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: 443100/31/2017/4427
Prev Policy No
: -
Cover Note No
: -
Cover Note Dt
Insured's Code
: 71200222
Insured's Name
Address
Address
/ / 0 / NA
: DIVISIONAL OFFICE
Rajaram Building, Second Floor,
Opp. New Bus Stand,Badagara , Calicut
Dist.
KERALA 673101
: 0496 2525062 / 0 /
443100@orientalinsurance.co.in
Agent/Broker Details
Dev.Off.Code
: NA0000003349 MR A RAJAN,
Agent/Broker
: BA0000134685 VASU. T. K.
Address
Gross Premium
: 24,508
Service Tax :
3,677
Stamp Duty :
.5
Total :
28,185
Area Extension :
Particulars of Insured Vehicle:
Registration
Mark & Place
MH 04 CA 4408
Thane - Thane
Type Of Body
Make - Model
62341462
122535
G.V.W
Aluminium
container van
16200
2004 1 + 1
5675
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 Vehicles Act 1988.
1
Use only for carriage of goods within the meaning of the Motor Vehicles Act. The Policy does not cover: 1) Use for
organised racing, pace-making, reliability trial or speed testing. (2) Use whilst drawing a trailer except the towing
(other than for reward) of any one disabled mechanically propelled vehicle. (3) Use for carrying passengers in the
vehicles; except employees (other than the driver) not exceeding the number permitted in the registration document
and coming under the purview of Workmen's Compensation Act 1923.
Place :
Date :
14/07/2016
Authorised Signatory
Page 1 of 3
IRDA Regn. No. 556 - Now you can buy and renew selected policies online at www.orientalinsurance.org.in
For Trailers
Non Electrical
Accessories
Electrical
Accessories
Value of CNG
LPG Kit
Total Value
4,15,000
4,15,000
SCHEDULE OF PREMIUM
A. OWN DAMAGE
B. LIABILITY
8,653.80
22,577.00
5,192.00
BASIC TP TOTAL
22,577.00
BASIC OD TOTAL
3,461.80
100.00
OD TOTAL
3,462.00
100.00
1,731.00
22,777.00
MOTOR TOTAL OD
1,731.00
TOTAL PREMIUM
24,508.00
BASIC OD COVER
STAMP DUTY
0.50
123.00
123.00
3,431.00
TOTAL AMOUNT
28,185.00
* NCB discount - 50 %
Deductibles under Section-I : Compulsory Deductible 500
Subject to IMT Endorsement Printed herein/attached to : IMT-6 , IMT-21 , IMT-37A , IMT-40 , IMT-23
(Details of IMT Endorsements and GR also available on internet TAC website www.tac.org.in)
Hypothecation Agreement with:
Hire Purchase/Lessor Agreement with: In the event of a claim under the policy exceeding Rs.1lac or a claim for refund of premium exceeding Rs1lac,the insured
will comply with the provisions of the AML policy of the Company.The AML policy is available in all our operating Offices as
well
as :company's website.
Place
For and on behalf of
The
Oriental
Insurance Company Limited
14/07/2016
Date :
Authorised Signatory
Page 2 of 3
IRDA Regn. No. 556 - Now you can buy and renew selected policies online at www.orientalinsurance.org.in
Entered By
Rohit Menon A
Examined By
SASEENDRAN K P
Authorised Signatory
Place :
Date :
14/07/2016
Authorised Signatory
Page 3 of 3
IRDA Regn. No. 556 - Now you can buy and renew selected policies online at www.orientalinsurance.org.in
: 443100/31/2017/4429
Prev Policy No
: -
Cover Note No
: -
Cover Note Dt
Insured's Code
: 71200222
Insured's Name
Address
Address
/ / 0 / NA
: DIVISIONAL OFFICE
Rajaram Building, Second Floor,
Opp. New Bus Stand,Badagara , Calicut
Dist.
KERALA 673101
: 0496 2525062 / 0 /
443100@orientalinsurance.co.in
Agent/Broker Details
Dev.Off.Code
: NA0000003349 MR A RAJAN,
Agent/Broker
: BA0000134685 VASU. T. K.
Address
Gross Premium
: 24,508
Service Tax :
3,677
Stamp Duty :
.5
Total :
28,185
Area Extension :
Particulars of Insured Vehicle:
Registration
Mark & Place
MH 04 CA 4410
Thane - Thane
Type Of Body
Make - Model
62341677
122535
G.V.W
Aluminium
container van
16200
2004 1 + 1
5675
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 Vehicles Act 1988.
1
Use only for carriage of goods within the meaning of the Motor Vehicles Act. The Policy does not cover: 1) Use for
organised racing, pace-making, reliability trial or speed testing. (2) Use whilst drawing a trailer except the towing
(other than for reward) of any one disabled mechanically propelled vehicle. (3) Use for carrying passengers in the
vehicles; except employees (other than the driver) not exceeding the number permitted in the registration document
and coming under the purview of Workmen's Compensation Act 1923.
Place :
Date :
13/07/2016
Authorised Signatory
Page 1 of 3
IRDA Regn. No. 556 - Now you can buy and renew selected policies online at www.orientalinsurance.org.in
For Trailers
Non Electrical
Accessories
Electrical
Accessories
Value of CNG
LPG Kit
Total Value
4,15,000
4,15,000
SCHEDULE OF PREMIUM
A. OWN DAMAGE
B. LIABILITY
8,653.80
22,577.00
5,192.00
BASIC TP TOTAL
22,577.00
BASIC OD TOTAL
3,461.80
100.00
OD TOTAL
3,462.00
100.00
1,731.00
22,777.00
MOTOR TOTAL OD
1,731.00
TOTAL PREMIUM
24,508.00
BASIC OD COVER
STAMP DUTY
0.50
123.00
123.00
3,431.00
TOTAL AMOUNT
28,185.00
* NCB discount - 50 %
Deductibles under Section-I : Compulsory Deductible 500
Subject to IMT Endorsement Printed herein/attached to : IMT-6 , IMT-21 , IMT-37A , IMT-40 , IMT-23
(Details of IMT Endorsements and GR also available on internet TAC website www.tac.org.in)
Hypothecation Agreement with:
Hire Purchase/Lessor Agreement with: In the event of a claim under the policy exceeding Rs.1lac or a claim for refund of premium exceeding Rs1lac,the insured
will comply with the provisions of the AML policy of the Company.The AML policy is available in all our operating Offices as
well
as :company's website.
Place
For and on behalf of
The
Oriental
Insurance Company Limited
13/07/2016
Date :
Authorised Signatory
Page 2 of 3
IRDA Regn. No. 556 - Now you can buy and renew selected policies online at www.orientalinsurance.org.in
Entered By
Rohit Menon A
Examined By
SASEENDRAN K P
Authorised Signatory
Place :
Date :
13/07/2016
Authorised Signatory
Page 3 of 3
IRDA Regn. No. 556 - Now you can buy and renew selected policies online at www.orientalinsurance.org.in
: 443100/31/2017/4360
Prev Policy No
: -
Cover Note No
: -
Cover Note Dt
Insured's Code
: 71200222
Insured's Name
Address
Address
/ / 0 / NA
: DIVISIONAL OFFICE
Rajaram Building, Second Floor,
Opp. New Bus Stand,Badagara , Calicut
Dist.
