THE NEW INDIA ASSURANCE CO. LTD.
(Government of India Undertaking)
POLICY SCHEDULE CUM CERTIFICATE OF INSURANCE
Private Car Liability Policy
UIN Number - IRDAN190RP0001V01200203
Policy Number :31030031230200347892
POLICY ISSUING OFFICE: BUSINESS CHANNEL/CPSC User: CLAIM CONTACT:
DO3,CONNAUGHT PLACE, NEW DELHI NAME: WEB AGGREGATOR NON SUIT CLAIMS HUB (319004)
(310300), Policybazaar Insurance Broker Pvt Ltd - ADDRESS: 13/46, 2nd Floor, SCINDIA HOUSE, K G
13/46, IIND FLOOR, SCINDIA HOUSE , (BR00000972), MARG, CONNAUGHT PLACE, NEW DELHI , , , DELHI ,
KASTURBA GANDHI MARG , , PHONE NUMBER:18002585970 / / 110001.
DELHI , 110001. LAND/FAX NUMBER:/ PHONE NUMBER: 23723521 /
PHONE NUMBER:23723521 EMAIL:care@policybazaar.com / MOBILE NUMBER:
FAX NUMBER:NA / NA Email: ch319004@newindia.co.in
Email:pb.support@newindia.co.in
INSURED DETAILS
Insured Name MOHAN DOSS GANDHI G Customer ID POB3355605 (PAN No :NA)
Insured Address 201 Sai Matrudevo Bhava 156-C Ragavendra C Contact Number / / XXXXXX9608
Colony,Near New Season Swimming Pool Kondapur
K.v.,Rangareddy Telangana,
Rangareddi ,TELANGANA, 500084
Email gmdg75@gmail.com
GSTIN NA
CHANNEL PARTNER CONTACT DETAILS
Channel Partner Name Email Address(s) Contact Number(s)
Policy Bazaar care@policybazaar.com 1800-258-5970
POLICY DETAILS
Period of cover 24/03/2024 12:00:01 AM to 23/03/2025 11:59:59 PM Receipt Number 31030081230000399244 -
21/03/24
Previous Insurer CHOLAMANDALAM MS GENERAL INSURANCE CO. LTD. Previous Policy Number PPN6273627637
VEHICLE DETAILS
Registration Number KA-51-M-2322 Chassis no./Engine Number MA3EYD81S00605594/F8D
N409376
Make / Model MARUTI/ALTO 800 Variant: STD (M) BS-IV
Year of manufacture 2005 Type of body / Type of Fuel Saloon/Petrol
Colour As per RC Book Cubic capacity(cc) 796cc
/Wattage(kW):
Seating capacity including 5 Name of registration Bangalore - Bannerghatta
Driver authority
Geographical Area / Zone India Name of the Financier
Cover Note No/Cover Note / Automobile Association none
Issue Date: membership
FASTag ID:
INSURED DECLARED VALUE (in Rs)
Vehicle Trailer Non-Elec Acc Electrical Acc Bi-fuel kit Total Value
0 0 N/A N/A N/A 0
SCHEDULE OF PREMIUM
Own Damage Liability
Basic OD Premium 0 Basic TP Premium 2094
Calculated OD Premium 0 Calculated TP Premium 2094
Total OD Premium 0 Total TP Premium 2094
Signature Not
Verified
Digitally signed
by DHIRAJ Policy No. : 31030031230200347892Document generated by USRPB at 2024/03/21 16:49:32.
KUMAR
Regd. & Head Office: New India Assurance Bldg., 87 M.G. Road, Fort, Mumbai - 400 001. TOLL FREE No. 1 800 209 1415.
Date: 2024.03.21
16:49:32 IST Give your valuable feedback on https://www.newindia.co.in/portal/policyFeedbackGen.
For redressal of your grievance, if any,you may approach any one of the following offices- 1. Policy issuing office 2. Regional office 3. Head office.In case, you are not satisfied with our own grievance redressal mechanism; you may also
approach Insurance Ombudsman. For details of our office addresses and addresses of office of Insurance Ombudsman, please visit our website http://newindia.co.in.
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THE NEW INDIA ASSURANCE CO. LTD.
