SCHEDULE CUM CERTIFICATE ACT ONLY
INSURANCE POLICY- PRIVATE CAR
QR code for mobile download app:
Policy / Certificate No : POPMCAR00100508192
Alternate Policy No :
Policy Issue Date : 25/01/2024
Name : Mr B BUTCHI BABU
Customer ID :
Address : H NO 1-56/63,DHARMAPURI COLONY,P M Policy Servicing Branch : Mumbai
PALLEM,MADHURAWADA,
,Visakhapatnam Visakhapatnam, Intermediary Name : PolicyBazaar Insurance Brokers Pvt Ltd
Andhra Pradesh
530017
Intermediary Code : 0065359
Intermediary Contact No : null
Contact No : 9177744595 Period of Insurance TP : From:25/01/2024 00:00:00
To:24/01/2025 23:59:59
Email Id : ranga.b8@gmail.com Period of Insurance PA to : From:
Owner Driver To:
DearPO
Mr.B BUTCHI BABU,
B
Insure PMC
Welcome to the SBI General Family. With SBI Act Only Insurance Policy - Private Car, you can be in control & enjoy the journey no matter what
roadblocks life throws at you.
ABOUT YOUR POLICY
Policy/ Policy Issue Period of
certificate no Date Insurance TP
POPMCAR00100508192 From:25/01/2024 00:00:00
25/01/2024 To:24/01/2025 23:59:59
Period of Insurance Policy
PA Cover to Owner Driver Type Geographical Area
From: Liability Only India
To:
SBI General Insurance and SBI are separate legal entities and SBI is working as Corporate Agent of the company for sourcing of insurance products
SBI General Insurance Company Limited | Act Only Insurance Policy - Private Car | Call (Toll Free) :1800 22 1111 , 1800 102 1111 | Visit: www.sbigeneral.in
0.0 0.0
0.0 0.0 0.0
ABOUT YOUR VEHICLE
Vehicle Make Registration Manufacturing Cubic Capacity /
Model & Variant Number Year Kilo Watt
Fiat,Grande Punto & 1.3 1248
Active AP 31 BV 0233 2011
Engine & Chassis Seating RTO
Fuel Number Capacity Location
0170317 & 5 Anakapalli
Diesel MCA11815E07033669H
COVERAGE DETAILS
Your Policy provides protection such as :
Protection towards Third Party Liability
Death or Injury to any Third Party
Personal Accident to Owner Driver (if opted)
Damage to Third Party Property
WE COVER YOU FOR
Third Party Premium
Basic Third Party 3416.00 Total Premium 3416.00
PA - Owner Driver 0.00 Tax 614.88
Legal Liability Driver 0.00 Final Premium 4031.00
Total Third Party 3416.00
ADD ON DETAILS Sum Insured Opted (Yes/No)
Consolidated Stamp Duty ₹ 0.5 paid towards Insurance Policy Stamps vide Order No.PB86154120 Dated: 25/01/2024 00:00:00 of General Stamp
Office, Mumbai
SBI General Insurance Company Limited | Act Only Insurance Policy - Private Car | Call (Toll Free) :1800 22 1111 , 1800 102 1111 | Visit: www.sbigeneral.in
WHAT YOUR POLICY DOES NOT COVER
Driving under influence of Accident outside India
intoxicating Liquor/Drugs unless opted for
Driving outside purview of
Liability arising out of Limitation of use or Vehicle
Contractual Liability driven for purpose not allowed
HOW TO FILE YOUR CLAIMS WITHOUT ANY STRESS
In the event of loss and / or damage arising out of the use of the insured vehicle giving rise to a probable claim being led by a Third Party towards
bodily injury / death / property damage, please inform the Company at 1800221111 or SMS ‘CLAIM’ to 561612 or email your details on
customer.care@sbigeneral.in
RENEWAL
This Policy may be renewed by mutual consent every year and in such event, the renewal premium shall be paid to Insurer on or before the date
of expiry of the Policy or of the subsequent renewal thereof. However, Insurer shall not be bound to give notice that such renewal premium is
due.
Toll Free Number Website SMS RENEW Mobile App
POPMCAR00100508192 to Download SBI General Mobile App
1800-102-1111 www.sbigeneral.in
561612 on Playstore or Appstore
GRIEVANCE REDRESSAL PROCEDURE
Please follow the steps below
Call us at Toll Free Nos.: 1800 - 102- 1111 & 1800-22-1111 from Monday to Saturday
1 (08.00 a.m - 8.00 p.m) or write to us at customer.care@sbigeneral.in
2 If the resolution you received does not meet your expectations, please email your
concerns to Head - Customer Care at head.customercare@sbigeneral.in
If you are dissatisfied with the resolution provided, you may send your ‘Appeal’ addressed
3 to the Chairman of the Grievance Redressal Committee. You can write to our Grievance
Redressal Officer on - gro@sbigeneral.in
If your issue remains unresolved you may approach IRDA by calling on the Toll Free No.
