https://
MA Go Digit General Insurance Ltd.
Schedule/Receipt
Digit Two-Wheeler Liability Only Policy
UIN No.: IRDAN158RP0003V01201718
N Name RAMYASH PAL Vehicle Registration No. UP72AU0359
Address 00 Ugai Pur,Bansipur Raniganj,Pratapgarh- Partner Name Probus Insurance Broker Limited
230001 1000013
Partner Code
Mobile xxxxxxxxx1024 Partner Mobile No. 7304332968
pxxxxxxxxxxxxx8@gxxxl.com care@probusinsurance.com
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Email Partner Email
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Aadhar No. For Claims, contact us at 1800-258-5956
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YOUR POLICY DETAILS
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Policy No. D072340597 / 05082022 Policy Issue Date 05-Aug-2022 Invoice No. IA071042890
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From 02-Feb-2023 00:00:01
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Period of Policy Policy Term 1 Year
01-Feb-2024 23:59:59
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From --
Invoice 05-Aug-2022
Period of Policy for PA Owner Driver
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To -- Date
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IGS YOUR VEHICLE DETAILS
Pratapgarh (Up),UTTAR
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PB Model/Vehicle HF DELUXE/ELEC ST
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RTO location PRADESH Make HERO MOTOCORP Variant (Sub- DRUM BRAKE CAST
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Engine No. HA11EMH9H09945 Chassis No. MBLHA7153H9H09275 Type) WHEELS
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Body Type Motor Cycle Fuel Type Petrol Year of Regn 2017
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Seating
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Capacity Cubic Capacity 100 CC Year of Mfg. 2017
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MAK
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128.5
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ENDORSEMENT
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Invoice Number Invoice Date Net Premium Igst Cgst 2- Sgst Utgst Cess Gross Premium
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IA071042890 2022-08-05 714.00 128.52 0.00 0.00 0.00 0.00 842.52
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LIABILITY PREMIUM (`)
Basic Third-Party Liability (`) 714.00 PA cover for Owner-Driver (`) --
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PA cover for 2 unamed passengers each 0 (`) -- PA cover for Paid Driver 0 (`) --
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Legal Liability to Employees (`) -- Legal Liability to Paid Driver (`) --
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FH Net Premium (`) 714.00
IGS
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IGST @ 18% = (`128.52) 128.52
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D0 Final Premium (`) 842.52
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OTHER DETAILS
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Previous Insurer Go Digit General Insurance Limited Previous Policy No. D056220655
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Previous Policy 01-Feb-2023
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IMT - Endorsements --
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Unregistered 9
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GSTIN/UIN No. State Code
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Receipt No. RA075838421 Receipt Date 05-Aug-2022
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Financier Details -- Nominee Details --
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Other Detials --
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POSP INFORMATION AKA PARTNER DETAILS
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Name RAJNEESH BADSHAH PANDEY
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Unique Number CAOPP3350A
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Location Jaunpur
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PAN Number CAOPP3350A
Aadhaar Number xxxxxxxx3660
Mobile Number 8080598241
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Go Digit General Insurance Ltd. Address: Atlantis, 95, 4th B Cross Road, Koramangala Industrial Layout, 5th Block, Bengaluru, Karnataka 560095.IRDAI Reg
No. 158 CIN U66010PN2016PLC167410, GST Reg. No.: 27AACCO4128Q1Z0 HSN: 997134/General Insurance Services, GSTIN Address: Mumbai Business
Centre,13th Flr, Godrej Coliseum, Lokmanya Pan Bazaar,Behind Everard Nagar,Sion(E),Mumbai,Maharashtra,PIN-400022
https://
MA Go Digit General Insurance Ltd.
