THE INSURED: Private Car Vehicle Certificate cum Policy Schedule Policy No: 8 7 9 2 7 3 2 3 1 1 0 0 4 2 7 8

M/r Sanjay Kumar Policy Type : Package Policy(Private Car Vehicle)

Address : 101 Chandi Vayapar Bhawan Exibition Road Patna 8000001 Issue Date : 06:50:28:PM on 01-Mar-2019
Contact Details : 8340614266 Period Of : 02-Mar-2019 to 01-M ar-2020 06:50:28:AM
Email ID :Mrsanjay12@gmail.com
Period Of Insurance From: 02-Mar-2019 to 01-M ar-2020 06:50:28:AM
Chassis number Date and Proposal No.:
The Vehicle MARUTI ALTO 800LXI
A3EY081500598797 01-Mar-2019 / 637276
Registration Mark & Place of
GeographicalArea Engine No- F8DN3223082 Type of Body CC Mfg.Year Seating Capacity
Registration
INDIA 10102 - 1108 Saloon 796 2005 4(FOUR) BR1AB2239/ PATNA
INSURED'S DECLARED VALUE
Vehicle Non-Elec accessories Elec accessories CNG/LPGKIT Total Value (IDV)
1633554 0 0 0 140000
Schedule Of Premium
A. OWN DAMAGE B. LIABILITY
Vehicle & Accessories 4022 Vehicle 1468
Total 4022 Total 1468
Add 4022 Add 1468
b) GeographicalArea Extn. NA a) Compulsory PA Cover Premium 0
Sub-TotalAdditions 0 b) Additional PA Cover Premium (0 per person) For 0 Person (IMT- 16) 0
c) 5% Extra premium towards inbuilt LPG NA
Less d) Legal Liability (WC) to Driver (IMT-28) 50
g) For Anti-theft Devices (IMT-10) 101 e) Legal Liability to Employees (IMT-29) 0
i) Deduct 20% for NCB 784
Sub-Total (deductions) 885 Sub-TotalAdditions 50
Total(A) 3137 Total(B) 1518
Note Grand Total 4655
:- Service Tax @ 14% 652
1. If the premium is paid by Cheque, the issue of Policy is subject to the realization
of Cheque. Total Premium 5307
2. Consolidated Stamp duty paid to state exchequer.
Compulsory Deductible 1000
Limitations as to use: Use only for social domestic and pleasure purposes and for the Insured's business. The Policy does not cover the use for : (1) Hire or reward (2) Carriage of
goods(other than samples or personal luggage) (3) Organized racing (4) Pace making (5) Speed testing (6) Reliability trials g) Any purpose in connection with motor trade.
Driver's Clause: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 & that such a person satisfies the requirements of Rule 3 of the
Central Motor Vehicles Rules,1989.
Limits of Liability Clause : Under section II-1 (i) of the policy-Death of or bodily injury. Such amount as is necessary to meet there requirements of the motor vehicle act 1988. Under
section II-1 (ii) of the policy-Damage to third party property is Rs. 7.5 lakhs P.A. Cover under section III for Owner-Driver is Rs. 2.0 Lakhs
No claim bonus : The insured is entitled for a No Claim Bonus (NCB) on the own damage section of the policy, if no claim is made or pending during the preceding year(s), as per the
: The preceding year/20%, Preceding two consecutive years/25%, Preceding three consecutive years/35%, Preceding four consecutive years/45%, Preceding five consecutive
years/50% of NCB on OD Premium. No claim bonus only be allowed provided the policy is renewed with in 90 days of the expiry date of the previous policy.
Subject to I.M.T. Endt. Nos. & memorandum : 10 22 28 printed herein.
The insured is not indemnified if the vehicle is used or driven otherwise than in I / We hereby certify that the policy to which this certificate relates as well as this certificate of
accordance with this schedule.Any payment made by the company by reasons of insurance are issued in accordance with the provisions of chapter X and chapter XIof M.V. act,
wider terms appearing in the certificate in order to comply with the Motor Vehicle 1988.
Act,1988 is recoverable from the insured. See the clause headed "AVOIDANCE OF For THE NEW INDIAASSURANCE CO. LTD.
CERTAIN TERMS AND RIGHT OF RECOVERY". For legal interpretation, English
version will hold good.

Authorized Signatory