Tata AIG General Insurance Company Ltd.

Policy No: 0151182198 00 Client Id: 5002174670

Mr.TARANG GARG C 302, SPS RESIDENCY, VAIBHAV KHAND, INDRA PURAM, GHAZIABAD 201010, UTTAR PRADESH

Date: 04/03/2011

Quote Number :W103164449

Dear TARANG GARG,

Thank you for choosing the Tata AIG Autosecure car insurance policy. Your policy No. is 0151182198 00
Please note, this policy has been issued based on the information provided by you over the telephone to our representative at the time of buying the policy from us. The coverage that you have opted for is Package Policy-Private Car Insurance. We request you to go through the policy schedule attached along with this policy kit carefully and thoroughly to ensure that all details have been captured accurately.

"Zip through" AutoSecure Green Channel* experience: At TATA AIG, our pioneering spirit has resulted in a number of firsts each designed to make your car insurance experience delightful. As a valued customer you are entitled to the following privileges. AutoSecure Green Channel is a collection of customer friendly initiatives by TATA AIG to provide you with the highest standards of service, convenience and quality in Car Insurance. The Green Channel experience offers you advantages like: Easy documentation Free car pick up (within city limits) & Free cleaning of car after repairs No requirement for submission of or deduction No estimation from garage required towards salvage (in partial loss cases) Direct settlement facility (except depreciation Quality repairs at preferred Auto Restore garages. and excess) Plus the assurance of AutoRestore Accident Repairs Warranty* - a first of its kind.

As a preferred AutoSecure customer you can avail of the services of preferred AutoRestore Garages in select cities across the country. Each Auto Restore Garage is a one stop solution for accident related repairs. These garages provide unique AutoRestore Accident repair warranty, which covers the following:
Use of genuine repair parts and sound repair practices. Quality of accident related body & paint work for six months from the date of repair Quality of accident related mechanical work for three months from the date of repair

This service is the first of its kind in car insurance. Whats more, AutoRestore Garages are located across the country, so you will always find one close to you.

In the unfortunate event of an accident, kindly contact us at our 24 hour Customer Service Helpline Toll Free Helpline : 1800 11 9966 (Accessible from MTNL/ BSNL landlines) Local Landline : 022-66939500 (Accessible from mobile & landline phones except MTNL/ BSNL) SMS : CLAIM to 58888 Email : customersupport@tata-aig.com Once again, we thank you for choosing to insure your car with Tata AIG. We look forward to providing you with a wider range of benefits in the years to come.
Yours sincerely,

* conditions apply
Tata AIG General Insurance Co. Ltd. Policy Holder Services P.O.Box No. 4907 Chakala MIDC - Post Office Mumbai - 400093. TOLLFREE HELP LINE: 1800 11 9966 or Local Landline: 022-66939500 Email id : customersupport@tata-aig.com (Regd Office:Peninsula Corporate Park, Nicholas Piramal Tower, 9th Floor, Ganpatrao Kadam Marg, Lower Parel, Mumbai 400013)

Tata AIG General Insurance Company Ltd.

ENDORSEMENT

Endorsement No: 0

Effective Date: 14/03/2011

Expiry Date: 13/03/2012

Attached to and forming part of Policy No. 0151182198 00

TA08-Repair of Glass, Fiber, Plastic & Rubber Parts

A claim for only Glass / plastic / rubber / fiber part where You opt for repairs rather than replacement, at Our authorized workshop, will not affect Your No Claim Bonus eligibility at the time of renewal with Us if there is no other claim for damage to the vehicle during the period of insurance..

Definitions:-

1. We, Us, Our, Ourselves means the Tata AIG General Insurance Co. Ltd.
2.

You, Your, Yourself - Means or refers to the person or persons described in the Schedule as the insured.

3. Constructive Total Loss (CTL) - A vehicle will be considered to be a Constructive Total Loss (CTL),

where the aggregate cost of retrieval and / or repair of the vehicle subject to terms and conditions of the policy exceed 75% of the Sum Insured.
4.

Authorised Garage - A motor vehicle repair garage authorised by Us.

5. Daily Allowance - Fixed amount to be paid for the purpose of meeting the cost of hired transport. 6. Family - You,Your spouse, Your children, Your parents and any other person residing with You

without paying a commercial rent.