4 155255 or you can register an online complaint on the website : www.igms.irdai.gov.in
SBI General Insurance Company Limited | Act Only Insurance Policy - Private Car | Call (Toll Free) :1800 22 1111 , 1800 102 1111 | Visit: www.sbigeneral.in
GRIEVANCE REDRESSAL PROCEDURE
Please follow the steps below
If after having followed the above steps, you are still not happy with the resolution and your
5 issue remains unresolved, you may approach the Insurance Ombudsman for Redressal.
For Insurance Ombudsman Offices, kindly visit our website
https://www.sbigeneral.in/portal/buy-online/quick-assist/Locate us/Ombudsman Office List
TERMS AND CONDITIONS
LIMITATION As per Motor Vehicle Rules, 1989 - The Policy covers use of the vehicle for any purpose other than: a)
Hire or Reward, b) Carriage of Goods (other than samples or personal luggage), c) Organized Racing, d)
AS TO USE Pace Making, e) Speed Testing, f) Reliability Trials, g) Any purpose in connection with Motor Trade.
Our
Simply do not use vehicle for the purpose it is not allowed.
Recommendation
Any Person including the Insured provided that a person driving holds an effective driving license at the
DRIVERS time of the accident and is not disqualified from holding or obtaining such a license; provided also that
CLAUSE the person holding an effective learner’s license may also drive the vehicle and that such a person
satisfies the requirements of Rule 3 of the Central Motor Vehicle Rules, 1989.
Our
Drive only when you hold a Valid Drivers License in India.
Recommendation
a. Under Section II-1 (I) of the Policy-Death of or bodily injury to any person so far as it is
necessary to meet the requirements of the Motor Vehicle Act, 1988.
LIMITS b. Under Section II (1) (ii) of the Policy-Damage to property other than property belonging
to the insured or held in trust or in the custody or control of the insured up to the limits
OF LIABILITY
specified Up to ₹ 7,500,00/-.
c. PA Cover for Owner-Driver under Section-III CSI - ₹ 1,500,000 /- (if opted).
Our
Know what your policy covers.
Recommendation
Warranted all damages existing prior to inception of risk are excluded from the scope
of Policy.
SPECIAL
CONDITIONS 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. If the PUC Certificate is not found valid
at any point of time during the policy period, the Company reserves the right to cancel the policy.
SBI General Insurance Company Limited | Act Only Insurance Policy - Private Car | Call (Toll Free) :1800 22 1111 , 1800 102 1111 | Visit: www.sbigeneral.in
IMPORTANT DETAILS
PREVIOUS POLICY DETAILS
Previous Insurer Previous Policy Number Period of Insurance Previous Policy Type
The New India Assurance Co. Ltd 62010631220200000753 25/01/2023 to 24/01/2024 Comprehensive
Financier Details Nominee Details POSP Details
PolicyBazaar Insurance
Name :
Brokers Pvt Ltd
Code :
0065359
, ,,
Contact Details :
null
Landline Nos :
+1800-124-5723918
PREMIUM RECEIPT
This is to confirm and certify that we have received premium(s) from the below named Policy Holder
Policy Number POPMCAR00100508192
Policy Holder Name B BUTCHI BABU
Intermediary Name PolicyBazaar Insurance Brokers Pvt Ltd
Receipt Number PB86154120
Product Name Act Only Insurance Policy - Private Car
Receipt Date 25/01/2024
Policy Start Date 25/01/2024
Policy End Date 24/01/2025
Premium Paid by B BUTCHI BABU
*Cheque dishonor - If premium paid through cheque, the policy is void ab-initio in case of dishonor of cheque.
Authorized Signatory
For SBI General Insurance Company Limited
GST INVOICE : You may download GST invoice from www sbigeneral.in\download\
The information provided herein above is for the purpose of illustration only. For more details on risk factors, terms, conditions and exclusions,
please read the Policy wordings (www.sbigeneral.in/portal/act only insurance policy-private car/policy wording) carefully.
