3/27/24, 5:31 PM HIBIPL - Policy Details
Prev. Policy No:
39010231236201132987
Insured Business/Profession Address of The Insured TP Valid From TP Valid To
Mr SONU S/O RAJU GRAM BARKHEDA TEH RAGHOGARH Guna 24-03-2024 Midnight of
VANSHKAR Self Employed MADHYA PRADESH 473226 , Mobile No XXXXXX5087 13:38:59 23-03-2029
Vehicle Regn No. Engine No. Chassis No. Make & Model Year of Mfg Cubic Capacity GSTIN No. (Customer)
Hero MotoCorp
New HA11E7R4B11475 MBLHAW21XR4B04030 SPLENDOR+XTEC 2024 100 N/A
I3S DRSC FI
Declared Value Side Car IDV Non-Electrical Accessories Electrical Accessories IDV CNG/LPG/Bi- Total IDV
(IDV) of Vehicle IDV Fuel IDV
75916.00 NA 0.00 0.00 0.00 75916
Place of Regn. Body Type HP/Lease/Hire-Purchase Branch Office of Seating Premium
Agreement With HP/Lease/Hire-Purchase Capacity
Guna Solo HERO FINCORP LTD, HPA GUNA 2 5708.00
Section A B. Liability Premium Computation (Section II) in Rs.
Basic OD Premium : 509.00 Basic Third Party Liability : 3851.00
Non-Electrical-Fitting Premium : 0.00 TPPD Discount : 0.00
Electronic & Electrical Accessories : 0.00 Total : 3851.00
Bi-Fuel Kit : 0.00 CNG/LPG/Bi-Fuel Kit : 0.00
Geographical Extension : 0.00 Geographical Extension : 0.00
ND Plus Cover : 182.00 Add
Less : Compulsory PA Cover (Owner Driver) : 295.00
Handicapped Discount : 0.00 Optional PA Cover(Un Named Passenger) : 0.00
For Anti-Theft Discount : 0.00 Optional PA Cover(Un Named Driver) : 0.00
NCB : 0.00 Legal Liability Cover (Paid Drivers, Cleaners) : 0.00
Total Own Damage Premium(A) : 691.00 Legal Liability Cover (Per Licensed Passenger) : 0.00
Total Liablity Premium (B) : 4146.00
Total Premium (A + B) : 4837.00
For any other extra : 0.00
IGST @ 18.00% : 871.00
Gross Premium : 5708.00
1.RegistrationNo.:58||2.LicenceNo.:1424542||3.CNNNo.:U10200WB1906GOI001713||4.GST No.:07AAACN9967E1Z5 ||UIN No.-IRDAN05
8RP0005V01201819
OD Policy Period 24-03-2024 To 23-03- 24-03-2025 To 23-03- 24-03-2026 To 23-03- 24-03-2027 To 23-03- 24-03-2028 To 23-03-
2025 2026 2027 2028 2029
IDV 75916 NIL NIL NIL NIL
CPA Rs. 15 lakhs. NIL NIL NIL NIL
DRIVER: Any person including insured: Provided that a person driving holds an effective driving licence at the time of the
accident and is not disqualified from Holding or obtaining such a licence.Provided also that the person holding an effective
Learner's Licence may also drive the vehicle and that such a person satisfies the requirements of Rule 3 of the Central Motor
Vehicle Rules, 1989.
LIMIT OF LIABILITY: Limit of the amount of the Company's liability under the Section II-I(i) in respect of any one accident as per
M.V. Act 1988. Limit of the amount of the Company's liability under Secion II-I(ii) in respect of any one claim or series of claims
arising out of one event : Upto Rs - 100000/
I/We certify that the policy to which the certificate relates as well the certificate of insurance are issued in accordance with the
provisions of Chapter X & XI of M.V. Act 1988
Broker Hero Insurance Broking India Pvt. Ltd. The policy is subject to a compulsory
Premium of Rs. 5708.00 Received Vide CASH excess of Rs. 100/- & Depreciation is
Cash/Cheque No. applicable as per policy terms &
REKHA conditions* (Please turn overleaf for
Dated Nominee Name BAI details)
Drawn on Nominee Age 30 Consolidted Stamp Duty Paid
Endorsements: IMT - 22,5
Acknowledgement 24-03-2024 Nominee Relation Wife
Dt
Registration No: 649 Tel No: 1800-102-4376 On behalf of NATIONAL INSURANCE
COMPANY LIMITED
24-Mar-2024
Date & Signature of FOR RENEWALS CONTACT: POS: BRIJESH SAHU, AUTPS3141H
Ph.No- 942-5134560
proposer
Dealer's Stamp & Signature Duly Constituted Attorney
# : Received with Thanks Rs 5708.00 from Mr SONU VANSHKAR as premium against the money receipt no 024231234696504
Regd. & Head Office : Premises No.18-0374, Plot No. CBD-81, New Town, Kolkata-700156 Service Tax Registration Number - AAACN996EST099
For further information about motor insurance policy please also visit http://irda.gov.in >> Grievances >> Policyholder Handbooks
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