KERALA 673101
: 0496 2525062 / 0 /
443100@orientalinsurance.co.in
Agent/Broker Details
Dev.Off.Code
: NA0000003349 MR A RAJAN,
Agent/Broker
: BA0000134685 VASU. T. K.
Address
Gross Premium
: 15,488
Service Tax :
2,322
.5
Stamp Duty :
Total :
17,810
Area Extension :
Particulars of Insured Vehicle:
Registration
Mark & Place
MH 04 FP 3739
Thane - Thane
Type Of Body
Make - Model
ACE
G.V.W
OPEN BODY
1550
2012 1 + 1
702
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 Vehicles Act 1988.
1
Use only for carriage of goods within the meaning of the Motor Vehicles Act. The Policy does not cover: 1) Use for
organised racing, pace-making, reliability trial or speed testing. (2) Use whilst drawing a trailer except the towing
(other than for reward) of any one disabled mechanically propelled vehicle. (3) Use for carrying passengers in the
vehicles; except employees (other than the driver) not exceeding the number permitted in the registration document
and coming under the purview of Workmen's Compensation Act 1923.
Place :
Date :
13/07/2016
Authorised Signatory
Page 1 of 3
IRDA Regn. No. 556 - Now you can buy and renew selected policies online at www.orientalinsurance.org.in
For Trailers
Non Electrical
Accessories
Electrical
Accessories
Value of CNG
LPG Kit
Total Value
2,00,000
2,00,000
SCHEDULE OF PREMIUM
A. OWN DAMAGE
B. LIABILITY
3,452.00
14,390.00
2,071.00
BASIC TP TOTAL
14,390.00
BASIC OD TOTAL
1,381.00
100.00
OD TOTAL
1,381.00
100.00
14,590.00
15,488.00
BASIC OD COVER
483.00
MOTOR TOTAL OD
898.00
TOTAL PREMIUM
STAMP DUTY
0.50
77.00
77.00
2,168.00
TOTAL AMOUNT
17,810.00
* NCB discount - 35 %
Deductibles under Section-I : Compulsory Deductible 500
Subject to IMT Endorsement Printed herein/attached to : IMT-6 , IMT-21 , IMT-37A , IMT-40 , IMT-23
(Details of IMT Endorsements and GR also available on internet TAC website www.tac.org.in)
Hypothecation Agreement with:
Hire Purchase/Lessor Agreement with: In the event of a claim under the policy exceeding Rs.1lac or a claim for refund of premium exceeding Rs1lac,the insured
will comply with the provisions of the AML policy of the Company.The AML policy is available in all our operating Offices as
well
as :company's website.
Place
For and on behalf of
The
Oriental
Insurance Company Limited
13/07/2016
Date :
Authorised Signatory
Page 2 of 3
IRDA Regn. No. 556 - Now you can buy and renew selected policies online at www.orientalinsurance.org.in
Entered By
Rohit Menon A
Examined By
SASEENDRAN K P
Authorised Signatory
Place :
Date :
13/07/2016
Authorised Signatory
Page 3 of 3
IRDA Regn. No. 556 - Now you can buy and renew selected policies online at www.orientalinsurance.org.in
: 443100/31/2017/4119
Prev Policy No
: -
Cover Note No
: -
Cover Note Dt
Insured's Code
: 72303341
Insured's Name
Address
Address
/ / 0 / NA
: DIVISIONAL OFFICE
Rajaram Building, Second Floor,
Opp. New Bus Stand,Badagara , Calicut
Dist.
KERALA 673101
: 0496 2525062 / 0 /
443100@orientalinsurance.co.in
Agent/Broker Details
Dev.Off.Code
: NA0000003349 MR A RAJAN,
Agent/Broker
: BA0000134685 VASU. T. K.
Address
Gross Premium
: 25,563
Service Tax :
3,835
Stamp Duty :
.5
Total :
29,398
Area Extension :
Particulars of Insured Vehicle:
Registration
Mark & Place
MH 06 AC 4169
Pen - Pen
Type Of Body
Make - Model
LPO 1610 TC
G.V.W
Aluminium
container van
16200
2006 1 + 1
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 Vehicles Act 1988.
1
Use only for carriage of goods within the meaning of the Motor Vehicles Act. The Policy does not cover: 1) Use for
organised racing, pace-making, reliability trial or speed testing. (2) Use whilst drawing a trailer except the towing
(other than for reward) of any one disabled mechanically propelled vehicle. (3) Use for carrying passengers in the
vehicles; except employees (other than the driver) not exceeding the number permitted in the registration document
and coming under the purview of Workmen's Compensation Act 1923.
Place :
Date :
07/07/2016
Authorised Signatory
Page 1 of 3
IRDA Regn. No. 556 - Now you can buy and renew selected policies online at www.orientalinsurance.org.in
For Trailers
Non Electrical
Accessories
Electrical
Accessories
Value of CNG
LPG Kit
Total Value
4,50,000
4,50,000
SCHEDULE OF PREMIUM
A. OWN DAMAGE
B. LIABILITY
9,288.00
22,577.00
5,573.00
BASIC TP TOTAL
22,577.00
929.00
BASIC OD COVER
100.00
100.00
22,777.00
25,563.00
BASIC OD TOTAL
2,786.00
OD TOTAL
2,786.00
MOTOR TOTAL OD
2,786.00
TOTAL PREMIUM
STAMP DUTY
0.50
128.00
128.00
3,579.00
29,398.00
Hire Purchase/Lessor Agreement with: In the event of a claim under the policy exceeding Rs.1lac or a claim for refund of premium exceeding Rs1lac,the insured
will comply with the provisions of the AML policy of the Company.The AML policy is available in all our operating Offices as
well as company's website.
IMPORTANT NOTICE
Place
:
The
Insured
is not Indemnified if the vehicle is used or driven otherwise than in accordance with For
thisSchedule.Any
payment
and on behalf of
The
Oriental
Insurance
Company
Limited
07/07/2016
Date :
Authorised Signatory
Page 2 of 3
IRDA Regn. No. 556 - Now you can buy and renew selected policies online at www.orientalinsurance.org.in
Entered By
RAJAN A.
Examined By
JOHN K.S.
Authorised Signatory
Place :
Date :
07/07/2016
Authorised Signatory
Page 3 of 3
IRDA Regn. No. 556 - Now you can buy and renew selected policies online at www.orientalinsurance.org.in
: 443100/31/2017/4120
Prev Policy No
: -
Cover Note No
: 4400001113071
Cover Note Dt
: 06/07/2016 00:00
Insured's Code
: 72303341
Insured's Name
Address
Address
/ / 0 / NA
: DIVISIONAL OFFICE
Rajaram Building, Second Floor,
Opp. New Bus Stand,Badagara , Calicut
Dist.
KERALA 673101
: 0496 2525062 / 0 /
443100@orientalinsurance.co.in
Agent/Broker Details
Dev.Off.Code
: NA0000003349 MR A RAJAN,
Agent/Broker
: BA0000134685 VASU. T. K.
Address
Gross Premium
: 25,563
Service Tax :
3,835
Stamp Duty :
.5
Total :
29,398
Area Extension :
Particulars of Insured Vehicle:
Registration
Mark & Place
MH 06 AC 4170
Pen - Pen
60062465683
CPZ004674
Type Of Body
Make - Model
LPO 1610 TC
G.V.W
Aluminium
container van
16200
2006 1 + 1
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 Vehicles Act 1988.