(Government of India Undertaking)
Net Premium in Rs 2,094
GST in Rs 377
Total Payable in Rs 2,471
Total Payable in Rs(in words): RUPEES TWO THOUSAND FOUR HUNDRED SEVENTY-ONE ONLY
GSTIN(Issuing Office) 07AAACN4165C1ZT
SAC 997134 (Motor vehicle insurance services)
Limitation as to use:The policy covers use for any purpose other than: a)Hire or reward b)Organized racing, OR c)Speed testing
Limits of Liability:Limit of the amount the Company's Liability Under Section II 1(i) in respect of any one accident: as per the Motor Vehicles
Act, 1988. Limit of the amount of the Company's Liability Under Section II 1(ii) in respect of any one claim or series of claims arising out of one
event: Up to Rs. 7,50,000
For individual covers (OD) in RS:0 Compulsory excess in Rs:NA
Imposed excess in Rs:0 Voluntary excess in Rs:0
Persons or 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 requirement of Rule 3 of the Central Motor Vehicles
Rules, 1989.
PA cover for Owner Driver
As per the declaration given,the Insured has opted out of CPA cover under this policy.
PA cover for named persons
Name CSI Opted(Rs.) Nominee Relationship
none 0 NA NA
Premium and GST Details
Rate of Tax Amount in INR
Premium Rs 2,094
SGST 0 0
CGST 0 0
IGST 18 377
In witness where of this policy has been signed at DO3,CONNAUGHT PLACE, NEW DELHI on this 21/03/2024WARRANTED THAT IN CASE OF
DISHONOUR OF THE PREMIUM CHEQUE, THIS DOCUMENT STANDS AUTOMATICALLY CANCELLED ABINITIO This policy is subject to the Terms,
conditions and exceptions applicable to Package/Liability policy attached/available on the web site http://newindia.co.in; IMT Endorsement
Number(s) printed herewith attached 22.
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 appearing in the certificate in order to comply with the Motor Vehicles Act, 1988 is recoverable from the
insured: see clause headed "AVOIDANCE OF CERTAIN TERMS AND RIGHTS OF RECOVERY". It is clarified that in case the declaration regarding
the ncb or other previous policy details made by the insured, is found to be incorrect, all the benefits (including claim) under section-1 of this
policy, will stand forfeited.
Anti Money Laundering Clause: In the event of a claim under the policy exceeding Rs 1lakh or a claim for refund of premium exceeding Rs 1
lakh, the insured will comply with the provisions of AML policy of the company. The AML policy is available in all our operating offices as well
as Company website.
I/We hereby certify that the policy to which this Certificate relates For and on behalf of The New India Assurance Company Limited
as well as this Certificate of Insurance are issued in accordance
with the provisions of Chapter X and XI of M.V. Act, 1988.
Date of Issue: 21/03/2024
(MR. DAYANAND SINGH)
[SRDivisional Manager]
Duly Constituted Attorney(s)
Policy No. : 31030031230200347892Document generated by USRPB at 2024/03/21 16:49:32.
Regd. & Head Office: New India Assurance Bldg., 87 M.G. Road, Fort, Mumbai - 400 001. TOLL FREE No. 1 800 209 1415.
Give your valuable feedback on https://www.newindia.co.in/portal/policyFeedbackGen.
For redressal of your grievance, if any,you may approach any one of the following offices- 1. Policy issuing office 2. Regional office 3. Head office.In case, you are not satisfied with our own grievance redressal mechanism; you may also
approach Insurance Ombudsman. For details of our office addresses and addresses of office of Insurance Ombudsman, please visit our website http://newindia.co.in.
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THE NEW INDIA ASSURANCE CO. LTD.
(Government of India Undertaking)
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.
Tax Invoice No : 31030023P0365086
IRDA Registration Number: 190
NIA PAN NUMBER: AAACN4165C
Policy No. : 31030031230200347892Document generated by USRPB at 2024/03/21 16:49:32.
Regd. & Head Office: New India Assurance Bldg., 87 M.G. Road, Fort, Mumbai - 400 001. TOLL FREE No. 1 800 209 1415.
Give your valuable feedback on https://www.newindia.co.in/portal/policyFeedbackGen.
For redressal of your grievance, if any,you may approach any one of the following offices- 1. Policy issuing office 2. Regional office 3. Head office.In case, you are not satisfied with our own grievance redressal mechanism; you may also
approach Insurance Ombudsman. For details of our office addresses and addresses of office of Insurance Ombudsman, please visit our website http://newindia.co.in.
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