The Oriental Insurance Company Limited

This document is digitally signed

Signer: BALWANT SINGH
Date: Saturday, February 16, 2019 9:16 PM
Location: Pune

MOTOR INSURANCE CERTIFICATE CUM POLICY SCHEDULE

PCCV-4 wheelers - carrying passengers-capacity NOT > 6
PACKAGE POLICY - ZONE B

Policy No : 211200/31/2019/189293 Prev Policy No : 12220031171150079586

Cover Note No : - Cover Note Dt :

Insured's Code : 93032528 Issue Office Code : 211200

Insured's Name : Sai sharadha tours and travels (GSTIN: Issue Office Name : DO II NEW DELHI (GSTIN:
) 07AAACT0627R1Z1)
Address : Khair pada vithal rakhumai chawl waliv Address : 16/20, WEA, FIRST FLOOR,NEAR
vasai road SHASTRI PARK,
vasai east PADAM SINGH ROAD, KAROL BAGH
THANE NEW DELHI
MAHARASHTRA 401208 NEW DELHI DELHI 110005

Tel /Fax /Email : / / 9823659869 / Tel /Fax /Email : 011-28750963, 28758823, 28753268/ /
sajanlal.1977@gmail.com 011-28750844 /
mandakini.balodhi@orientalinsurance.co.
in

Local Servicing Office Code : 211200

Local Servicing Office Details : DO 2 NEW DELHI,16/20, WEA, FIRST

Agent/Broker Details
Dev.Off.Code :
Agent/Broker : BF0000004776 POLICY BAZAAR 1
Address : PLOT 119, SECTOR 44, GURGAON-122001,
HARYANA,GURGAON,HARYANA,122001
Tel /Fax /Email : 18002088787//crtmotor@policybazaar.com
Period of Insurance : FROM 00:00 ON 07/02/2019 TO MIDNIGHT OF 06/02/2020

Collection No & Dt : 3 2005189928 - 06/02/2019 GST INVOICE NO :071711408406 UIN :0

Gross Premium : 12,057 GST : 2,170 Stamp Duty : .5 Total : 14,227
Geographical Area : IND Area Extension :

Particulars of Insured Vehicle:

Registration Engine No. & Type Of Body Year Of Seating Cap Cubic
Mark & Place Chassis No. Make - Model Manf. (incl Driver) Capacity
G.V.W

MH 48 F 1570 14CRAIL08HUYW INDICA EV2 LX SALOON 2015 4 + 1 1396

VIRAR - 04860
MAT600461FTH14
578

Limitations as to Use
The Policy covers use only under a permit within the meaning of the Motor Vehicle Act 1988 or such a carriage falling under

Place : NEW DELHI For and on behalf of

Date : 06/02/2019 The Oriental Insurance Company Limited

In case of any query regarding the Policy please call Toll

Free No. 1800 11 8485 and 011 33208485.
Authorised Signatory
CIN: U66010DL1947GOI007158 All the Amounts mentioned in this policy are in Indian Rupees Page 1 of 3
IRDA Regn. No. 556 - Now you can buy and renew selected policies online at www.orientalinsurance.org.in
 The Oriental Insurance Company Limited
This document is digitally signed
Signer: BALWANT SINGH
Date: Saturday, February 16, 2019 9:16 PM
Location: Pune
Attached to and forming part of policy number 211200/31/2019/189293

FLOOR,NEAR SHASTRI PARK,,PADAM SINGH

ROAD, KAROL BAGH,NEW DELHI,,,011-
28750963, 28758823,

Sub-section 3 of Section 66 of the Motor Vehicles Act 1988.

Driver's Clause
Any person including insured : Provided that a person driving holds an effective 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 when not used for the transport of passengers at the time of accident and that such a
person satisfies the requirements of Rule 3 of the Central Motor Vehicles Rules, 1989.