1
Use only for carriage of goods within the meaning of the Motor Vehicles Act. The Policy does not cover: 1) Use for
organised racing, pace-making, reliability trial or speed testing. (2) Use whilst drawing a trailer except the towing
(other than for reward) of any one disabled mechanically propelled vehicle. (3) Use for carrying passengers in the
vehicles; except employees (other than the driver) not exceeding the number permitted in the registration document
and coming under the purview of Workmen's Compensation Act 1923.
Place :
Date :
07/07/2016
Authorised Signatory
Page 1 of 3
IRDA Regn. No. 556 - Now you can buy and renew selected policies online at www.orientalinsurance.org.in
For Trailers
Non Electrical
Accessories
Electrical
Accessories
Value of CNG
LPG Kit
Total Value
4,50,000
4,50,000
SCHEDULE OF PREMIUM
A. OWN DAMAGE
B. LIABILITY
9,288.00
22,577.00
5,573.00
BASIC TP TOTAL
22,577.00
929.00
BASIC OD COVER
100.00
100.00
22,777.00
25,563.00
BASIC OD TOTAL
2,786.00
OD TOTAL
2,786.00
MOTOR TOTAL OD
2,786.00
TOTAL PREMIUM
STAMP DUTY
0.50
128.00
128.00
3,579.00
29,398.00
Hire Purchase/Lessor Agreement with: In the event of a claim under the policy exceeding Rs.1lac or a claim for refund of premium exceeding Rs1lac,the insured
will comply with the provisions of the AML policy of the Company.The AML policy is available in all our operating Offices as
well as company's website.
IMPORTANT NOTICE
Place
:
The
Insured
is not Indemnified if the vehicle is used or driven otherwise than in accordance with For
thisSchedule.Any
payment
and on behalf of
The
Oriental
Insurance
Company
Limited
07/07/2016
Date :
Authorised Signatory
Page 2 of 3
IRDA Regn. No. 556 - Now you can buy and renew selected policies online at www.orientalinsurance.org.in
Entered By
Rohit Menon A
Examined By
JOHN K.S.
Authorised Signatory
Place :
Date :
07/07/2016
Authorised Signatory
Page 3 of 3
IRDA Regn. No. 556 - Now you can buy and renew selected policies online at www.orientalinsurance.org.in
: 443100/31/2017/4121
Prev Policy No
: -
Cover Note No
: 4400001113072
Cover Note Dt
: 05/07/2016 00:00
Insured's Code
: 72303341
Insured's Name
Address
Address
/ / 0 / NA
: DIVISIONAL OFFICE
Rajaram Building, Second Floor,
Opp. New Bus Stand,Badagara , Calicut
Dist.
KERALA 673101
: 0496 2525062 / 0 /
443100@orientalinsurance.co.in
Agent/Broker Details
Dev.Off.Code
: NA0000003349 MR A RAJAN,
Agent/Broker
: BA0000134685 VASU. T. K.
Address
Gross Premium
: 25,563
Service Tax :
3,835
Stamp Duty :
.5
Total :
29,398
Area Extension :
Particulars of Insured Vehicle:
Registration
Mark & Place
MH 06 AC 4270
Pen - Pen
Type Of Body
Make - Model
LPO 1610 TC
G.V.W
Aluminium
container van
16200
2006 1 + 1
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 Vehicles Act 1988.
1
Use only for carriage of goods within the meaning of the Motor Vehicles Act. The Policy does not cover: 1) Use for
organised racing, pace-making, reliability trial or speed testing. (2) Use whilst drawing a trailer except the towing
(other than for reward) of any one disabled mechanically propelled vehicle. (3) Use for carrying passengers in the
vehicles; except employees (other than the driver) not exceeding the number permitted in the registration document
and coming under the purview of Workmen's Compensation Act 1923.
Place :
Date :
07/07/2016
Authorised Signatory
Page 1 of 3
IRDA Regn. No. 556 - Now you can buy and renew selected policies online at www.orientalinsurance.org.in
For Trailers
Non Electrical
Accessories
Electrical
Accessories
Value of CNG
LPG Kit
Total Value
4,50,000
4,50,000
SCHEDULE OF PREMIUM
A. OWN DAMAGE
B. LIABILITY
9,288.00
22,577.00
5,573.00
BASIC TP TOTAL
22,577.00
929.00
BASIC OD COVER
100.00
100.00
22,777.00
25,563.00
BASIC OD TOTAL
2,786.00
OD TOTAL
2,786.00
MOTOR TOTAL OD
2,786.00
TOTAL PREMIUM
STAMP DUTY
0.50
128.00
128.00
3,579.00
29,398.00
Hire Purchase/Lessor Agreement with: In the event of a claim under the policy exceeding Rs.1lac or a claim for refund of premium exceeding Rs1lac,the insured
will comply with the provisions of the AML policy of the Company.The AML policy is available in all our operating Offices as
well as company's website.
IMPORTANT NOTICE
Place
:
The
Insured
is not Indemnified if the vehicle is used or driven otherwise than in accordance with For
thisSchedule.Any
payment
and on behalf of
The
Oriental
Insurance
Company
Limited
07/07/2016
Date :
Authorised Signatory
Page 2 of 3
IRDA Regn. No. 556 - Now you can buy and renew selected policies online at www.orientalinsurance.org.in
Entered By
Rohit Menon A
Examined By
JOHN K.S.
Authorised Signatory
Place :
Date :
07/07/2016
Authorised Signatory
Page 3 of 3
IRDA Regn. No. 556 - Now you can buy and renew selected policies online at www.orientalinsurance.org.in
: 443100/31/2017/4122
Prev Policy No
: -
Cover Note No
: 4400001113073
Cover Note Dt
: 05/07/2016 00:00
Insured's Code
: 72303341
Insured's Name
Address
Address
/ / 0 / NA
: DIVISIONAL OFFICE
Rajaram Building, Second Floor,
Opp. New Bus Stand,Badagara , Calicut
Dist.
KERALA 673101
: 0496 2525062 / 0 /
443100@orientalinsurance.co.in
Agent/Broker Details
Dev.Off.Code
: NA0000003349 MR A RAJAN,
Agent/Broker
: BA0000134685 VASU. T. K.
Address
Gross Premium
: 25,563
Service Tax :
3,835
Stamp Duty :
.5
Total :
29,398
Area Extension :
Particulars of Insured Vehicle:
Registration
Mark & Place
MH 06 AC 5570
Pen - Pen
Type Of Body
Make - Model
60C62461541
LPO 1610 TC
442061CTZ00467
3
G.V.W
Aluminium
container van
16200
2006 1 + 1
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 Vehicles Act 1988.
1
Use only for carriage of goods within the meaning of the Motor Vehicles Act. The Policy does not cover: 1) Use for
organised racing, pace-making, reliability trial or speed testing. (2) Use whilst drawing a trailer except the towing
(other than for reward) of any one disabled mechanically propelled vehicle. (3) Use for carrying passengers in the
vehicles; except employees (other than the driver) not exceeding the number permitted in the registration document
and coming under the purview of Workmen's Compensation Act 1923.
