FORM NO 42 1A\
ISee Rule 64(ixii) ]
PERMIT IN RESPECT OF A CONTRACT CARRIAGE *t4,,q\+ $9qd
rr!rr
Regional Transport Authority, t t? H % P i1 *'r h V ft &tt\ eK N3'
^ 7t2Z
l:9.2 7^
r6:
%
BANGALORE ( ffi
P.co.PNo: KA51 -LT/CC-LT-KN180212018-19
Fee Details :
500/- challan No: cP2686233 I 2310712019
1. Name of Permit Holder/Company WICKEDRIDE ADVENTURE SERVICES
S/o,Wo,D/o NA
2. Address P\Tf LTD,. # 1705,2ND FLOOR,
EAST END A MAIN ROAD. JAYA
gTH BLOCK, BANGALORE
3. (a) Registration Mark KA51A86g62 (McYLrR
(b) Chassis Number MB8DP1 1AEJ887601 1
(c) The vehicle is held under Hire GRESHMA FINVEST PRIVATE LIMITED
Purchase Agreement with # 124,VTRAJ # 41t42,4TH FLR,
S V ROAD, KHAR WEST, MUMBAI 4OOO52
4.Maximum No of passengers 2 in all
5. Area/Route in which permited to ply THROUGHOUT KARNATAKA STATE
6. Validity of the permit From 23-Jul-2018 ro 22-Jul-2023
7. Whether a taxi-meter is to be fitted and (if so) the make & Serial Number (in case of motor
cab only)...
8. This permit shall be subject to the followin conditions in addition to the conditions laid down
in section 84 of the Act:-
(a) The Regional Transport Authority may, after giving notice of not less than one
(i) vary the conditions of the (ii) attach to the permit further
(b) The records to be maintaineQ and the date on which returns are to be made to the
Transport Authority:-
(c) Any other conditions.
9. This permit does not entitle the holder to use the vehicle herein described as a stage
carriage or as a goods vehicle for hire:
10.Under the provisions of Rule. . . . . this permit is valid also in the regions and
subject to the conditions set out below. . . .
Region (1) Route/Area (2)
BANGALORE Item No. 5 , Ref ltem No. 11
Dated: 24.07.2018
THE NEW INDIA ASSURANCE CO. LTD.
(Government of India Undertaking)
POLICY SCHEDULE CUM CERTIFICATE OF INSURANCE
Commercial Vehicle Package Policy
UIN Number - IRDAN190RP0044V01100001
Insured's Details Policy Details
Insured's Name: WICKEDRIDE ADVENTURE SERVICES Policy number: 67160231200100002172
PRIVATE LIMITED
Customer ID: PO79523284 (PAN No : Period of cover: 04/04/2020 12:00:01 AM to 03/04/2021
11:59:59 PM
Insureds Address: 2ND FLOOR, NO. 1705, EAST END A Registration no. KA-51-AB-6862
MAIN,AYANAGAR 9TH BLOCK, BENGALURU
(BANGALORE) URBAN JAYANAGAr-69,,,
BANGALORE ,KARNATAKA, 560069
Prev. Policy no. NA Make/Model: SUZUKI/ACCESS
Email: kprathap@wickedride.com Receipt no. 67160281200000002203 - 08/05/20
Phone Number : / / 9036991826 Fax Number : NA / NA
Stamp Duty Number 0
GSTIN/UIN 29AABCW5594K1ZL / NA
Issuing office New India Contact
Address MEKHRI CIRCLE CITY BRANCH (671602), Agent / Corp. Agent /
SHANKAR HOUSE, NO.1, 2ND FLOOR, R.M.V.EXTENSION, Broker / Banc Kmdastur Reinsurance
MEKHRI CIRCLE, BANGALORE-560 080 , , , Assurance / Referral
KARNATAKA , 560080. Code - Name / Brokers Pvt Ltd. -
POS/IMF/SPECIFIED
PERSON (1D5140052)
Phone no 01146710007 / / 7377894370
Phone no 08023616594 / 08023618796 Fax no. /
Fax no. 08023616594 / NA Email Chheda@kmdastur.com /
Email nia.671602@newindia.co.in Development officer NA
level Name/Code
Claim Contact BANGALORE (670001) Claim Contact Detail 2-B, Unity Buildings Annexe, P. Kalinga Rao Road
(Mission Road), Bangalore -
560027,CH67@NEWINDIA.CO.IN,;22236281/22539433
/8022220854
GSTIN 29AAACN4165C2ZM
SAC 997139 (Other non-life insurance services excl RI)
Policy Details
Geographical Area / Zone: India/A Year of manufacture: 2018
Type of Commercial Vehicles: C - Passenger Carrying Sub Type: C4-Two Wheeler
Name of the Financier: GRESHMA FINVEST PVT LTD Chassis no./Engine no.: MB8DP11AEJ8876011/AF215076014
Type of fuel: Petrol Cubic capacity ( cc): 124
Type of body: Open Gross Vehicle Weight (GVW): 0
Seating capacity including Driver: 2 Variant: ACCESS 125CC
Automobile Association Colour: Not available
membership:
