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BAJAJ ALLIANZ GENERAL INSUBANCE COIMPANY LIMITED

la company hcorpoE'ed !nder nd


Yepada,Pune.4r r006l dia)

TWO WHEELER PACKAGE POLICY SCHEDULE

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PH:079 26408006 40024366
lNsuFEo oElA[.s
oG 16 2202,1302-00060194
: l2lA, Viveknagar Near Vijaynaqar 28 JAN'2016 03:l I PM
Naranpura, Alrrnedabad Gularat-
From: 0t 'FEB-20I6 0000 (Hrs)
To: 31-JAN-2017 Mdnl.hr

4267A743
oG-15.2202-1802 00064439

Place ol Reoistratlon
AHMEDABAD 21C7020549 ME121C07C82020516 STD
NCBc/. I CC Year ot llranufacturinq HvDorhecation Details
45 r53 2 2412 NOT APPL CABLE
Electrieal I Electronlc

37178 0 0 37424
Own Damaoe PremiumaFs.i LiabilitvPremis {Fs.)
Owr DamE..,e PremiLrm 489 BascTh rd Partv Labiitv 554
0 PA Cover for Ow.erDrive r 50
489
Tota Prem umlNet PrenilhJla+B' 10s3
r53
Swa.hh Bharat/Edu Cess
Fina Prem um ( Fupe€s OneThoLsand Two Hundred 1251

BAGl OO34O64/KHUSH BOO BAGGA contactNo 19825007639/0


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ThensuredseirledloraN.camB.nus(NcEl.illreor,nDanaqese.ron.rlreD..y.irJ.camsnade.rpeidrsaurnq
rhe p,eced ng year lsl as per lh€ ro oLl rg I Tlr. pr.ced rq yea, 20e. 2 Pr..ed nq Tao cons.culve ye:rs:25.; 3. Preced i!
lryee ..isecurive yeas 35e..,1 s r5.,; 5 Pre.ed nq Five conse.uive yeaF 511.'. No C a n
Bonus lli onv lre a owed movded rhe o. .! s reietr.d *rh n 90 davs or rhe exo d.iare ol lhe orevious oo cv
E{isti.d Danaoe D.Jrils
Subjecl to WarEnties/ IMT-
Endorsements / Add on Packaqe
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Feceip1No.2202-01758318 Dare28-JAN-16"lfPrem!mpadlhrolghCheque.thePolcys vodab-nlof


case oi dishonour ol CheoLe
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I,IPOFTANT NOTICE Thensuredsnolindemniledlthevehicleisusedordrvefotherwisethannaccordance!!lhlhssched!e.Anypaymentmade
bytheCompanybyreasonojwderlermsappearnontheCedhcaLe.ordeto.omp\L!rhthel,lolorVehceAcl,i9BSisrecoverablelomihetns!red.
See I e . r . e I e"ded A\ O DANC L O -EFTANTEFMSANDRCHTO F o. F,

BalajA anz General lns!rance Compa.y Lld

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