Place :
For and on behalf of
The
Oriental
Insurance Company Limited
07/07/2016
Date :
Authorised Signatory
Page 1 of 3
IRDA Regn. No. 556 - Now you can buy and renew selected policies online at www.orientalinsurance.org.in
For Trailers
Non Electrical
Accessories
Electrical
Accessories
Value of CNG
LPG Kit
Total Value
4,50,000
4,50,000
SCHEDULE OF PREMIUM
A. OWN DAMAGE
B. LIABILITY
9,288.00
22,577.00
5,573.00
BASIC TP TOTAL
22,577.00
929.00
BASIC OD COVER
100.00
100.00
22,777.00
25,563.00
BASIC OD TOTAL
2,786.00
OD TOTAL
2,786.00
MOTOR TOTAL OD
2,786.00
TOTAL PREMIUM
STAMP DUTY
0.50
128.00
128.00
3,579.00
29,398.00
Hire Purchase/Lessor Agreement with: In the event of a claim under the policy exceeding Rs.1lac or a claim for refund of premium exceeding Rs1lac,the insured
will comply with the provisions of the AML policy of the Company.The AML policy is available in all our operating Offices as
well as company's website.
IMPORTANT NOTICE
Place
:
The
Insured
is not Indemnified if the vehicle is used or driven otherwise than in accordance with For
thisSchedule.Any
payment
and on behalf of
The
Oriental
Insurance
Company
Limited
07/07/2016
Date :
Authorised Signatory
Page 2 of 3
IRDA Regn. No. 556 - Now you can buy and renew selected policies online at www.orientalinsurance.org.in
Entered By
Rohit Menon A
Examined By
JOHN K.S.
Authorised Signatory
Place :
Date :
07/07/2016
Authorised Signatory
Page 3 of 3
IRDA Regn. No. 556 - Now you can buy and renew selected policies online at www.orientalinsurance.org.in
: 443100/31/2017/4428
Prev Policy No
: -
Cover Note No
: -
Cover Note Dt
Insured's Code
: 72303341
Insured's Name
Address
: GATE NO.20,LONIKAND H D
PLOT NO-182/C, SEC-17 NERUL,
NAVI MUMBAI -400703.
Address
/ / 0 / NA
: DIVISIONAL OFFICE
Rajaram Building, Second Floor,
Opp. New Bus Stand,Badagara , Calicut
Dist.
KERALA 673101
: 0496 2525062 / 0 /
443100@orientalinsurance.co.in
Agent/Broker Details
Dev.Off.Code
: NA0000003349 MR A RAJAN,
Agent/Broker
: BA0000134685 VASU. T. K.
Address
Gross Premium
: 31,598
Service Tax :
4,740
Stamp Duty :
.5
Total :
36,338
Area Extension :
Particulars of Insured Vehicle:
Registration
Mark & Place
MH 12 KP 4891
Pune - Pune
Type Of Body
Make - Model
EAEZ406299
ASHOK LEYLAND Aluminium
MB1CTDYC8EEA TAURUS 2516H3/4 container van
M8636
G.V.W
25000
2014 2 + 1
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 Vehicles Act 1988.
1
Use only for carriage of goods within the meaning of the Motor Vehicles Act. The Policy does not cover: 1) Use for
organised racing, pace-making, reliability trial or speed testing. (2) Use whilst drawing a trailer except the towing
(other than for reward) of any one disabled mechanically propelled vehicle. (3) Use for carrying passengers in the
vehicles; except employees (other than the driver) not exceeding the number permitted in the registration document
and coming under the purview of Workmen's Compensation Act 1923.
Place :
For and on behalf of
The
Oriental
Insurance Company Limited
12/07/2016
Date :
Authorised Signatory
Page 1 of 3
IRDA Regn. No. 556 - Now you can buy and renew selected policies online at www.orientalinsurance.org.in
For Trailers
Non Electrical
Accessories
Electrical
Accessories
Value of CNG
LPG Kit
15,00,000
Total Value
15,00,000
SCHEDULE OF PREMIUM
A. OWN DAMAGE
BASIC OD COVER
B. LIABILITY
29,400.00
2,940.00
17,640.00
BASIC OD TOTAL
8,820.00
OD TOTAL
8,820.00
2,205.00
MOTOR TOTAL OD
6,615.00
24,708.00
BASIC TP TOTAL
24,708.00
100.00
24,983.00
TOTAL PREMIUM
31,598.00
75.00
100.00
STAMP DUTY
0.50
158.00
158.00
4,424.00
TOTAL AMOUNT
36,338.00
* NCB discount - 25 %
Deductibles under Section-I : Compulsory Deductible 500, Compulsory Deductible 1500
Subject to IMT Endorsement Printed herein/attached to : IMT-6 , IMT-21 , IMT-37A , IMT-40 , IMT-23
(Details of IMT Endorsements and GR also available on internet TAC website www.tac.org.in)
Hypothecation Agreement with:
12/07/2016
Authorised Signatory
Page 2 of 3
IRDA Regn. No. 556 - Now you can buy and renew selected policies online at www.orientalinsurance.org.in
Entered By
SASEENDRAN K P
Examined By
Rohit Menon A
Authorised Signatory
Place :
Date :
12/07/2016
Authorised Signatory
Page 3 of 3
IRDA Regn. No. 556 - Now you can buy and renew selected policies online at www.orientalinsurance.org.in
: 443100/31/2017/4424
Prev Policy No
: -
Cover Note No
: -
Cover Note Dt
Insured's Code
: 70820335
Insured's Name
Address
Address
/ / 0 / NA
: DIVISIONAL OFFICE
Rajaram Building, Second Floor,
Opp. New Bus Stand,Badagara , Calicut
Dist.
KERALA 673101
: 0496 2525062 / 0 /
443100@orientalinsurance.co.in
Agent/Broker Details
Dev.Off.Code
: NA0000003349 MR A RAJAN,
Agent/Broker
: BA0000134685 VASU. T. K.
Address
Gross Premium
: 31,598
Service Tax :
4,740
Stamp Duty :
.5
Total :
36,338
Area Extension :
Particulars of Insured Vehicle:
Registration
Mark & Place
MH 12 KP 4892
Pune - Pune
Type Of Body
Make - Model
EYEZ408096
ASHOK LEYLAND Aluminium
MB1CTDYC9EEY TAURUS 2516H3/4 container van
N0447
G.V.W
25000
2014 2 + 1
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 Vehicles Act 1988.