Limit of Liability
Under Section II-1(i) in respect of any one accident: as per Motor Vehicles Act, 1988.
Under Section II-1 (ii) in respect of any one claim or series of claims arising out of one event is Rs. 0
P.A. Cover under Section III for Owner - Driver (CSI) : Rs. 0

Insured's Declared Value (IDV)

For the For Trailers Non Electrical Electrical Value of CNG Total Value
Vehicle Accessories Accessories LPG Kit

2,07,381 2,07,381

Nominee Name Age Relationship

Shanta s kamble 35

SCHEDULE OF PREMIUM

A. OWN DAMAGE B. LIABILITY

BASIC OD COVER 6,949.34 ADD :BASIC TP COVER 10,667.00

LESS :Discount 4,169.00 BASIC TP TOTAL 10,667.00
BASIC OD TOTAL 2,780.34 TP TOTAL 10,667.00
OD TOTAL 2,780.00 TOTAL PREMIUM 12,057.00
LESS :NO CLAIM BONUS-GR27 1,390.17 ADD :IGST 2,170.00

MOTOR TOTAL OD 1,390.00 STAMP DUTY 0.50

TOTAL AMOUNT 14,227.00

* NCB discount - 50 %

Deductibles under Section-I : Compulsory Deductible 500

Subject to IMT Endorsement Printed herein/attached to : IMT-22 , IMT-36

Details of IMT Endorsements are also available on the Company¿s Web Portal www.orientalinsurance.org.in

Place : NEW DELHI For and on behalf of

Date : 06/02/2019 The Oriental Insurance Company Limited

In case of any query regarding the Policy please call Toll

Free No. 1800 11 8485 and 011 33208485.
Authorised Signatory
CIN: U66010DL1947GOI007158 All the Amounts mentioned in this policy are in Indian Rupees Page 2 of 3
IRDA Regn. No. 556 - Now you can buy and renew selected policies online at www.orientalinsurance.org.in
 The Oriental Insurance Company Limited
This document is digitally signed
Signer: BALWANT SINGH
Date: Saturday, February 16, 2019 9:16 PM
Location: Pune
Attached to and forming part of policy number 211200/31/2019/189293

28753268/,9818491955,mandakini.balodhi@orie
ntalinsurance.co.in

Hire Purchase/Lessor
Hypothecation Agreement
Agreement with: with: -

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, exclusions, IMTs and OIC
endorsements mentioned herein above which are available on Company's website: www.orientalinsurance.org.in or
on demand from the policy issuing office
WARRANTED THAT AT NO TIME THE GROSS LADEN OF WEIGHT OF THE VEHICLE EXCEEDS THE GROSS
VEHICLE WEIGHT MENTIONED IN THE SCHEDULE OF THE POLICY.

Warranted that in case of dishonour of premium cheque(s) the Company shall not be liable under the policy and the policy
shall be void abinitio (from inception).

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.
25% will be deducted from Claim Amount in the absence of Spot Survey.

No claim is admissible if driving license is found fake or is not valid,whether or not in the knowledge of the insured.
In witness whereof the undersigned being authorised by and on behalf of the company has/have herein to set his/their hands at
DO II NEW DELHI (GSTIN: 07AAACT0627R1Z1) on 06-FEB-19
IMPORTANT NOTICE
The Insured is not Indemnified if the vehicle is used or driven otherwise than in accordance with thisSchedule.Any payment
made by the Company by reason of wider terms appearing in the Certificate in order 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

Entered By : POLICY BAZAR
The Oriental Insurance Company Limited
Examined By : POLICY BAZAR

Policy Printed By : PRTL IP Shri. Balwant Singh

General Manager
Policy Printed On : 16-FEB-19 21:17:20 MAC :
Authorised Signatory

Place : NEW DELHI For and on behalf of

Date : 06/02/2019 The Oriental Insurance Company Limited

In case of any query regarding the Policy please call Toll

Free No. 1800 11 8485 and 011 33208485.
Authorised Signatory
CIN: U66010DL1947GOI007158 All the Amounts mentioned in this policy are in Indian Rupees Page 3 of 3
IRDA Regn. No. 556 - Now you can buy and renew selected policies online at www.orientalinsurance.org.in