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Go Digit General Insurance Ltd.
Schedule/Certificate
Digit Two-Wheeler Package Policy
UIN No.: IRDAN158RP0006V01201718
Name ARINDAM GHOSH Vehicle Registration No. UK07BL1227
SQUARE INSURANCE BROKERS PRIVATE
13A,NEAR SHIV MANDIR DANDA Partner Name: LIMITED
Address LAKHOND,SAHASTRADAHARA ROAD,DEHRADUN- 1041321
248001
N Partner Code: 1002092
Mobile xxxxxxxxx1400 Partner Mobile No. +9118001205430
Email dxxxxxxxxxxi@gxxxl.com Partner Email itsupport@squareinsurance.in
PB Aadhar No. -- For Claims,contact us at 1800-258-5956
YOUR POLICY DETAILS
Policy No. D039990671 / 09072021 Policy Issue Date 09-Jul-2021 Invoice No. IA041126175 Invoice Date 09-Jul-2021
Period of Policy Own Damage Cover and Add On(s) if Opted Third Party Liability Cover PA Owner Driver
From 11-Jul-2021 22:11:25 11-Jul-2021 22:11:25 11-Jul-2021 22:11:25
BN
To 10-Jul-2022 23:59:59 10-Jul-2022 23:59:59 10-Jul-2022 23:59:59
Compulsory 100 NCB % (Current Policy) 0%
Deductible (`)
Voluntary 0 Additional Excess
Deductible (`)
(`) --
Coverages Opted Digit Two Wheeler Package Policy Additional Deductible
Add On(s) Opted --
110
YOUR VEHICLE DETAILS
MA RTO Location Dehradun,UTTARAKHAND Make TVS Model/Vehicle
G0 Variant (Sub- JUPITER/LE MLN EDTN BSIV
Engine No. BG4FF1554018 Chassis No. MD626BG41F1F60121 Type)
Year of
Regn/Year of
IU Body Type Scooter Fuel Type Petrol Mfg. 2015/2015
Odometer
Seating Capacity 2 Cubic Capacity 110 CC Reading (KM) --
YOUR VEHICLE IDV
Year Vehicle IDV Non-Electrical Accessories IDV Electrical Accessories IDV CNG/LPG IDV Total IDV PA Owner Driver
Year 1 24556 -- -- -- 24556 1500000
Year 2 -- -- -- -- 0 --
Year 3 -- -- -- -- 0 --
Year 4 -- -- -- -- 0 --
PB Year 5 -- -- -- -- 0 --
OWN DAMAGE PREMIUM [A] (`) LIABILITY PREMIUM [B] (`)
G01 Own Damage Premium Basic Third-Party Liability
(`) 259.31 (`) 752.00
Add-Ons Premium (`) 0.00 PA cover for Owner-Driver (`) 330.00
NCB Discount Amount (`) -0.00 Legal Liability to Employees (`) --
0 Legal Liability to Paid Driver (`) --
245 259.31 PA cover for 2 unnamed passengers each (`) --
IG PA cover for Paid Driver (`) --
Total OD Premium (`) 259.31 Total Act Premium (`) 1082.00
Net Premium (`) 1341.31
IGST @ 18% = (`241.44) 241.44
A Final Premium (`) 1582.75
46 Note:The above total OD premium is inclusive of all applicable loading / discounts viz (automobile association memberships, voluntary excess, anti-theft
handicap person, driver tuition, fiber glass, CNG/ LPG unit, imported vehicle etc., wherever applicable).
IG If the “Own Damage Cover” under your policy is cancelled during the policy period, then your policy shall be governed by the standard terms and conditions
of “Act only” policy for the Third Party Cover during the remaining period of policy
13
A ENDORSEMENT
Invoice Number Invoice Date Gross Premium Igst Cgst Sgst Utgst Cess Net Premium
A
259.3
IA041126175 2021-07-09 1582.75 241.44 0.00 0.00 0.00 0.00 1341.31
Policy No: D039990671
Page No: 1 of 2
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.: 08AACCO4128Q1Z0 HSN: 997134/General Insurance Services, GSTIN Address: Jaipur Business
Centre,No 701,Manglam Ambition mall, Near Agrasen circle, C scheme,Jaipur,Rajasthan,PIN-302001
https
Go Digit General Insurance Ltd.