1
Use only for carriage of goods within the meaning of the Motor Vehicles Act. The Policy does not cover: 1) Use for
organised racing, pace-making, reliability trial or speed testing. (2) Use whilst drawing a trailer except the towing
(other than for reward) of any one disabled mechanically propelled vehicle. (3) Use for carrying passengers in the
vehicles; except employees (other than the driver) not exceeding the number permitted in the registration document
Place :
For and on behalf of
The
Oriental
Insurance Company Limited
14/07/2016
Date :
Authorised Signatory
Page 1 of 3
IRDA Regn. No. 556 - Now you can buy and renew selected policies online at www.orientalinsurance.org.in
For Trailers
Non Electrical
Accessories
Electrical
Accessories
Value of CNG
LPG Kit
15,00,000
Total Value
15,00,000
SCHEDULE OF PREMIUM
A. OWN DAMAGE
BASIC OD COVER
B. LIABILITY
29,400.00
2,940.00
17,640.00
BASIC OD TOTAL
8,820.00
OD TOTAL
8,820.00
2,205.00
MOTOR TOTAL OD
6,615.00
24,708.00
BASIC TP TOTAL
24,708.00
100.00
24,983.00
TOTAL PREMIUM
31,598.00
75.00
100.00
STAMP DUTY
0.50
158.00
158.00
4,424.00
TOTAL AMOUNT
36,338.00
* NCB discount - 25 %
Deductibles under Section-I : Compulsory Deductible 500, Compulsory Deductible 1500
Subject to IMT Endorsement Printed herein/attached to : IMT-6 , IMT-21 , IMT-37A , IMT-40 , IMT-23
(Details of IMT Endorsements and GR also available on internet TAC website www.tac.org.in)
Place :
Date :
14/07/2016
Authorised Signatory
Page 2 of 3
IRDA Regn. No. 556 - Now you can buy and renew selected policies online at www.orientalinsurance.org.in
Entered By
SASEENDRAN K P
Examined By
Rohit Menon A
Authorised Signatory
Place :
Date :
14/07/2016
Authorised Signatory
Page 3 of 3
IRDA Regn. No. 556 - Now you can buy and renew selected policies online at www.orientalinsurance.org.in
: 443100/31/2017/4430
Prev Policy No
: -
Cover Note No
: -
Cover Note Dt
Insured's Code
: 72303341
Insured's Name
Address
: GATE NO.20,LONIKAND H D
PLOT NO-182/C, SEC-17 NERUL,
NAVI MUMBAI -400703.
Address
/ / 0 / NA
: DIVISIONAL OFFICE
Rajaram Building, Second Floor,
Opp. New Bus Stand,Badagara , Calicut
Dist.
KERALA 673101
: 0496 2525062 / 0 /
443100@orientalinsurance.co.in
Agent/Broker Details
Dev.Off.Code
: NA0000003349 MR A RAJAN,
Agent/Broker
: BA0000134685 VASU. T. K.
Address
Gross Premium
: 31,598
Service Tax :
4,740
Stamp Duty :
.5
Total :
36,338
Area Extension :
Particulars of Insured Vehicle:
Registration
Mark & Place
MH 12 KP 4893
Pune - Pune
Type Of Body
Make - Model
EAEZ406689
ASHOK LEYLAND Aluminium
MB1CTDYC6EEA TAURUS 2516H3/4 container van
M8635
G.V.W
25000
2014 2 + 1
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 Vehicles Act 1988.
1
Use only for carriage of goods within the meaning of the Motor Vehicles Act. The Policy does not cover: 1) Use for
organised racing, pace-making, reliability trial or speed testing. (2) Use whilst drawing a trailer except the towing
(other than for reward) of any one disabled mechanically propelled vehicle. (3) Use for carrying passengers in the
vehicles; except employees (other than the driver) not exceeding the number permitted in the registration document
and coming under the purview of Workmen's Compensation Act 1923.
Place :
For and on behalf of
The
Oriental
Insurance Company Limited
12/07/2016
Date :
Authorised Signatory
Page 1 of 3
IRDA Regn. No. 556 - Now you can buy and renew selected policies online at www.orientalinsurance.org.in
For Trailers
Non Electrical
Accessories
Electrical
Accessories
Value of CNG
LPG Kit
15,00,000
Total Value
15,00,000
SCHEDULE OF PREMIUM
A. OWN DAMAGE
BASIC OD COVER
B. LIABILITY
29,400.00
2,940.00
17,640.00
BASIC OD TOTAL
8,820.00
OD TOTAL
8,820.00
2,205.00
MOTOR TOTAL OD
6,615.00
24,708.00
BASIC TP TOTAL
24,708.00
100.00
24,983.00
TOTAL PREMIUM
31,598.00
75.00
100.00
STAMP DUTY
0.50
158.00
158.00
4,424.00
TOTAL AMOUNT
36,338.00
* NCB discount - 25 %
Deductibles under Section-I : Compulsory Deductible 500, Compulsory Deductible 1500
Subject to IMT Endorsement Printed herein/attached to : IMT-6 , IMT-21 , IMT-37A , IMT-40 , IMT-23
(Details of IMT Endorsements and GR also available on internet TAC website www.tac.org.in)
Hypothecation Agreement with:
12/07/2016
Authorised Signatory
Page 2 of 3
IRDA Regn. No. 556 - Now you can buy and renew selected policies online at www.orientalinsurance.org.in
Entered By
SASEENDRAN K P
Examined By
Rohit Menon A
Authorised Signatory
Place :
Date :
12/07/2016
Authorised Signatory
Page 3 of 3
IRDA Regn. No. 556 - Now you can buy and renew selected policies online at www.orientalinsurance.org.in
: 443100/31/2017/4362
Prev Policy No
: -
Cover Note No
: -
Cover Note Dt
Insured's Code
: 72303341
Insured's Name
Address
: GATE NO.20,LONIKAND H D
PLOT NO-182/C, SEC-17 NERUL,
NAVI MUMBAI -400703.
Address
/ / 0 / NA
: DIVISIONAL OFFICE
Rajaram Building, Second Floor,
Opp. New Bus Stand,Badagara , Calicut
Dist.
KERALA 673101
: 0496 2525062 / 0 /
443100@orientalinsurance.co.in
Agent/Broker Details
Dev.Off.Code
: NA0000003349 MR A RAJAN,
Agent/Broker
: BA0000134685 VASU. T. K.
Address
Gross Premium
: 31,598
Service Tax :
4,740
Stamp Duty :
.5
Total :
36,338
Area Extension :
Particulars of Insured Vehicle:
Registration
Mark & Place
MH 12 KP 4894
Pune - Pune
Type Of Body
Make - Model
EAEZ406862
ASHOK LEYLAND Aluminium
MB1CTDYC7EEA TAURUS 2516H3/4 container van
M9180
G.V.W
25000
2014 2 + 1
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 Vehicles Act 1988.
1
Use only for carriage of goods within the meaning of the Motor Vehicles Act. The Policy does not cover: 1) Use for
organised racing, pace-making, reliability trial or speed testing. (2) Use whilst drawing a trailer except the towing
(other than for reward) of any one disabled mechanically propelled vehicle. (3) Use for carrying passengers in the
vehicles; except employees (other than the driver) not exceeding the number permitted in the registration document
and coming under the purview of Workmen's Compensation Act 1923.