Schedule/Receipt
Digit Two-Wheeler Liability Only Policy
UIN No.: IRDAN158RP0003V01201718
Geographical Area: Any liability incurred within India shall be covered subject to Policy Terms and Conditions, unless specifically agreed and
endorsed. Limitation as to use: The policy covers use of the vehicle for any purpose other than hire or reward, racing, pace making, reliability trial,
speed testing and use for any purpose in connection with the Motor Trade. Person or Class of persons entitled to drive: Any person including the
insured. 1) Provided that a person driving holds a valid effective driving license at the time of the accident and is not disqualified from holding or
obtaining such a license. 2) Provided also that the person holding a valid effective Learner’s License may also drive the vehicle and that such a
person satisfies the requirements of Rule 3 of the Central Motor Vehicles Rules, 1989 and any subsequent amendment as applicable. Limits of
Liability: 1) 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
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Vehicles Act, 1988 and any subsequent amendment as applicable. 2) Under Section II - 1 (ii) of the policy: Damage to Third Party Property - (`
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100000) 3) P.A. Cover for Owner Driver under Section III (CSI) -(`)(per annum).
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PA Owner Driver Declaration:The Policy has been issued without Compulsory Personal Accident Cover to Owner Driver on the basis of
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your declaration that you do not hold a valid Driving License on or before the date of commencement of this Policy / already have an
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alternate Personal Accident insurance cover of Rs. 15 Lakhs
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Important Note: Please inform the Company in case of change on account of addition of CNG/PNG kit.
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PUC Declaration:The Policy has been issued subject to valid Pollution Under Control (PUC) Certificate disclosed by you as an insured on or before
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the date of commencement of the Policy .Cheque dishonor / Non-receipt of payment premium paid through Cheque, the policy is void ab-initio in
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case of dishonor of Cheque or non-receipt of payment. Violation of Motor Vehicle Act: This policy is issued in accordance with the provision of
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Chapter X and Chapter XI of MV act, 1988 and any subsequent amendment as applicable. Any violation will forfeit all benefits and coverages
under the Policy. The insured is not indemnified if the vehicle is used or driven otherwise than in accordance with this Schedule. Any payment
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made by the Company by reason of wider terms appearing in Certificate in order to comply with the Motor Vehicle Act, 1988 is recoverable from
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the insured. See the Clause headed (Avoidance Of Certain Terms And Right Of Recovery) in the policy. This policy is subject to the standard
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policy wordings, warranties and conditions applicable for this product in addition to coverages and exclusions specified in the motor vehicle tariff
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published by IRDAI. Policy would be void on the ground that it was obtained by non- disclosure of material fact or by a representation of fact
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Note: The policy is issued in utmost good faith, relying on the information shared by insured at the time of obtaining the policy. The terms and
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conditions detailed in this policy schedule as well as the policy document sent by Digit shall prevail in case of any dispute.
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For & On Behalf of Go Digit General Insurance Ltd.
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In case of claim or any other query, please
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contact our 24-hour Call Centre at 1800-
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258-5956 or email us at hello@godigit.com Praveen Bhat
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Senior Vice President – Customer Experience
or visit our website www.godigit.com. praveen.bhat@godigit.com
Authorized Signatory
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Printed, Signed, and Executed at Bengaluru
Consolidated Stamp Duty has been paid as per Letter of
Authorization No.67-B/04/2017-18 Date: 30th May 2017
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issued by Department of Stamps and Registration ,
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Bengaluru- 560009 - KARNATAKA.
Hey, our document is now digitally signed
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Click here to view the certificate.
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For instant resolution, you can ping us “Hi”
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on WhatsApp at 702 606 1234
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Go Digit General Insurance Ltd. Address: Atlantis, 95, 4th B Cross Road, Koramangala Industrial Layout, 5th Block, Bengaluru, Karnataka 560095.IRDAI Reg
No. 158 CIN U66010PN2016PLC167410, GST Reg. No.: 27AACCO4128Q1Z0 HSN: 997134/General Insurance Services, GSTIN Address: Mumbai Business
Centre,13th Flr, Godrej Coliseum, Lokmanya Pan Bazaar,Behind Everard Nagar,Sion(E),Mumbai,Maharashtra,PIN-400022
