POLICY_DOCUMENT_3909435277308042016

8/17/2019 POLICY_DOCUMENT_3909435277308042016

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Policy No. : 61150031160100000335Document generated by QR_RENEWAL at 08/04/2016 18:10:51 Hours.

Regd. & Head Office: New India Assurance Bldg., 87 M.G. Road, Fort, Mumbai - 400 001. TOLL FREE No. 1 800 209 1415.

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THE NEW INDIA ASSURANCE CO. LTD.(Wholly owned by the Govt. of India)

The New India Assurance Co.Ltd.

KURNOOL DO (611500)

Tel. No.: 08518220375/08518220925/

Email: /[email protected]/

TWO WHEELER Package Policy

Policy Number: 61150031160100000335

Vehicle: HONDA SCOO/ACTIVA 3G

Period of Cover

From: 10/04/2016

To: 09/04/2017

Insured Details

TIMMAREDDY JANARDHAN REDDY

To: S/O T.RAMA KRISHNA REDDY,46/1-A-6B,SAPTHAGIRI NAGAR,KURNOOL,KURNOOL,ANDHRA PRADESH, 518001

For Insurance Renewals contact

SIRISHA P

Tel. No.: / / 9581224995

Email: /

For Claims contact our Claims Hub

Tel. No.:

Email:

IRDA Registration Number 190

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IRDA Registration Number: 190

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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.

Page No. 1


POLICY SCHEDULE CUM CERTIFICATE OF INSURANCE

Two Wheeler Package Policy

Insured's Details Policy Details

Insured's Name: TIMMAREDDY JANARDHAN REDDY Policy number: 61150031160100000335

Customer ID: PO33799154 Period of cover: 10/04/2016 12:00:01 AM to 09/04/201711:59:59 PM

Insureds Address: S/O T.RAMA KRISHNA REDDY,46/1-A-6B,SAPTHAGIRI NAGAR,KURNOOL,KURNOOL ,ANDHRA PRADESH,518001

Registration no. AP-21-BF-3736

Prev. Policy no. 61150031150100000370 Make/Model: HONDA SCOO/ACTIVA 3G

Email: [email protected] Receipt no. 10000089160400020000 - 08/04/16

Phone Number : / / 9491350611 Fax Number : NA / NA

Issuing office New India Contact

Address KURNOOL DO (611500),40/526-12, 1ST FLOOR, H.D.C.T. COMPLEX, R SROAD, KURNOOL-518004 , 1ST FLOOR, STATIONROAD, KURNOOL-518004 , STAX NO.AAACN4165CST178 ,ANDHRA PRADESH , 518004.

Agent / Corp. Agent / Broker / BancAssurance/ ReferralCode - Name

Mrs. Sirisha P -

(NIAAG00024292)

Phone no / / 9581224995

Phone no 08518220375 / 08518220925 Fax no. /

Fax no. 08518221703 / NA Email /

Email [email protected] Development officerlevel Name/Code

G.VENUGOPAL - (1D4907275)

ClaimContact

KURNOOL DO (611500) Claim ContactDetail

40/526-12, 1ST FLOOR, H.D.C.T. COMPLEX, RS ROAD, KURNOOL-518004,1ST FLOOR,STATION ROAD, KURNOOL-518004,STAX NO.AAACN4165CST178;08518220375/08518220925/

Policy Details

Geographical Area / Zone: India/B Year of manufacture: 2015

Name of the Financier: Chassis no./Engine no.: ME4JF504CFT209009/JF50ET2210012

Type of fuel: Petrol Cubic capacity ( cc): 110

Type of body: Metal Variant: ACTIVA 3G

Seating capacity includingDriver:

2 Colour: GREY

Automobile Associationmembership:

none Name of registration authority: Kurnool

Cover Note No/Cover Note IssueDate:

/

IDV in `)

Vehicle Trailer Non-Elec Acc Electrical Acc Bi-fuel kit Total Value

41110 0 0 0 0 41110

Schedule of Premium

Own Damage Liability

Basic OD Cover Basic TP Cover

Compulsory PA cover for OwnerDriver

NCB(20%)

OD Premium in ` 331 TP Premium in ` 669

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Net Premium in `: 1000

Service Tax in `: 145

Total Payable in `: 1145

Limitations as to use Limits of Liability

The Policy covers use of the vehicle for any purpose otherthan: a)Hire or Reward b)Carriage of goods (other thansamples or personal luggage) c)Organized racing d)Pacemaking e)Speed testing f) Reliability Trials g)Any purpose inconnection with Motor Trade

Limit of the amount the Company's Liability Under Section II1(i) in respect of any one accident: as per the Motor VehiclesAct, 1988. Limit of the amount of the Company's LiabilityUnder Section II 1(ii) in respect of any one claim or series of claims arising out of one event: Up to ` 1,00,000

For individual covers OD) in :̀ 41110

Imposed excess in `: 0

Voluntary excess in `: 0

Compulsory excess in `: 100

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 accidentand is not disqualified from holding or obtaining such a license. Provided also that the person holding an effective Learner'sLicense 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

Name of Nominee Age of Nominee Relationship with theInsured

Name of the Appointee(if Nominee is a minor)

Relationship to theNominee

NA NA NA NA NA

PA cover for named persons

Name CSI Opted(`) Nominee Relationship

none 0 NA NA

In witness where of this policy has been signed at Mumbai on this 08/04/2016WARRANTED THAT IN CASE OF DISHONOUR OF THE PREMIUM CHEQUE, THIS DOCUMENT STANDS AUTOMATICALLYCANCELLED ABINITIO This policy is subject to the Terms, conditions and exceptions applicable to Package/Liability policy attached/available on theweb 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 paymentmade 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 isclarified that in case the declaration regarding the ncb or other previous policy details made by the insured, is found to beincorrect, all the benefits (including claim) under section-1 of this policy, will stand forfeited.