Place :
For and on behalf of
The
Oriental
Insurance Company Limited
12/07/2016
Date :
Authorised Signatory
Page 1 of 3
IRDA Regn. No. 556 - Now you can buy and renew selected policies online at www.orientalinsurance.org.in
For Trailers
Non Electrical
Accessories
Electrical
Accessories
Value of CNG
LPG Kit
15,00,000
Total Value
15,00,000
SCHEDULE OF PREMIUM
A. OWN DAMAGE
BASIC OD COVER
B. LIABILITY
29,400.00
2,940.00
17,640.00
BASIC OD TOTAL
8,820.00
OD TOTAL
8,820.00
2,205.00
MOTOR TOTAL OD
6,615.00
24,708.00
BASIC TP TOTAL
24,708.00
100.00
24,983.00
TOTAL PREMIUM
31,598.00
75.00
100.00
STAMP DUTY
0.50
158.00
158.00
4,424.00
TOTAL AMOUNT
36,338.00
* NCB discount - 25 %
Deductibles under Section-I : Compulsory Deductible 500, Compulsory Deductible 1500
Subject to IMT Endorsement Printed herein/attached to : IMT-6 , IMT-21 , IMT-37A , IMT-40 , IMT-23
(Details of IMT Endorsements and GR also available on internet TAC website www.tac.org.in)
Hypothecation Agreement with:
12/07/2016
Authorised Signatory
Page 2 of 3
IRDA Regn. No. 556 - Now you can buy and renew selected policies online at www.orientalinsurance.org.in
Entered By
SASEENDRAN K P
Examined By
Rohit Menon A
Authorised Signatory
Place :
Date :
12/07/2016
Authorised Signatory
Page 3 of 3
IRDA Regn. No. 556 - Now you can buy and renew selected policies online at www.orientalinsurance.org.in
: 443100/31/2017/4359
Prev Policy No
: -
Cover Note No
: -
Cover Note Dt
Insured's Code
: 72303341
Insured's Name
Address
: GATE NO.20,LONIKAND H D
PLOT NO-182/C, SEC-17 NERUL,
NAVI MUMBAI -400703.
Address
/ / 0 / NA
: DIVISIONAL OFFICE
Rajaram Building, Second Floor,
Opp. New Bus Stand,Badagara , Calicut
Dist.
KERALA 673101
: 0496 2525062 / 0 /
443100@orientalinsurance.co.in
Agent/Broker Details
Dev.Off.Code
: NA0000003349 MR A RAJAN,
Agent/Broker
: BA0000134685 VASU. T. K.
Address
Gross Premium
: 31,598
Service Tax :
4,740
Stamp Duty :
.5
Total :
36,338
Area Extension :
Particulars of Insured Vehicle:
Registration
Mark & Place
MH 12 KP 4895
Pune - Pune
Type Of Body
Make - Model
EAEZ407891
ASHOK LEYLAND Aluminium
MB1CTDYCOEEY TAURUS 2516H3/4 container van
N0448
G.V.W
25000
2014 2 + 1
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 Vehicles Act 1988.
1
Use only for carriage of goods within the meaning of the Motor Vehicles Act. The Policy does not cover: 1) Use for
organised racing, pace-making, reliability trial or speed testing. (2) Use whilst drawing a trailer except the towing
(other than for reward) of any one disabled mechanically propelled vehicle. (3) Use for carrying passengers in the
vehicles; except employees (other than the driver) not exceeding the number permitted in the registration document
and coming under the purview of Workmen's Compensation Act 1923.
Place :
For and on behalf of
The
Oriental
Insurance Company Limited
12/07/2016
Date :
Authorised Signatory
Page 1 of 3
IRDA Regn. No. 556 - Now you can buy and renew selected policies online at www.orientalinsurance.org.in
For Trailers
Non Electrical
Accessories
Electrical
Accessories
Value of CNG
LPG Kit
15,00,000
Total Value
15,00,000
SCHEDULE OF PREMIUM
A. OWN DAMAGE
BASIC OD COVER
B. LIABILITY
29,400.00
2,940.00
17,640.00
BASIC OD TOTAL
8,820.00
OD TOTAL
8,820.00
2,205.00
MOTOR TOTAL OD
6,615.00
24,708.00
BASIC TP TOTAL
24,708.00
100.00
24,983.00
TOTAL PREMIUM
31,598.00
75.00
100.00
STAMP DUTY
0.50
158.00
158.00
4,424.00
TOTAL AMOUNT
36,338.00
* NCB discount - 25 %
Deductibles under Section-I : Compulsory Deductible 500, Compulsory Deductible 1500
Subject to IMT Endorsement Printed herein/attached to : IMT-6 , IMT-21 , IMT-37A , IMT-40 , IMT-23
(Details of IMT Endorsements and GR also available on internet TAC website www.tac.org.in)
Hypothecation Agreement with:
12/07/2016
Authorised Signatory
Page 2 of 3
IRDA Regn. No. 556 - Now you can buy and renew selected policies online at www.orientalinsurance.org.in
Entered By
SASEENDRAN K P
Examined By
JOHN K.S.
Authorised Signatory
Place :
Date :
12/07/2016
Authorised Signatory
Page 3 of 3
IRDA Regn. No. 556 - Now you can buy and renew selected policies online at www.orientalinsurance.org.in
: 443100/31/2017/4357
Prev Policy No
: -
Cover Note No
: -
Cover Note Dt
Insured's Code
: 72303341
Insured's Name
Address
: GATE NO.20,LONIKAND H D
PLOT NO-182/C, SEC-17 NERUL,
NAVI MUMBAI -400703.
Address
/ / 0 / NA
: DIVISIONAL OFFICE
Rajaram Building, Second Floor,
Opp. New Bus Stand,Badagara , Calicut
Dist.
KERALA 673101
: 0496 2525062 / 0 /
443100@orientalinsurance.co.in
Agent/Broker Details
Dev.Off.Code
: NA0000003349 MR A RAJAN,
Agent/Broker
: BA0000134685 VASU. T. K.
Address
Gross Premium
: 32,039
Service Tax :
4,805
Stamp Duty :
.5
Total :
36,844
Area Extension :
Particulars of Insured Vehicle:
Registration
Mark & Place
MH 12 KP 4896
Pune - Pune
Type Of Body
Make - Model
EYEZ408094
ASHOK LEYLAND Aluminium
MB1CTDYC7EEY TAURUS 2516H3/4 container van
N0446
G.V.W
25000
2014 2 + 1
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 Vehicles Act 1988.
1
Use only for carriage of goods within the meaning of the Motor Vehicles Act. The Policy does not cover: 1) Use for
organised racing, pace-making, reliability trial or speed testing. (2) Use whilst drawing a trailer except the towing
(other than for reward) of any one disabled mechanically propelled vehicle. (3) Use for carrying passengers in the
vehicles; except employees (other than the driver) not exceeding the number permitted in the registration document
and coming under the purview of Workmen's Compensation Act 1923.
Place :
For and on behalf of
The
Oriental
Insurance Company Limited
12/07/2016
Date :
Authorised Signatory
Page 1 of 3
IRDA Regn. No. 556 - Now you can buy and renew selected policies online at www.orientalinsurance.org.in
For Trailers
Non Electrical
Accessories
Electrical
Accessories
Value of CNG
LPG Kit
15,00,000
Total Value
15,00,000
SCHEDULE OF PREMIUM
A. OWN DAMAGE
BASIC OD COVER
B. LIABILITY
29,400.00
2,940.00
17,640.00
BASIC OD TOTAL
8,820.00
OD TOTAL
8,820.00
1,764.00
MOTOR TOTAL OD
7,056.00
24,708.00
BASIC TP TOTAL
24,708.00
100.00
24,983.00
TOTAL PREMIUM
32,039.00
75.00
100.00
STAMP DUTY
0.50
160.00
4,485.00
160.00
TOTAL AMOUNT
36,844.00
* NCB discount - 20 %
Deductibles under Section-I : Compulsory Deductible 500, Compulsory Deductible 1500
Subject to IMT Endorsement Printed herein/attached to : IMT-6 , IMT-21 , IMT-37A , IMT-40 , IMT-23
(Details of IMT Endorsements and GR also available on internet TAC website www.tac.org.in)
Hypothecation Agreement with:
12/07/2016
Authorised Signatory
Page 2 of 3
IRDA Regn. No. 556 - Now you can buy and renew selected policies online at www.orientalinsurance.org.in
Entered By
SASEENDRAN K P
Examined By
Rohit Menon A
Authorised Signatory
Place :
Date :
12/07/2016
Authorised Signatory
Page 3 of 3
IRDA Regn. No. 556 - Now you can buy and renew selected policies online at www.orientalinsurance.org.in
: 443100/31/2017/4425
Prev Policy No
: -
Cover Note No
: -
Cover Note Dt
Insured's Code
: 72303341
Insured's Name
Address
: GATE NO.20,LONIKAND H D
PLOT NO-182/C, SEC-17 NERUL,
NAVI MUMBAI -400703.
