254000_31_2014_6PPU44

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17/04/2013

All the Amounts mentioned in this policy are in Indian Rupees

Now you can buy and renew selected policies online at www.orientalinsurance.org.in

Place :

Date :

For and on behalf of

The Oriental Insurance Company Limited

Authorised Signatory

N K Singh

General ManagerIn case of any query regarding the Policy please call TollFree No. 1800 11 8485 and 011 33208485.

This is an electronically generated document (Policy Schedule).

The Policy document duly stamped will be sent by post.

Page 1 of 3

1 Use only for social, domestic and pleasure purposes and for the insured's business or profession. The Policy does notcover use for hire or reward, tuition, racing, pace making, reliability trial, speed testing, carriage of goods(other thansamples or personal luggage) in connection with any trade or business or use for any purpose in connection withMotor Trade

UP 14 BJ 1068 M77366 -M51757

2011 SOLO 1 + 1 150BAJAJ-DISCOVER 150DC

254000/31/2014/644Policy No 254000/31/2013/723Prev Policy No :

-

C-175, Lohiya Nagar, Ghaziabad

GHAZIABAD UTTAR PRADESH 201001

50, NAVYUG MARKET, GHAZIABAD

GHAZIABAD UTTAR PRADESH 201001

FROM 00:00 ON 18/04/2013 TO MIDNIGHT OF 17/04/2014

919650089721 / /[email protected]

0120 - 2791034, 2790727 / 0120 -2790681 /[email protected]

928 115 .5 1,043

MOTORISED-TWO WHEELERS PACKAGE POLICY - ZONE B

CC 2247000791 - 17/04/2013

INDIA

MR. MANISH KUMAR DO 2 GHAZIABAD

48773992 254000

RTO Ghaziabad

Cover Note No :

Insured's Code :

Insured's Name :

Address :

Tel /Fax /Email : Tel /Fax /Email :

Address :

Cover Note Dt :

Issue Office Code :

Issue Office Name :

Agent/Broker Details

9818545966//NATel /Fax /Email :

Period of Insurance :

Collection No & Dt :

Gross Premium : Service Tax : Stamp Duty : Total :

Geographical Area : Area Extension :

Particulars of Insured Vehicle:

RegistrationMark & Place

Engine No. &Chassis No.

Make - Model

Year OfManufacture

Type Of Body Seating Capacity(including Driver)

CubicCapacity

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 requirements of Rule 3 of the Central Motor VehiclesRules, 1989.

Limitations as to use:

The Policy covers use only under a permit within the meaning of the Motor Vehicles Act 1988 or such a carriage falling underSub-section 3 of Section 66 of the Motor Vehicles Act 1988.

Driver :

Limit of Liability:

Under Section II-I(1) in respect of any one accident: as per Motor Vehicles Act, 1988.

MOTOR INSURANCE CERTIFICATE CUM POLICY SCHEDULE

Agent/Broker : BA0000092949 SANJEEV KUMAR

NA0000007282 I.C. AGRAWAL

Address : SE-265 HAOUR ROADSHASTRI NAGAR GZB,GHAZIABAD,UTTAR PRADESH,201001

Dev.Off.Code :

Digitally signed bySINGH NAGENDRAKUMARDate: 2013.04.1713:07:23 IST

Signature Not Verified

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Place :

Date :




N K Singh




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100000

For the Vehicle For the Side Car

Non ElectricalAccessories

ElectricalAccessories Value of LPG/CNG Total Value

37,778 0 0 0 0 37,778

254000/31/2014/644

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

Hypothecation Agreement with: -

(Details of IMT Endorsements and GR also available on internet TAC website www.tac.org.in)

B. LIABILITYA. OWN DAMAGE

BASIC TP COVER

BASIC TP TOTAL

ADD :PA FOR OWNER DRIVER-GR36A

TP TOTAL

TOTAL PREMIUM

ADD :SERVICE TAX

STAMP DUTY

TOTAL AMOUNT

422.00

422.00

50.00

472.00

928.00

115.00

0.50

1,043.00

BASIC OD COVER

MOTOR OD BASIC - NEW

LESS :UNDERWRITER DISCOUNT

BASIC OD TOTAL

OD TOTAL

LESS :NO CLAIM BONUS-GR27

MOTOR TOTAL OD

633.16

570.16

63.00

570.16

570.00

114.03

456.00

* NCB discount - 20 %

100000

COMPULSORY DEDUCTIBLE Rs.50

Under Section II-I(ii) in respect of any one claim or series of claims arising out of one event is Rs.

P.A. Cover under Section III for Registered Owner Cum Driver (CSI) : Rs.

Insured's Declared Value

SCHEDULE OF PREMIUM

Deductibles under Section-I :

The insurance under this policy is subject to conditions, clauses, warranties, exclusions, IMTs and OICendorsements mentioned herein above which are available on Company's website: www.orientalinsurance.org.in oron demand from the policy issuing office

In the event of a claim under the policy exceeding Rs.1lac or a claim for refund of premium exceeding Rs1lac,the insured willcomply with the provisions of the AML policy of the Company.The AML policy is available in all our operating Offices as wellas company's website.

Attached to and forming part of policy number

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

Claim for theft of vehicle not payable if theft not reported to Company within 48 hours of its occurrence.

Claim is not admissible if Driving Licence is found fake or is not valid whether or not in the knowledge of the insured.

Hire Purchase/Lessor Agreement with: -

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Page 3 of 3

GHAZIABAD

17/04/2013



Place :

Date :




N K Singh




254000/31/2014/644

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 MVAct, 1988 isrecoverable from the Insured. See the Clause headed "AVOIDANCE OF CERTAIN TERMS AND RIGHTS OF RECOVERY".

[email protected] By :

Attached to and forming part of policy number

I/We hereby certify that the policy to which the certificate relates as well as this certificate of insurance are issued inaccordance with the provision of Chapter X and Chapter XI of Motor Vehicles Act, 1988.

In witness whereof the undersigned being authorised by and on behalf of the company has/have herein to set his/theirhands at GHAZIABAD on 17-APR-13




N K Singh

General Manager

254000_31_2014_6PPU44

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