7. Break-in- means to enter someone's vehicle illegally by actual force or violance of which there shall be

visible marks made at the place of such entry by electricity or chemicals as well as by tools or explosives, usually with the intent to steal or commit a violent act.
8.

Lost or Stolen- means having been inadvertently lost or having been stolen by a third party without Your assistance , consent or co-operation.

Tata AIG General Insurance Co.Ltd. Policy Holder Services Post Box No. 4907 Chakala MIDC - Post office Mumbai - 400093. TOLLFREE HELP LINE: 1800 11 9966 or Local Landline: 022-66939500 Email id : customersupport@tata-aig.com (Regd Office:Peninsula Corporate Park, Nicholas Piramal Tower, 9th Floor, Ganpatrao Kadam Marg, Lower Parel, Mumbai 400013)

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TIME STAMP: 01/03/2011

Tata AIG General Insurance Company Ltd.

RECEIPT

Receipt No.: W001469284

Receipt Date: 01/03/2011

Received with thanks from

Mr. TARANG GARG (ID:5002174670)

(Insured: Mr. TARANG GARG (ID:5002174670))

a sum of Rs. 11,756.00 ( Rupees Eleven Thousand Seven Hundred Fifty Six and Paise 00 Only )
vide Cheque no. 463045 dated 28/02/2011 drawn on VIJAYA BANK,lucknow branch towards
Sr. No. 1
Policy No. 0151182198

Total Premium (Rs.) Utilised from Receipt (Rs.) 11,756.00 11,756.00

Excess: 0.00

REVENUE STAMP

Note:
1. This is a computer generated receipt and does not require a signature. 2. This receipt is issued subject to realisation of the cheque. 3. Upon issuance of this receipt, all previously issued temporary receipts, if any, related to this policy, are considered null and void. 4. Any excess amount will be adjusted against subsequent policy applications, or will be refunded on demand. Service Tax Registration No : Insurance/Tata/Mumbai-I/1542/2001-02.

Tata AIG General Insurance Co.Ltd. Policy Holder Services Post Box No. 4907 Chakala MIDC - Post office Mumbai - 400093. TOLLFREE HELP LINE: 1800 11 9966 or Local Landline: 022-66939500 Email id :customersupport@tata-aig.com (Regd Office:Peninsula Corporate Park, Nicholas Piramal Tower, 9th Floor, Ganpatrao Kadam Marg, Lower Parel, Mumbai 400013)

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ORIGINAL Page 3 of 5 TIME STAMP: 01/03/2011

Tata AIG General Insurance Company Ltd.

Certificate of Insurance and Policy Schedule Form 51 of the Central Motor Vehicle Rules, 1989

Agent/Broker Producer Name - Direct Agent/Broker License Code - NA

Certificate & Policy No.

Agent/Broker Contact No.- 1800119966

Policy Type

0151182198 00 Effective time and date of commencement of Insurance

Date of Expiry
Place of Registration

Package Policy-Private Car Insurance

Midnight on 13/03/2012 BANGALORE

From 00:01 Hours on 14/03/2011 Premium (incl.S.Tax) Rs. 11,756.00 Insured's Business/Profession SELF-EMPLOYED Geographical Area INDIA

Name and address of the Insured

TARANG GARG Name: Address : 902 BLOCK 4 ZEST, SUN CITY SARJAPURA, OUTER RING RD, Anekal 562125, BANGALORE, KARNATAKA

Under Hire Purchase/Hypothecation/Lease with

Registration No.
KA51P0932

Make & Model

TOYOTA COROLLA HE

Body Type
SALOON

Mfg. Year
2007

CC
1794

Seating Capacity
5

Engine No.
IZZ3025687

Chassis No.
MBJ53ZEC206841038

IDV of vehicle(Rs.) IDV of Side Car(Rs.) Bi-Fuel/CNG/LPG Kit(Rs.)

5,99,940.00

IDV of non-built-in Accessories(Rs.) Electrical Non-Electrial

Total Insured Declared Value (Rs.)