Address
/ / 0 / NA
: DIVISIONAL OFFICE
Rajaram Building, Second Floor,
Opp. New Bus Stand,Badagara , Calicut
Dist.
KERALA 673101
: 0496 2525062 / 0 /
443100@orientalinsurance.co.in
Agent/Broker Details
Dev.Off.Code
: NA0000003349 MR A RAJAN,
Agent/Broker
: BA0000134685 VASU. T. K.
Address
Gross Premium
: 31,598
Service Tax :
4,740
Stamp Duty :
.5
Total :
36,338
Area Extension :
Particulars of Insured Vehicle:
Registration
Mark & Place
MH 12 KP 4897
Pune - Pune
Type Of Body
Make - Model
EAEZ407311
ASHOK LEYLAND Aluminium
MB1CTDYC5EEY TAURUS 2516H3/4 container van
N0445
G.V.W
25000
2014 2 + 1
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 Vehicles Act 1988.
1
Use only for carriage of goods within the meaning of the Motor Vehicles Act. The Policy does not cover: 1) Use for
organised racing, pace-making, reliability trial or speed testing. (2) Use whilst drawing a trailer except the towing
(other than for reward) of any one disabled mechanically propelled vehicle. (3) Use for carrying passengers in the
vehicles; except employees (other than the driver) not exceeding the number permitted in the registration document
and coming under the purview of Workmen's Compensation Act 1923.
Place :
For and on behalf of
The
Oriental
Insurance Company Limited
12/07/2016
Date :
Authorised Signatory
Page 1 of 3
IRDA Regn. No. 556 - Now you can buy and renew selected policies online at www.orientalinsurance.org.in
For Trailers
Non Electrical
Accessories
Electrical
Accessories
Value of CNG
LPG Kit
15,00,000
Total Value
15,00,000
SCHEDULE OF PREMIUM
A. OWN DAMAGE
BASIC OD COVER
B. LIABILITY
29,400.00
2,940.00
17,640.00
BASIC OD TOTAL
8,820.00
OD TOTAL
8,820.00
2,205.00
MOTOR TOTAL OD
6,615.00
24,708.00
BASIC TP TOTAL
24,708.00
100.00
24,983.00
TOTAL PREMIUM
31,598.00
75.00
100.00
STAMP DUTY
0.50
158.00
158.00
4,424.00
TOTAL AMOUNT
36,338.00
* NCB discount - 25 %
Deductibles under Section-I : Compulsory Deductible 500, Compulsory Deductible 1500
Subject to IMT Endorsement Printed herein/attached to : IMT-6 , IMT-21 , IMT-37A , IMT-40 , IMT-23
(Details of IMT Endorsements and GR also available on internet TAC website www.tac.org.in)
Hypothecation Agreement with:
12/07/2016
Authorised Signatory
Page 2 of 3
IRDA Regn. No. 556 - Now you can buy and renew selected policies online at www.orientalinsurance.org.in
Entered By
SASEENDRAN K P
Examined By
Rohit Menon A
Authorised Signatory
Place :
Date :
12/07/2016
Authorised Signatory
Page 3 of 3
IRDA Regn. No. 556 - Now you can buy and renew selected policies online at www.orientalinsurance.org.in
: 443100/31/2017/4361
Prev Policy No
: -
Cover Note No
: -
Cover Note Dt
Insured's Code
: 72303341
Insured's Name
Address
: GATE NO.20,LONIKAND H D
PLOT NO-182/C, SEC-17 NERUL,
NAVI MUMBAI -400703.
Address
/ / 0 / NA
: DIVISIONAL OFFICE
Rajaram Building, Second Floor,
Opp. New Bus Stand,Badagara , Calicut
Dist.
KERALA 673101
: 0496 2525062 / 0 /
443100@orientalinsurance.co.in
Agent/Broker Details
Dev.Off.Code
: NA0000003349 MR A RAJAN,
Agent/Broker
: BA0000134685 VASU. T. K.
Address
Gross Premium
: 31,598
Service Tax :
4,740
Stamp Duty :
.5
Total :
36,338
Area Extension :
Particulars of Insured Vehicle:
Registration
Mark & Place
MH 12 KP 4898
Pune - Pune
Type Of Body
Make - Model
EAEZ406883
ASHOK LEYLAND Aluminium
MB1CTDYC4EEA TAURUS 2516H3/4 container van
M8972
G.V.W
25000
2014 2 + 1
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 Vehicles Act 1988.
1
Use only for carriage of goods within the meaning of the Motor Vehicles Act. The Policy does not cover: 1) Use for
organised racing, pace-making, reliability trial or speed testing. (2) Use whilst drawing a trailer except the towing
(other than for reward) of any one disabled mechanically propelled vehicle. (3) Use for carrying passengers in the
vehicles; except employees (other than the driver) not exceeding the number permitted in the registration document
and coming under the purview of Workmen's Compensation Act 1923.
Place :
For and on behalf of
The
Oriental
Insurance Company Limited
12/07/2016
Date :
Authorised Signatory
Page 1 of 3
IRDA Regn. No. 556 - Now you can buy and renew selected policies online at www.orientalinsurance.org.in
For Trailers
Non Electrical
Accessories
Electrical
Accessories
Value of CNG
LPG Kit
15,00,000
Total Value
15,00,000
SCHEDULE OF PREMIUM
A. OWN DAMAGE
BASIC OD COVER
B. LIABILITY
29,400.00
2,940.00
17,640.00
BASIC OD TOTAL
8,820.00
OD TOTAL
8,820.00
2,205.00
MOTOR TOTAL OD
6,615.00
24,708.00
BASIC TP TOTAL
24,708.00
100.00
24,983.00
TOTAL PREMIUM
31,598.00
75.00
100.00
STAMP DUTY
0.50
158.00
158.00
4,424.00
TOTAL AMOUNT
36,338.00
* NCB discount - 25 %
Deductibles under Section-I : Compulsory Deductible 500, Compulsory Deductible 1500
Subject to IMT Endorsement Printed herein/attached to : IMT-6 , IMT-21 , IMT-37A , IMT-40 , IMT-23
(Details of IMT Endorsements and GR also available on internet TAC website www.tac.org.in)
Hypothecation Agreement with:
12/07/2016
Authorised Signatory
Page 2 of 3
IRDA Regn. No. 556 - Now you can buy and renew selected policies online at www.orientalinsurance.org.in
Entered By
SASEENDRAN K P
Examined By
Rohit Menon A
Authorised Signatory
Place :
Date :
12/07/2016
Authorised Signatory
Page 3 of 3
IRDA Regn. No. 556 - Now you can buy and renew selected policies online at www.orientalinsurance.org.in
: 443100/31/2017/4426
Prev Policy No
: -
Cover Note No
: -
Cover Note Dt
Insured's Code
: 72303341
Insured's Name
Address
: GATE NO.20,LONIKAND H D
PLOT NO-182/C, SEC-17 NERUL,
NAVI MUMBAI -400703.
