will be highly appreciated. Please not you are required to respond to this lettler within 30 days of receipt of this letter. In case we do not receive a response from you within this time frame,it shall be deemed that you have confirmed that the information provided by the Proposer(as contained herein) is true and correct. Yours faithfully, For Reliance General Insurance Company Limited, To, The Manager, Reliance General Insurance Co.Ltd. Reference:Our Policy No 1620722312004553 III Floor Poonam Plaza Main Rambag Road Maninagar Ahmedabad Gujarat We Confirm that the insured is eligible/Not Eligible(Strike Out) for 50% NCB Authorised Signatory Registered Office: Reliance Centre, 19, Walchand Hirachand Marg,Ballard Estate ,Mumbai - 400 001

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