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Poiicy Schedule of Four Wheeler

Policy lssuing

Office

lnsurance

lnsured Name

Registratiofi

Numb€r &

226 &

SCUTH DELHI

SOUTH SHEIKH

SARAI

Four Wheeler Package Pchcy CSETIFICATE CUT{ POLTCY SCTiEf]ULE Certif icate Cum Policy No. : 43005i50725068ru0/C00

Noida / B-77, Sector 5, Noida - 201301

o Zone

Midnight

VIJAY KUMAR

2B-18-A-98 DLD TEJAE [4ILL NEW DELHT - 11000fi

CEds

CoverNole Number

Make & Model

Type Ot Body

CC

Mfg Year

TATA NANO LX

624

AUG -2010

Side Car

0

Electricat I

Ae*

lB

seat Cap

4

Chassis Number

CNG I LPG Ufi.t

0

Engine Nurnber

22248

Tofal Value

Own

Teta!

Damage

Amount

I

Easic

B

rc

4,1

 

,

 

Cover For Owner - Driver

 

550"00

Sub Total

Additions

 

O$rn

ium

1,1

 

Total

um

+

Total Policy - levai Loading

 
 

Net Premium

2

 

Service Tax

lncl Edu

raph

a : lndia

are

LIMITS OF LIABILITY :

(a) Under Setion ll * '1 (i) of the poiicy + Death ot or bodily injury : Such amount as is n@essary to rn*l there requiremeils of lie Motor Vehicle Act, '1988.

making, Spead tesling, Reliabiiity lails, Any purpos in trnffition with Moior trade.

Subject to IMT Endorsement Nos & Memorandurn Printed herein I attached hereto : 7.?2,28

Premlum Coltection Details + i Collslion No /AtrounllReceipt Date j 10103353710IRs.9,635.00 r 0511012017

ServicE Tax Regi$trat'ron No. : GIS / MUMBAI - I I 1547 12017

ln cas6 ot any claim, please call us at our 24 Hour Call Centre Numbers

Ahura Cenlre, O Fl@r, 82 MahairaliCaves

Rc.l, Ardheri (E). Mumbai - 400093

Marg l-ils

us on our 24 hsr

Regd Oifie: Peni$ula Corpwate Park. Nicholas Piranal Tov€r. ,9!' Floor. Ganpairao Kadam

Erflai, 6

al

Visit us at

Parei, Murnbai 400013

the

Mumba,; 022$6939500

Delhir O1 1-66603500

Ban$alqe: 080-66500001

Hyderabalt: 040-666?9232

Pune: 020550'1 41 56

Jaipur: 0141-51 01234

Ahmedabad;g7+666'1 020 i9

Chennai: 044-66841 050

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