Address
/ / 0 / NA
: DIVISIONAL OFFICE
Rajaram Building, Second Floor,
Opp. New Bus Stand,Badagara , Calicut
Dist.
KERALA 673101
: 0496 2525062 / 0 /
443100@orientalinsurance.co.in
Agent/Broker Details
Dev.Off.Code
: NA0000003349 MR A RAJAN,
Agent/Broker
: BA0000134685 VASU. T. K.
Address
Gross Premium
: 31,598
Service Tax :
4,740
Stamp Duty :
.5
Total :
36,338
Area Extension :
Particulars of Insured Vehicle:
Registration
Mark & Place
MH 12 KP 4899
Pune - Pune
Type Of Body
Make - Model
EAEZ406885
ASHOK LEYLAND Aluminium
MB1CTDYC8EEA TAURUS 2516H3/4 container van
M8975
G.V.W
25000
2014 2 + 1
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 Vehicles Act 1988.
1
Use only for carriage of goods within the meaning of the Motor Vehicles Act. The Policy does not cover: 1) Use for
organised racing, pace-making, reliability trial or speed testing. (2) Use whilst drawing a trailer except the towing
(other than for reward) of any one disabled mechanically propelled vehicle. (3) Use for carrying passengers in the
vehicles; except employees (other than the driver) not exceeding the number permitted in the registration document
and coming under the purview of Workmen's Compensation Act 1923.
Place :
For and on behalf of
The
Oriental
Insurance Company Limited
12/07/2016
Date :
Authorised Signatory
Page 1 of 3
IRDA Regn. No. 556 - Now you can buy and renew selected policies online at www.orientalinsurance.org.in
For Trailers
Non Electrical
Accessories
Electrical
Accessories
Value of CNG
LPG Kit
15,00,000
Total Value
15,00,000
SCHEDULE OF PREMIUM
A. OWN DAMAGE
BASIC OD COVER
B. LIABILITY
29,400.00
2,940.00
17,640.00
BASIC OD TOTAL
8,820.00
OD TOTAL
8,820.00
2,205.00
MOTOR TOTAL OD
6,615.00
24,708.00
BASIC TP TOTAL
24,708.00
100.00
24,983.00
TOTAL PREMIUM
31,598.00
75.00
100.00
STAMP DUTY
0.50
158.00
158.00
4,424.00
TOTAL AMOUNT
36,338.00
* NCB discount - 25 %
Deductibles under Section-I : Compulsory Deductible 500, Compulsory Deductible 1500
Subject to IMT Endorsement Printed herein/attached to : IMT-6 , IMT-21 , IMT-37A , IMT-40 , IMT-23
(Details of IMT Endorsements and GR also available on internet TAC website www.tac.org.in)
Hypothecation Agreement with:
12/07/2016
Authorised Signatory
Page 2 of 3
IRDA Regn. No. 556 - Now you can buy and renew selected policies online at www.orientalinsurance.org.in
Entered By
SASEENDRAN K P
Examined By
Rohit Menon A
Authorised Signatory
Place :
Date :
12/07/2016
Authorised Signatory
Page 3 of 3
IRDA Regn. No. 556 - Now you can buy and renew selected policies online at www.orientalinsurance.org.in
: 443100/31/2017/4358
Prev Policy No
: -
Cover Note No
: -
Cover Note Dt
Insured's Code
: 72303341
Insured's Name
Address
: GATE NO.20,LONIKAND H D
PLOT NO-182/C, SEC-17 NERUL,
NAVI MUMBAI -400703.
Address
/ / 0 / NA
: DIVISIONAL OFFICE
Rajaram Building, Second Floor,
Opp. New Bus Stand,Badagara , Calicut
Dist.
KERALA 673101
: 0496 2525062 / 0 /
443100@orientalinsurance.co.in
Agent/Broker Details
Dev.Off.Code
: NA0000003349 MR A RAJAN,
Agent/Broker
: BA0000134685 VASU. T. K.
Address
Gross Premium
: 31,598
Service Tax :
4,740
Stamp Duty :
.5
Total :
36,338
Area Extension :
Particulars of Insured Vehicle:
Registration
Mark & Place
MH 12 KP 4901
Pune - Pune
Type Of Body
Make - Model
EYEZ408097
ASHOK LEYLAND Aluminium
MB1CTDYC7EEY TAURUS 2516H3/4 container van
N0429
G.V.W
25000
2014 2 + 1
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 Vehicles Act 1988.
1
Use only for carriage of goods within the meaning of the Motor Vehicles Act. The Policy does not cover: 1) Use for
organised racing, pace-making, reliability trial or speed testing. (2) Use whilst drawing a trailer except the towing
(other than for reward) of any one disabled mechanically propelled vehicle. (3) Use for carrying passengers in the
vehicles; except employees (other than the driver) not exceeding the number permitted in the registration document
and coming under the purview of Workmen's Compensation Act 1923.
Place :
For and on behalf of
The
Oriental
Insurance Company Limited
12/07/2016
Date :
Authorised Signatory
Page 1 of 3
IRDA Regn. No. 556 - Now you can buy and renew selected policies online at www.orientalinsurance.org.in
For Trailers
Non Electrical
Accessories
Electrical
Accessories
Value of CNG
LPG Kit
15,00,000
Total Value
15,00,000
SCHEDULE OF PREMIUM
A. OWN DAMAGE
BASIC OD COVER
B. LIABILITY
29,400.00
2,940.00
17,640.00
BASIC OD TOTAL
8,820.00
OD TOTAL
8,820.00
2,205.00
MOTOR TOTAL OD
6,615.00
24,708.00
BASIC TP TOTAL
24,708.00
100.00
24,983.00
TOTAL PREMIUM
31,598.00
75.00
100.00
STAMP DUTY
0.50
158.00
158.00
4,424.00
TOTAL AMOUNT
36,338.00
* NCB discount - 25 %
Deductibles under Section-I : Compulsory Deductible 500, Compulsory Deductible 1500
Subject to IMT Endorsement Printed herein/attached to : IMT-6 , IMT-21 , IMT-37A , IMT-40 , IMT-23
(Details of IMT Endorsements and GR also available on internet TAC website www.tac.org.in)
Hypothecation Agreement with:
12/07/2016
Authorised Signatory
Page 2 of 3
IRDA Regn. No. 556 - Now you can buy and renew selected policies online at www.orientalinsurance.org.in
Entered By
SASEENDRAN K P
Examined By
Rohit Menon A
Authorised Signatory
Place :
Date :
12/07/2016
Authorised Signatory
Page 3 of 3
IRDA Regn. No. 556 - Now you can buy and renew selected policies online at www.orientalinsurance.org.in