SBI General Insurance Company Limited | Act Only Insurance Policy - Private Car | Call (Toll Free) :1800 22 1111 , 1800 102 1111 | Visit: www.sbigeneral.in
Liability Only
5
PROPOSAL DETAILS
Proposal Transcript For Act Only Insurance Policy - Private Car
Proposer Name Mr B BUTCHI BABU
H NO 1-56/63,DHARMAPURI COLONY,P M
PALLEM,MADHURAWADA,
Proposer Address ,Visakhapatnam Visakhapatnam,
Andhra Pradesh
530017
Proposer Contact Number 9177744595
Proposer Email Address ranga.b8@gmail.com
Policy POPMCAR00100508192 is issued based on the correct information given by you. In case any information is incorrect or require changes
we request you to revert within a period of 15 days from receipt of this document failing which it will be deemed that you are agreeing to
correctness of the information mentioned in this document.
Details as shared by you with us is as below.
YOUR VEHICLE DETAILS
Registration Number AP 31 BV 0233
RTO Location Anakapalli
Engine Number 0170317
Chassis Number MCA11815E07033669HMZ
First Purchase / Registration Date 31/01/2012
Year of Manufacture 2011
Vehicle Make Fiat
Vehicle Model Grande Punto
Vehicle Variant 1.3 Active
Cubic Capacity / Kilo Watt / Gross Vehicle Weight / Horsepower 1248
Fuel Diesel
Seating Capacity including Driver 5 Digitally signed by
Carrying Capacity excluding Driver 4 VISHWANATHAN
SUBRAMANIAN
Date: 2024.01.25
18:50:20 IST
EXPIRING POLICY DETAILS
Details OD Policy Details TP Policy Details
Insurer Name NA The New India Assurance Co. Ltd
Policy Number NA 62010631220200000753
Policy Start Date NA 25/01/2023
Policy End Date NA 24/01/2024
Policy Type NA NA
No Claim Bonus % NA NA
Claim Made No No
COVERAGE & TERMS PROPOSED
From:NA
Period of Insurance Own Damage
To:NA
From:25/01/2024 00:00:00
Period of Insurance Third Party
To:24/01/2025 23:59:59
From:
Period of Insurance PA cover to Owner Driver
To:
SBI General Insurance Company Limited | Act Only Insurance Policy - Private Car | Call (Toll Free) :1800 22 1111 , 1800 102 1111 | Visit: www.sbigeneral.in
0.0 0.0
0.0 0.0
0.0
0.00.0
0.0
0.0
0.0
0 0.0 0.0
0.0
POPMCAR0010
0.0 0.0
ADDITIONAL COVERS
PA Cover to Owner Driver of Rs. 15 Lakhs No
PA Cover to Unnamed Passenger / Pillion Rider No
PA cover to Paid Driver No
Legal Liability to Paid Driver / Employees No 0,0
Third Party Property Damage Restriction Limit 750000
Add on covers - Kindly refer Policy Schedule
Hypothecation / Lease / Hire Purchaser Name ,
Policy premium including Tax 4031.00
4031
Valid PUC certificate will be carried in vehicle Yes
0
PA Cover to owner Driver has been opted out by you in the Policy based on your declaration that you are holding an alternate insurance policy.
You will share the copy of same if required by the Company.
0
I/We agree to receive policy document on registered mobile number / email address as given in this document.
7 No person shall allow or offer to allow either directly or indirectly, as an inducement to any person to take out or renew or continue an insurance in
respect of any kind of risk relating to lives or property in India, any rebate of the whole or part of the commission payable or any rebate of the
premium shown on the policy, nor shall any person taking out or renewing a policy accept any rebate, except such rebate as may be allowed in
accordance with the published prospectus or tables of the insurer. ANY PERSON IN BREACH OF COMPLYING WITH THE PROVISIONS OF THIS
SECTION SHALL BE PUNISHABLE WITH FINE WHICH MAY EXTEND TO RUPEES TEN LAKH.
I/We confirm that premium is paid from bonafide sources of income.
Disclaimer : Corporate & Registered Office: Fulcrum Building, 9th Floor, A & B Wing, Sahar Road, Andheri (East), Mumbai - 400099. | For SBI General
Insurance Company Limited IRDAI Reg. No. 144 dated 15/12/2009 | CIN: U66000MH2009PLC190546 | UIN : IRDAN144RP0001V01200910 | SBI Logo
displayed belongs to State Bank of India and used by SBI General Insurance Co. Ltd. under license.
SBI General Insurance Company Limited | Act Only Insurance Policy - Private Car | Call (Toll Free) :1800 22 1111 , 1800 102 1111 | Visit: www.sbigeneral.in