5,99,940.00

SCHEDULE OF PREMIUM
Premium on Vehicle and non electrical accessories
Less : 35.00% for NCB

Rs. 12,358.76
Rs. 4,325.57 Rs. 8,033.00

Basic

Rs. 2,500.00

Add: Compulsory PA Cover for Owner-Driver Rs.2,00,000

Rs. 100.00
Rs. 25.00

A. TOTAL OWN DAMAGE PREMIUM (rounded off)

Add:Legal Liability to paid driver as per Endt. IMT 28

B. TOTAL LIABILITY PREMIUM

Rs. 2,625.00

--------------------------------------------------------------------------------------------------COMPREHENSIVE PREMIUM ( A+B )

Rs. 10,658.19 Rs. 10,658.19

Rs. 1,097.79

NET PREMIUM

Add : 10.30% Service Tax

TOTAL PREMIUM

Rs. 11,756.00

Drivers Clause : Persons or classes of persons entitled to drive :

Limitations as to use:

Any person including the insured: Provided that a person driving holds an effective driving licence at the time of the accident and is not disqualified from holding or obtaining such a licence. Provided also that the person holding an effective Learner's Licence may also drive the vehicle and that such a person satisfies the requirements of Rule 3 of the Central Motor Vehicles Rules, 1989.

The Policy covers use of the vehicle for any purpose other than : a) Hire or Reward b) Carriage of goods (other than samples or personal luggage) c) Organised racing d) Pace Making e) Speed testing f) Reliability Trials g) Any purpose in connection with Motor Trade.
Subject to :

Limits of Liability: Under Section II-1 (i) of the policy (Death of or bodily injury) : Such amount as is necessary to meet the requirements of the Motor Vehicles Act, 1988. Under Section II-1 (ii) of the policy (Damage to Third Party Property ) : Rs. 750000.0/P.A. Cover for Owner - Driver under Section III: CSI : Rs. 200000.0/Deductible under Section - I Compulsory Deductible : Rs. 1000.0/Voluntary Deductible : Rs. 0/Imposed Excess : Rs. 0.0/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 Motor Vehicles Act, 1988.In witness whereof this Policy has been signed at MUMBAI on 01/03/2011..

A. Indian Motor Tariff Endorsement No. (IMT) 22,28

B. TATA AIG Auto Secure Endorsement No. (TA)

08
For Tata AIG General Insurance Company Ltd.

Receipt(s): W001469284 Service Tax Registration No : Insurance/Tata/Mumbai-I/1542/2001-02.

Tata AIG General Insurance Co.Ltd. Policy Holder Services Post Box No. 4907 Chakala MIDC - Post office Mumbai - 400093. TOLLFREE HELP LINE: 1800 11 9966 or Local Landline: 022-66939500 Email id : customersupport@tata-aig.com (Regd Office:Peninsula Corporate Park, Nicholas Piramal Tower, 9th Floor, Ganpatrao Kadam Marg, Lower Parel, Mumbai 400013)

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TIME STAMP: 01/03/2011

The stamp duty of Rs. 0.50 /-(Rupees zero and Paise 50 Only) paid in cash or demand draft or by pay order, vide Receipt/Challan no 29716 dated the 25/10/2010.

IMPORTANT NOTICE

The Insured is not indemnified if the vehicle is used or driven otherwise than in accordance with this Schedule. Any payment made 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 the clause headed "AVOIDANCE OF CERTAIN TERMS AND RIGHT OF RECOVERY". This Schedule, the attached Policy and Endorsements mentioned herein above shall read together and word or expression to which a specific meaning has been attached in any part of this Policy or of the Schedule shall bear the same meaning wherever it may appear.

Any amendments/modifications/ alterations made on this system generated policy document is not valid and Company shall not be liable for any liability whatsoever arising from such changes. Any changes required to be made in the policy once issued, would be valid and effective, only after written request is made to the Company and Company accepts the requested amendments/modifications/alterations and records the same through separate endorsement to be issued by the Company.

Tata AIG General Insurance Co.Ltd. Policy Holder Services Post Box No. 4907 Chakala MIDC - Post office Mumbai - 400093. TOLLFREE HELP LINE: 1800 11 9966 or Local Landline: 022-66939500 Email id : customersupport@tata-aig.com (Regd Office:Peninsula Corporate Park, Nicholas Piramal Tower, 9th Floor, Ganpatrao Kadam Marg, Lower Parel, Mumbai 400013)

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TIME STAMP: 01/03/2011