8/14/2019 Insurance for Stalin

1/1

Insured's Name :

Period of Insurance From: 14/09/2009 : 12:47:24

To : Midnight on 13/09/2010 00:00:00

Geographical Area : Within India Only

Pin Code 600083

Address:Date of Issuance :

Agent No. 91000341Phone # 9841072878

Regd. Office: IFFCO Sadan C1 Distt. Centre, Saket, New Delhi - 110017

Issuing Office:

Cover Note # :

TWO WHEELER POLICY CERTIFICATE OF INSURANCE CUM SCHEDULE

IFFCO-TOKIO GENERAL INSURANCE CO. LTD

14/09/2009

S. VISHAL KUMARPolicy # : 70532590

IFFCO TOKIO GEN INSUR CO LTD, SAHAS EMBASSY,GROUND FLOOR 145/131, NELSON MANICKAM ROAD,METHANAGAR,

CHENNAI

TAMILNADU 600029

INDIA

Phone #

NO.7/4 BALAKRISHNAN STREET KATTABOMMAN BLOCKJAFFERKHANPETCHENNAIINDIA

TAMILNADU

RegistrationMark & No.

Year ofManuf.

Type of Body

Make of Vehicle

CC IDV in Rs.Engine No.

Chassis No.

SeatingCapacity

TN09AU6424 2007

-

HONDA ACTIVA

JFO8E8957239

ME4JF082H89778581102

227,000.00

Insured Motor Vehicle Details & Premium Calculation

Coverage

Package

Two Wheeler Side Car Accessories Elec./Elect. Acc. Bi-Fuel Kit Total Value Net Premium Rs.

27,000.00 0.00 0.00 0.00 0.00

B. Third Party (Rs.)A. Own Damage (Rs.)Basic Premium Basic Premium

Electrical Accessories (IMT 24)

Accessories (IMT 33)

Add :

Rallies (IMT 31)

Foreign Vehicle Loading (IMT 19)

Geographical Area Extension (IMT 1)

Bi Fuel Kit (IMT 25)

Add :

Legal Liability to Driver (IMT 28)

Legal Liability to Employee (IMT 29)

PA to Passenger (IMT 16)

Rallies (IMT 31)

Geographical Area Extension (IMT 1)

Less :

Third Party Property Damage (IMT 20)

Limit of Liability Under Section II-I (ii)

Any Other Loading/Discount

Net (A)

Any Other Loading Discount

Net (B)

Co-Insurance Details

Total Premium (A + B)

Premium Paid Rs.

27,000.00 668.93

Less :

Voluntary Excess Less 0% (IMT 22A)

Anti Theft Device (IMT 10)

Automobile Association (IMT 8)

Handicap Discount (IMT 12)

Vehicle Use (IMT 13)

No Claim Discount

Add Service Tax 68.89

737.82

668.93

Registration Authority :

461.16

0.00

0.00

300.00

0.00

0.00

0.00

0.00

0.00

0.00

0.00

0.00

0.00

-50.000.00

0.000.00

0.000.00

0.00

368.93 300.00

-92.23 0.00

Co-Insurer 1

Co-Insurer 2

Co-Insurer 3

Co-Insurer 4

Agent No./Share

No Co-Insurer!

No Co-Insurer!

No Co-Insurer!

No Co-Insurer!

Bi Fuel Kit (IMT 25) 0.00

PA Owner:Driver CSI Rs 100000 50.00

Side Car Premium 0.00

100,000.00

( 0.0% )

( -20% )

Under Hire Purchase /Hypothecated/Lease Aggreement with NA

Subject to IMT Endorsement Nos.

Limitation as to use :

Use only for social domestic and pleasure purpose and for the insured's business orprofession. The policy does not cover use for hire or reward, tution, racing, pace-making,reliability trails, speed testing, carriage of goods(other than samples or personalluggage) in connection with any trade or business or use for any purpose in connectionwith Motors Trade.

Any person including insured: provided that the person driving holds and effective drivinglicense at the time of the accident and is not disqualified from holding or obtaining such alicense. Provided also that the person holding an effective learner's license may also drivethe vehicle and that such a person satisfies the requirements of Rule 3 of the The CentralMotor Vehicles Rules, 1989.

Driver Clause :

No Claim Bonus : The insured is entitled for a No Claim Bonus (NCB) on the own damage section of the policy, if no claim is made or pending during the preceding year(s) as per thefollowing table:s

Period of Insurance Percentage of NCB on OD Premium

The preceding year 20 %

Preceding two consecutive year 25%

Preceding three consecutive year 35%

Preceding four consecutive year 45%

Preceding five consecutive year 50%

No claim bonus will only be allowed, provided the policy is renewed within 90 days of the expiry date of the previous policy

Limit of Liability

Under Section II-I(i) Such amount as is necessary to meet the requirements of theMotor Vehicles Act, 1988

Under Section II-I(ii) As per premium computation table

Under Sect ion I II PA Owner- Driver as per premium computat ion table

Compulsory Excess (IMT 22) Rs. 50

Printed herein/attached hereto20

Imposed Excess Partial LossImposed Excess Total Loss

0.00

0.00

Receipt Particulars S.Tax.No. D-III/ST/R-IV/GEN.INS./01/03

Cash / Cheque No : CASH Dated :

Premium :

Bank Details :

For IFFCO-TOKIO General Insurance Co. Ltd.

Authorised Signatory

738.00

FOR CLAIMS CALL 1800 103 5499(Toll Free),0124-4285499 or SMS"CLAIM" to 56161