I/We hereby certify that the policy to which this Certificate

relates as well as this Certificate of Insurance are issued in

accordance with the provisions of Chapter X and XI of M.V.

Act, 1988.NIA S.T.REGN No: AAACN4165CST178.

For and on behalf of The New India Assurance Company

Limited

Date of Issue: 08/04/2016

(Mr. Satyanarayan Mohapatra)[ Sr. D.M]

Duly Constituted Attorney(s)

SRI VASAVI MOTORS

Note: TP premium rates are likely to be revised by IRDAI for policies where risk period is commencing from 01/04/2016 or

thereafter. Since the risk period in your policy is commencing in April 2016, the policy may attract revised TP rates as may be

announced by IRDAI. In the event of any change, the difference in TP premium shall be collected or refunded as the case may

be.


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COLLECTION RECEIPT CUM ADJUSTMENT VOUCHER

Issuing Office : KURNOOL DO (611500)

Address : 40/526-12, 1ST FLOOR, H.D.C.T. COMPLEX, R S ROAD, KURNOOL-518004

1ST FLOOR, STATION ROAD, KURNOOL-518004STAX NO. AAACN4165CST178,518004KURNOOL

Phone : 08518220375

Email : [email protected]

Fax : 08518221703

Collection Number : 10000089160400020000

Collection Date : 08/04/2016

Business Source Code : 1D4907275

Received with thanks from TIMMAREDDY JANARDHAN REDDY.

The amount received/Adjusted is towards -Policy No. A/C Description Amount` A/C Code Sub A/C Code

61150031160100000335 Bank-100000 1145.00 9100.100000 BA00013647-100000-9100

Total = ` 1145 00

Your Payment/Adjustment Details are as under -

Mode Amount ̀ Cheque

No

Cheque

Date

Drawee Bank Drawee

Branch

Reference No Scroll/BG/

APD

Balance

EPGCreditAdvice

1145.00 QR11068620

N.A. N.A. N.A. 6115001610000235 N.A.

Total = ` 1145 00

Utilization details of the Collected Amount :

Premium Service Tax Stamp Duty Excess Amount

1000.00 145.00 0.00 0

Sl no Agency Code Agency Name Department Code

1 NIAAG00024292 SIRISHA P 31

For The New India Assurance Company Limited

Revenue Stamp __________ | || || || |

|__________|Date of Issue: 08/04/2016

(Mr. Satyanarayan Mohapatra)[ Sr. D.M]

SRI VASAVI MOTORS Cashier's Initial Authorized Signatory

NIA S T REGN No: AAACN4165CST178

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Note -

1.Please quote the Policy Number, Collection Number and date in all future correspondence. .

2.NIA shall not be liable for any claim arising out of sales made during the period between the due date and date of payment of the installment if the premium paid has been exhausted by turnover declarations/if there is insufficientpremium balance.


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IMT.22. COMPULSORY DEDUCTIBLE

(Applicable to Private Cars, three wheelers rated as private cars, all motorized two wheelers, taxis, private car type vehicle plying for

public/private hire, private type taxi let out on private hire)

Notwithstanding anything to the contrary contained in the policy it is hereby understood and agreed that the insured shallbear under Section 1 of the policy in respect of each and every event (including event giving rise to a total loss/constructivetotal loss) the first ` 100 (or any less expenditure which may be incurred) of any expenditure for which provision has beenmade under this policy and/or of any expenditure by the insurer in the exercise of his discretion under Condition no 3 of thispolicy.

If the expenditure incurred by the insurer shall include any amount for which the insured is responsible hereunder suchamount shall be repaid by the insured to the insurer forthwith.

For the purpose of this Endorsement the expression "event" shall mean an event or series of events arising out of one causein connection with the vehicle insured in respect of which indemnity is provided under this policy.

Subject otherwise to the terms conditions limitations and exceptions of this Policy.

IMT 22A. VOLUNTARY DEDUCTIBLE For private cars/motorized two wheelers other than for hire or reward)

It is by declared and agreed that the insured having opted a voluntary deductible of ` a reduction in premium of ` underSection 1 of the policy is hereby allowed.

In consideration of the above, it is hereby understood and agreed that the insured shall bear under Section 1 of the policy inrespect of each and every event (including event giving rise to a total loss/constructive total loss) the first `100 (or any lessexpenditure which may be incurred) of any expenditure for which provision has been made under this policy and/or of anyexpenditure by the insurer in the exercise of his discretion under Condition no 3 of this policy .

If the expenditure incurred by the insurer shall include any amount for which the insured is responsible hereunder suchamount shall be repaid by the insured to the insurer forthwith.

For the purpose of this Endorsement the expression "event" shall mean an event or series of events arising out of one causein connection with the vehicle insured in respect of which indemnity is provided under this policy.

Subject otherwise to the terms conditions limitations and exceptions of this Policy.


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POLICY_DOCUMENT_3909435277308042016