Cover Note No/Cover Note Issue / Name of registration authority: Bangalore - Bannerghatta
Date:
Indemnity of hirer Yes
IDV(In `) Based on annexure-I
Vehicle Trailer Non-Elec Acc Electrical Acc Bi-fuel kit Total Value
44883 0 0 0 0 44883
Schedule of Premium
Own Damage Liability
Basic OD Cover Basic TP Cover
Legal liability to passangers, LL to paid
driver conductor cleaner employed for
oprn
OD Premium in ` 1912 TP Premium in ` 1491
Net Premium in `: 3403
GST in `: 612
Total Payable in `: 4015
Total Payable in `(in words): RUPEES FOUR
THOUSAND FIFTEEN
ONLY
Signature Not
Verified
Digitally signed
by Srinivasan Policy No. : 67160231200100002172Document generated by MAGMABATCH at 27/05/2020 21:06:19 Hours.
Vaideswaran Regd. & Head Office: New India Assurance Bldg., 87 M.G. Road, Fort, Mumbai - 400 001. TOLL FREE No. 1 800 209 1415.
Date: 2020.05.27
For 21:06:22
redressal of your grievance, if any,you may approach any one of the following offices- 1. Policy issuing office 2. Regional office 3. Head office.In case, you are not satisfied with
IST
our own grievance redressal mechanism; you may also approach Insurance Ombudsman. For details of our office addresses and addresses of office of Insurance Ombudsman, please
visit our website http://newindia.co.in.
Page 1 of 3
THE NEW INDIA ASSURANCE CO. LTD.
(Government of India Undertaking)
Limitations as to use Limits of Liability
The Policy covers use only under a permit within the meaning of the Limit of the amount the Company's Liability Under Section II 1(i) in
Motor Vehicles Act, 1988 or such a carriage falling under Sub-Section respect of any one accident: as per the Motor Vehicles Act, 1988. Limit
(3) of Section 66 of the Motor Vehicles Act, 1988.The Policy does not of the amount of the Company's Liability Under Section II 1(ii) in
cover use for a)Organised racing b)Pace Making c)Reliability Trials d) respect of any one claim or series of claims arising out of one event:
Speed Testing e) Use whilst drawing a trailer except the towing (other Up to ` 7,50,000
than for reward) of any one disabled Mechanically propelled vehicle.
For individual covers (OD) in `: 44883
Imposed excess in `: 0
Voluntary excess in `: 0
Compulsory excess in `: 500
Persons or classes of persons entitled to drive
Any person including the 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 and that such a person satisfies the requirement of Rule 3 of the Central Motor Vehicles Rules, 1989.
PA cover for Owner Driver
Name of Nominee Age of Nominee Relationship with the Name of the Appointee (if Relationship to the
Insured Nominee is a minor) Nominee
none 0 none NA NA
PA cover for named persons
Name CSI Opted(`) Nominee Relationship
NA NA NA NA
Premium and GST Details
Rate of Tax Amount in INR
Premium ` 3403.00
SGST 9 306
CGST 9 306
IGST 0 0
In witness where of this policy has been signed at MEKHRI CIRCLE CITY BRANCH on this 27/05/2020
WARRANTED THAT IN CASE OF DISHONOUR OF THE PREMIUM CHEQUE, THIS DOCUMENT STANDS AUTOMATICALLY CANCELLED ABINITIO
This policy is subject to the Terms, conditions and exceptions applicable to Package/Liability policy attached/available on the web site
http://newindia.co.in; IMT Endorsement Number(s) printed herewith attached 22,35,40,43,44.
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 clause headed "AVOIDANCE OF CERTAIN TERMS AND RIGHTS OF RECOVERY". It is clarified that in case the declaration regarding
the ncb or other previous policy details made by the insured, is found to be incorrect, all the benefits (including claim) under section-1 of this
policy, will stand forfeited.
I/We hereby certify that the policy to which this Certificate relates as For and on behalf of The New India Assurance Company Limited.
well as this Certificate of Insurance are issued in accordance with
the provisions of Chapter X and XI of M.V. Act, 1988. NIA S.T.REGN
No: AAACN4165CST181.
