MOTOR INSURANCE CERTIFICATE CUM POLICY SCHEDULE

MOTORISED-TWO WHEELERS PACKAGE POLICY - ZONE B

Policy No : 253801/31/2011/3106 Prev Policy No :

Cover Note No : 253801970267 Cover Note Dt :
Insured's Code 39435207: Issue Office Code :
Insured's Name SH.ANAND SINGH: Issue Office Name :
Address : S/O SH.BALI SINGH KALSI Address :
R/O W/N-7,GADARPUR
U.S.NAGAR
Tel /Fax /Email : / / Tel /Fax /Email :
Dev.Officer : NA0000006307 MR. M.M.S.NEGI Agent :
Period of Insurance : From 16:50 on 26/10/2010 To Midnight of 25/10/2011
Collection No & Dt : CSH 2241004256 - 26/10/2010
Gross Premium: 725 Service Tax : 75 Stamp Duty
Geographical Area : INDIA Area Extension :
-
26/10/2010 00:00
253801
BO KASHIPUR
SETHI BUILING,RAM NAGAR
ROAD,KASHIPUR
DISTRICT-UDAM SINGH NAGAR
UTTRAKHAND
Uttaranchal 244713
274594 / 05947-274974 /
BA0000081414 MR. UPENDRA KUMAR
PANDEY
: .5Total : 800
Particulars of Insured Vehicle:
Registration
Mark & Place
Engine No. &
Chassis No. Make - Model
Year Of
Manufacture
Type Of
Body
Seating Capacity
(including Driver)
Cubic
Capacity
UA 06 G 9437
RTO Rudrapur
72709 - 89415 BAJAJ-BAJAJ
DISCOVER ES
2007 SOLO 1 + 1 135
Limitations as to use:
The Policy covers use only under a permit within the meaning of the Motor Vehicl
es Act 1988 or such a carriage falling
under Sub-section 3 of Section 66 of the Motor Vehicles Act 1988.
Use only for social, domestic and pleasure purposes and for the insured's busine
ss or profession. The Policy does not
cover use for hire or reward, tuition, racing, pace making, reliability trial, s
peed testing, carriage of goods(other than
samples or personal luggage) in connection with any trade or business or use for
any purpose in connection with
Motor Trade
Driver:
Any person including the insured,Provided that a person driving holds an effecti
ve 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.
Limit of Liability:
Under Section II-I(1) in respect of any one accident: as per Motor Vehicles Act,
1988.
Under Section II-I (ii) in respect of any one claim or series of claims arising
out of one event is Rs. 100000

P.A. Cover under Section III for Registered Owner Cum Driver (CSI) : Rs. 100000
Deductibles under Section-I : COMPULSORY DEDUCTIBLE Rs.50
For and on behalf of
Place :
The Oriental Insurance Company LimitedDate : 26/10/2010
This is an electronically generated document (Policy Schedule) .The Policy docum
ent duly
stamped will be sent by post.
In case of any query regarding the Policy please call Toll Free No. 1800 102 642
5.

Authorised Signatory
All the Amounts mentioned in this policy are in Indian Rupees
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Attached to and forming part of policy number 253801/31/2011/3106
Insured's Declared Value
For the Vehicle For the Side Car
Non Electrical
Accessories
Electrical
Accessories Value of LPG/CNG Total Value
32,000 0 0 0 0 32,000
SCHEDULE OF PREMIUM
A. OWN DAMAGE B. LIABILITY
BASIC OD COVER 536.32LESS :UNDERWRITER DISCOUNT 161.00MOTOR OD BASIC - NEW 375.3
2BASIC OD TOTAL 375.32OD TOTAL 375.00MOTOR TOTAL OD 375.00
BASIC TP COVER 300.00BASIC TP TOTAL 300.00ADD :PA FOR OWNER DRIVER-GR36A 50.00TP
TOTAL 350.00TOTAL PREMIUM 725.00ADD :SERVICE TAX 75.00STAMP DUTY 0.50TOTAL AMOU
NT 800.00
Subject to IMT Endorsement Printed herein/attached to : IMT-22
(Details of IMT Endorsements and GR also available on internet TAC website www.t
ac.org.in)

Hypothecation Agreement with: Hire

Purchase/Lessor Agreement with:
-
For and on behalf of
Place :
The Oriental Insurance Company LimitedDate : 26/10/2010
This is an electronically generated document (Policy Schedule) .The Policy docum
ent duly
stamped will be sent by post.
In case of any query regarding the Policy please call Toll Free No. 1800 102 642
5.

Authorised Signatory
All the Amounts mentioned in this policy are in Indian Rupees
Page 2 of 3
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in
Attached to and forming part of policy number 253801/31/2011/3106
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.
The insurance under this policy is subject to conditions, clauses, warranties, e
xclusions, IMTs and OIC
endorsements mentioned herein above which are available on Company's website: ww
w.orientalinsurance.org.in or
on demand from the policy issuing office
Warranted that in case of dishonour of premium cheque(s) the Company shall not b
e liable under the policy and the policy
shall be void abinitio (from inception).
Claim for theft of vehicle not payable if theft not reported to Company within 4
8 hours of its occurrence.
Claim is not admissible if Driving Licence is found fake or is not valid whether
or not in the knowledge of the insured.
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 Motor Vehicles Act,
1988.
In witness whereof the undersigned being authorised by and on behalf of the comp
any has/have herein to set his/their hands
at on 26-OCT-10
IMPORTANT NOTICE
The Insured is not Indemnified if the vehicle is used or driven otherwise than i
n accordance with this Schedule. Any payment
made by the Company by reason of wider terms appearing in the Certificate in ord
er to comply with the MVAct, 1988 is
recoverable from the Insured. See the Clause headed "AVOIDANCE OF CERTAIN TERMS
AND RIGHTS OF RECOVERY".
For and on behalf of
The Oriental Insurance Company LimitedEntered By : M M S NEGI
Examined By : M M S NEGI
Authorised Signatory
For and on behalf of
Place :
The Oriental Insurance Company LimitedDate : 26/10/2010
This is an electronically generated document (Policy Schedule) .The Policy docum
ent duly
stamped will be sent by post.
In case of any query regarding the Policy please call Toll Free No. 1800 102 642
5.
Authorised Signatory
All the Amounts mentioned in this policy are in Indian Rupees
Page 3 of 3
Now you can buy and renew selected policies online at www.orientalinsurance.org.
in