Schedule/Certificate
Digit Two-Wheeler Package Policy
UIN No.: IRDAN158RP0006V01201718
OTHER DETAILS
Previous Insurer -- Previous Policy No. NA
Previous Policy 08-Apr-2021
IMT - Endorsements IMT-22 Expiry Date
GSTIN/UIN No. Unregistered State Code 5
Receipt No. RA044231699 Receipt Date 09-Jul-2021
Financier Details -- Nominee Details ROHIT SWAMI .
Others
12-Sep-1985
Other Details
POSP INFORMATION AKA PARTNER DETAILS
Name Nutan Agarwal
Unique Number SIBPOS1857
Location Rishikesh
PAN Number AFGPA0565D
Aadhaar Number xxxxxxxx9895
Mobile Number 9636118866
Follow these rules like you follow the rules of the road.
Geographical Area: Any accidental loss, damage and/or liability caused, sustained or 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 I of the policy_ IDV as shown in the schedule. 2) 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 and any subsequent amendment as applicable. 3) Under Section II _ 1 (ii)of the policy: Damage to Third Party
Property(` 100000) 4) P.A. Cover for Owner Driver under Section III (CSI) (per annum) - (` 1500000)
Big Legal words
NCB Declaration: The premium has been charged and policy has been issued subject to NCB declared by you as an insured. In the event of NCB found wrongly declared at any point
of time during policy period, all benefits and coverages under the Policy in respect of section I of the Policy will stand forfeited. If there is any disagreement, write to us within 7 days
from the date of issuance of policy or before the start date of period of insurance whichever is earlier. PUC Declaration: The Policy has been issued subject to valid Pollution Under
Control (PUC) Certificate disclosed by you as an insured on or before the date of commencement of the Policy . Cheque dishonor / Non-receipt of payment: If premium paid through
Cheque, the policy is void ab-initio in case of dishonor of Cheque or non-receipt of payment. This policy is subject to the standard policy wordings, warranties and conditions
applicable for this product in addition to coverages and exclusions specified in the motor vehicle tariff published by IRDAI. 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 Certificate in order to comply with the Motor Vehicle
Act, 1988 is recoverable from the insured. See the Clause headed “AVOIDANCE OF CERTAIN TERMS AND RIGHT OF RECOVERY”. Pre-existing Damages: All types of pre-existing
damages or cost of repair of such damage will be excluded at the time of claim settlement.Violation of Motor Vehicle Act: This policy is issued in accordance with the provision of
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. Important Notice: The
company may cancel the policy by sending 7 days notice in case of fraud, misrepresentation, non disclosure of material fact or non co-operation of the insured. This policy is subject
to the standard policy wordings, warranties and conditions applicable for this product in addition to Indian Motor Tariff. Break in Insurance: The policy is issued subject to acceptance
of risk after evaluation of the Vehicle Inspection report. Own Damage cover (Section - I) would not commence unless the satisfactory Vehicle Inspection report has been received by
us. If the Company does not receive the Vehicle Inspection report or the report is adverse, the Company, at its discretion, will cancel Policy as per the Motor Tariff
Note: The terms and conditions detailed in this policy schedule as well as the policy document sent by Digit shall prevail in case of any dispute
For & On Behalf of Go Digit General Insurance Ltd.
In case of claim or any other query, please contact our 24-hour Call
Centre at 1800-258-5956 or email us at hello@godigit.com
or visit our website www.godigit.com.
Praveen Bhat
Vice President - Customer Experience
praveen.bhat@godigit.com
Authorized Signatory
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
issued by Department of Stamps and Registration ,
Bengaluru- 560009 - KARNATAKA.
Hey, our document is now digitally signed
Click here to view the certificate.
Policy No: D039990671
Page No: 2 of 2
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.: 08AACCO4128Q1Z0 HSN: 997134/General Insurance Services, GSTIN Address: Jaipur Business
Centre,No 701,Manglam Ambition mall, Near Agrasen circle, C scheme,Jaipur,Rajasthan,PIN-302001