Date of Issue: 27/05/2020
Duly Constituted Attorney(s)
WICKEDRIDE ADVENTURE SERVICES PRIVATE LIMITED
2ND FLOOR, NO. 1705, EAST END A MAIN,,JAYANAGAR 9TH BLOCK,
BENGALURU (BANGALORE) URBAN JAYANAGAR -
69,BANGALORE,KARNATAKA,INDIA
Tax Invoice No : 67160220P0002342
IRDA Registration Number: 190
Policy No. : 67160231200100002172Document generated by MAGMABATCH at 27/05/2020 21:06:19 Hours.
Regd. & Head Office: New India Assurance Bldg., 87 M.G. Road, Fort, Mumbai - 400 001. TOLL FREE No. 1 800 209 1415.
For redressal of your grievance, if any,you may approach any one of the following offices- 1. Policy issuing office 2. Regional office 3. Head office.In case, you are not satisfied with
our own grievance redressal mechanism; you may also approach Insurance Ombudsman. For details of our office addresses and addresses of office of Insurance Ombudsman, please
visit our website http://newindia.co.in.
Page 2 of 3
THE NEW INDIA ASSURANCE CO. LTD.
(Government of India Undertaking)
Policy No. : 67160231200100002172Document generated by MAGMABATCH at 27/05/2020 21:06:19 Hours.
Regd. & Head Office: New India Assurance Bldg., 87 M.G. Road, Fort, Mumbai - 400 001. TOLL FREE No. 1 800 209 1415.
For redressal of your grievance, if any,you may approach any one of the following offices- 1. Policy issuing office 2. Regional office 3. Head office.In case, you are not satisfied with
our own grievance redressal mechanism; you may also approach Insurance Ombudsman. For details of our office addresses and addresses of office of Insurance Ombudsman, please
visit our website http://newindia.co.in.
Page 3 of 3
t\\
!r\\
uD/
*-. -l
TAX INVOICE c*tom;rc"py*
NineStar Motorcycles (Bangalore) pvt ttd
Authorised Dealer : Suzuki Motorcycles (lndia) pvt. Ltd
SY No 43, Beretana Agrahara,
Near Hosa Road
Junction, Hosur
Bangalore rAn
Main Road
GSTIN No.: 29AAECN1545J1ZA
Phone No: Sales: 9019023333 Service 9900038334
DeaferCode: O34IO7 Date: L2-O7-20t9
Invoice No: VSTAA/G 3581
Time: PMO2:2O:22
customer Name: wIcKEDRIDE ADVENiUiE sERvtcE;pw
trD Hire/Hypothecation
Address:
# L7O5 2ND FLOOR EAST END A
Greshma Finvest private
MAIN ROAD JAYANAGAR gTH BLOCK Limited
City: BANGALoni siate: (;";i;l;
GST|N No. :29AABcWss94K1zt
* -"*:^,****-*
flrs,riot Description I
Amount in
11 : layantity Rs.
iModel : ACCESS 125 11.00
EX-Showroom price
J
I 49871.00
!Colour : Pearl Mirage White Road Tax
, .00:
lrvpe : ACCESS 125 Insurance Charges
I .00 i
jFrame No : M98DP11AEJ887O011 Hypothecation amount I
.00 i
.Engine No : AF2I-5O76O!4 Smartcard & Hypothication Charegs
.00 i
jBooking No Ext Wa rra nty, Registratio n&Aff idavit
t
:0 .oo i
!Allotment No : VSIM/G 3581
,Key No :1854-D
-^- -*-^-
l
*1gezroo.
N"t Payable Amount
rhousand Eight Hundred and seventy one
lT:.il:]ly_"19:", f":ny Nine
1. Price Prevailing at the time of delivery only will apply
2. The payment must be made in full amount No delivery
shall be made with part payment
3. All disputes are subject to district jurisdiction.
4. Vehicles once sold will not be taken back.
Declaration by Customer:
I have taken delivery of the vehicle along with the
standard accessories which are 2 mirrors, 2 keys, 1 user manual
tool kit . I do hear by declare by the condition of the vehicles is per and L first aid kit and 1
as my satisfaction
Customer Signature
Date: t2-07-20t8
Date: I2-07-2OL8 Time: pM 02:20:22
Invoice No: VSIM/G 3581
customer Name: WICKEDRIDE Model : ACCESS 125
ADVENTURE SERVICES Allotment No : VS|M/G 35g1
PVT tTD
Chassis No : MB8DP11AEJ8876011 Colour : pearl Mirage White EngineNo :AF2L-5O7GOL4
