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Phone Number :
Policy No.
: 39835566
Date of Issuance
Period Of Insurance: From 0000
PinCode : 2426692
37252193
C / N No :
Agent No : 27000013
: 25/09/2008
hrs on : 22/09/2008
To Mid Night on
Geographical Area: Within India Only
27A
: 21/09/2009
Year of
Manuf.
Type of Body
HR51P5899
2005
CC
Make of Vehicle
1495
Coverage
Engine No.
IDV in Rs
74360
275000
Comprehensive
Seating
Capacity
Chassis No.
96212
Registration Authority
Insured Declared Values ( Rs).
Trailer
Vehicle
275000
Electrical Acc.
Bi-Fuel Kit
Amount Rs.
A. Own Damage
Basic Premium
Electrical Accessories (IMT 24)
Bi Fuel Kit (IMT 25)
Add:
Rallies (IMT 31)
Foreign Vehicle Loading (IMT 19)
Geographical Area Extn (IMT 1)
Trailers (IMT 30)
Usage
Less:
Voluntary Excess Less (IMT 22A)
Anti Theft Device (IMT 10)
Automobile Association (IMT 8)
Handicap Discount (IMT 12)
Vehicle Use (IMT 13)
No Claim Bonus 20.00 %
Special Discount
Any Other Loading/Discount
Net (A)
Total Value
275000
6065.00
Amount Rs.
B.Third Party
800.00
-
1755.05
1404.04
351.00
5265.00
Name
Type
Co-insurance
Details
Less:
Third Party Property Damage ( IMT 20)
Limit of Liability Under Section II-I (ii)
750000
Any Other Loading/Discount
Net (B)
Total Preminum
800.00
6065.00
749.63
Service Tax
Premium Paid
6815
FOR CLAIMS CALL 1800 103 5499 (Toll Free) , 0120-4082100 or SMS "CLAIM " to 6161
Service Tax No : D-III/ST/R-IV/GEN INS/01/03
Authorized Signatory
27itgi@itgi.co.in
C:/output/39835566.pdf
S.M.GNIT
PLASTICS PVT. LTD.