The Win Yan Gon Oni Gr ado Yrs Ley Cv 7/5N Poy We sma eno MSUNANCE BROKING MOIAPYT LT. ouroorason ote inarance Co inoa Regt Ne aN E00, un ee Co Pa ow ‘penteneoentes 9, unre ino Bent ah 264, ons in Eat Pane bebe iottoguic nin o_o BusinnnPraieaion Tiaisss ois sa Te vas Fem] —r va MVELULNGSHOSMON | Employed | SOSATAPUTRAOSAMANTMANINERTERGATKO| On08700" ri pes) 2 T BAGALAKOTE KARNATAKA 58713. 12:30:54 Sadnigpeattacn-aese, ve = oe . Eabie SET We ice Rego Ne Engine ‘hassle wate aMoser | vourotmie | ceamay | CTR, = TSSHRCap AF TOO New a a 2004 Dedlreg vals WOW ST} — Sas Car Nonneives! —| “Elec accessoea | CHOIPORT Tauri ‘nie pueoceeane BY ‘on coalov a7s0060 ma a 250 00 a Fiaceo ean Body type | HPlcsanaiveparcaas | — Branch Otfew a —|—Sostng Pioslo ‘Agrarart wi | uprassshireurchase | _copacly Wiser Soo FEROPINCORP LTD wew Deva! 2 72600 Seaton ably Pramion Camputaon (Secon TAR Sa OO Fen ? TDG | Base Ta Paty Lope 100 Non becca, tng Prem 00 | reep Been ea {lectenic&Eectiouhecssoes 8.00 | Tot ot Brulee d.0 | Grourcre-rue Ke 000 Geogrepical Extension 8.00 | Goopaphen Exenson PBB Nb Bore tio | aie tees : Compusery PA Lover (Owner Diver) 200 Hndcapped sour 0.00 | Spuna x Cavern NaedPasseoer) oo Foca then Daca 8.0 | Sptonat ra caveqUn named bret oo te i S00 | Laon aby Cover Pat Dvr Cleaners 300 otal own Damage Premimia) =: a1s.o | LogatUsomty Gove (Per icrsed Pastore) ooo ‘otal Lisbiy Promi (8) wot 90 Teta Promiam (> B) S000 Foranyoherase a0 testa tbo frame Grses reo 80 [ie ent Oe ei TH SHOOOTANAACSOTIf cM Near AMACORSTT [a Re ROMERO Reese THOSTORTCOEOS | OODEIESTOOETE | OSOSTDE TOUTE | OOOS IT OSS | TOS STE Tos fe wer o. ws tu 0 ue ci cs i SPA Sim saeaGENPAL i ry ti iit Suns turod ofOpnona PR ovary Wed Sons PX Coa” Uae Pasa’ WA aU ine [LIMITATIONS AS TO USE-=The Policy covers uso ofthe vehicle for any purpose other than a] ire Or Reward B)Cariage of goods [her Wan sangles oF personal nggage) c) Organized Racing d) Pace Making e) Speed Tesing/ Relatlty ils g) Any purpose n cnnecon with Motor Trade. DRIVER: Any person including inured! Provided tha a person driving has an effecve diving hcene® at the time ofthe aosdent adam aqua rom Folding or obtaining such a eence Provided also that te person holding an effective Leamers Licance may also de the vile and that suc’ person | LIMIT OF LIABILITY: Limit ofthe amount of the Companys labity under the Secon ILi() in respect of anyone accent as pr MLV. Act 1988. Lm of he [amount ofthe Company‘ lbity under Secon Ii) nrespetof any one claim or seis of aims arising out of one event: Upto Re 62000 MEQRIAMT HOTIE:=Tre mares rtindomnted the vile vedo sven oborwse a secorsnce wih ths Sted Ay pyran ade by ‘by reason of wider rms appearing in the Cerificate in order o comply wth tho Moor Vehicie Act 108 «recoverable rom the insured. See the aus Nesded AVOIDANCE OF CERTAIN TERS AND RIGHTS OF RECOVERY Tie cory ta hyo which Te carifala lan a wal ho corte of irae ra Raven BGT wh Ws VaR oI Chapin ERTS ATT fro Insurance Broking India Pvt. Lt, 1626.00] Recowved Vide Premium of Rs. 09 [cast Eman) [Cash/Cheque No, The poli i eubject toa compulsory excess of Rs. 100! & Dae Nominee Name: SABADA oepeiaton pple yer pay ome Scrat rawnn, Romines Age Es (Please turn oveiat for tale) Aconledaaect| TET Tomine Retten IMoter | Consolidated Stamp Duty Pals Endorsements: IMT 22.205 tz TACT (MOTORS PVTLTD PN DeaTAATITT ahaa Ua a rnc CT loo say 2024 ste & Sgnetre of |NO-38.NEXT TO RAMANJUNAYA TEMPLE.JLPURAM [Desiors Stamp & Signature [oul Consutsea Atorney ‘Received with Thanks Re 4626.00 irom Mr YELULING 8 HOSANANT as premium aguinal the money receipt no 02U112090S202401SIN62 ‘Rog. & Head Office: 24, Whites Read, Chennai 600014 FForurther information about motor Insurance polly please aso vel www dal govin >> Grlevances >> Poicyholder Handbooks ntact for ia nine Dyuthi Motors Pvi d., Asta Mob No : 9: 9341129372 ColSee Cae a tinted On SO S00 vre | GOVERNMENT OF KARNATAKA ENT OAR ‘Transport Department MYSURU WEST RTO,Kamataka RECEIPTIAPPL No: Vehicte Clase ¥90240500001708/KA24050902316049 ce YELUUNGS HOsAMAN Receipt date ‘i Chases he 1OMay-2024 otic No: agains MBLHACOS9R9CSTS18 ‘Sole Amount oor FinancerName KAY2405100954763 Bane HERO FIN CORP LIMITED Transaction li: famak 3905706037735 =. ONLINE-PAYMENT Particular ‘Amount Coss infra Cess_ Fine/Penattyiaga Teal MV Tax(09-May-2026 to One Time) 5000 00 50 0 0 Road Safety Tax/Cess(09-May-2024 to One Time) 500 ° ° 0 ‘500 New Registration 300 9 m0 Hypothecation Addition 500 ° 0 ‘Smart Card Fee 137 ° 437 Service/User Charge 75 ° 15 Postal Fee 50 ° 0 GRAND TOTAL (in Rs): 7112/- (SEVEN THOUSAND ONE HUNDRED AND TWELVE ONLY) Note~ This is computer genertes skp, no need of signature (htps:/privahan govin), DDAKSHAYIN Dyuii Motors 1"Authorized Dealer DYUTHI MOTORS PVT LTD NO 38, NEXT TO RAMANAJEYAN TEMPLE, Slate Code: 29 Contact: 0821-2411578, 8884454477, GSTIN No: 294ACCD1252612 Authorized! Dealer: Hero MotoCorp Lid PROFORMA INVOICE Job Card No: 10727-03-RJC-0524-2107 Place of Suppty KARNATAKA 29 ‘Customer Name WALULING NOSAMAMS across MANNIKERE! VILLAGE & POST. BILGI KALATARA 07310 Mobie No 62er840020 State Code 2 GoodLite Card #/Category/Points : / Be | Desepton of Goats eres ‘SPOMCYLODSS HERO 4" Prue nonce staat) | spoctica002s-cxn Jeuemven som |spocmaonesxannose 2rois7e | Paw 1.0000) PC |aeisoo10 | Pais | 0.1000) Po 2 swoat90n | Pid 0.1000 PC 4 jgpgnomoos Paid 0.0010 PC 1 0.0010) Pes. seos0091 [1 |seoneorsenamm | sesoo0 | pas | crs113aaHpooos. ‘SeneDULeD MANTENANCE [arsce 401049 Paid Pc Total | Labour Details 1 |zoworFsc1 ‘00003-consunAste | APPLICATION CHARGES |s04002-0RIVE CHAIN | CLEANING & LUBRICATION ovurza FSC 1 Paid 1 98729 3729 | Pais 1 Tota! Sayre Expy Date insurance Expiry Date so475 33475) 000 | 33475] 0% 18-05:2024 104004 HF 100 MOLHACOAORICS7318 aoniss46s 707 08. 05-2029 HUNSUR ROAD, JAYALAKSHMIPURAM, MYSORE, MYSORE, 570006, KARNATAKA, INDIA to4se| 1040) 000| 1040) ox | 309 nena ara 000/276) o| saa m| ain) 3250 082. 109° 0.00 109) 9% | 0.10/ 9% | 0.10) 129 jonh \ 200s, 343) om) 340| 0% | oai| 2 | os! aa8| | | | } rss) 91ss| a0! oss) om | 24] on | 024] 109 —}—__-1 wt nit 1 Saas ome | as] [mee | aay oa) eco] om] em] we] a] ow | oem) ara ae aan tert lee | ame (oxil eae sos 4420) 000 4480) 0% ee 036 | | ami a) Tat CGST(Pars) @ 9% on Amount 477.83 43.00 SGST (Parts) @ 9% on Amount 47.83, 4300 Net Amount 681.25 Round Of 025 SCAN THE OR COD: TO CHECK RESALE VALUE 681.00 Wheels OF YOUR TWO-WHCELER fof Trust yi! wirwynittsormu om Taped si Vato Tn Ae] e510 meted Wu Val nds) Re, Sx Hundred Fighiy One Only010. DYUTHIMYSORE HERO a Authroised Dealer HERO MOTO CORP. LTD. # 38, Next to Ramanjaneya Temple, 4.50, Highway Circle, New Sayyaii Rao Mysore Phone: 4244088, "anna Prone 21128124 RzTO Mob e062 69069 poet “3050 %)Y..- 560X207 CLAS OX AL» Documents Required : Present Address proof, ID Proof, Income Proof, Bank Statement copy, post dated cheques. peor Al oes TT ee Quinny [se arDLNe. : KA29 20230005178 DOI : 22/09/2023 BAGALKOT (KA29) FORM -7 NAME : YELULING S HOSAMANI (See Rule 16(2)] 0.0.8 : 15/12/2004 B.G.: At VALID TILL: 14/12/2041(NT) VALID THROUGHOUT INDIA 9 COV : MCWG 22/09/2023 8 8 8 8 : SHIVAPUTRA HOSAMANI & : Mannikeri Bagalkot Karnataka 587116 € a e& . > z = Sign. Licencing Authority. oe) '