Go Digit General Insurance Ltd.

Schedule/Certificate
Digit Commercial Vehicle Package Policy - Passenger Carrying Vehicle UIN No.: IRDAN158RP0002V01201819

Name SANJIT SHUKLA DAS Vehicle Registration No. NEW

S/O- RAKHAL SHUKLA DAS Quickinsure Insurance Brokers
Address SANTINAGAR,KHOWAI,PASCHIM Partner Name Private Limited
SANTINAGAR,KHOWAI-799203 Partner Code 1000261
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Pass Mobile xxxxxxxxx0994 Partner Email service@quickinsure.co.in
BN Email mxxxxxxxxxxxxxxs@gxxxl.com Partner Mobile No. --
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Aadhar No. For claims,contact us at 1800-258-5956

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3 YOUR POLICY DETAILS

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Policy No. D104905279 / 06062023 Policy Issue Date 06-Jun-2023 Invoice Date 06-Jun-2023

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From 06-Jun-2023 14:42:53

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Period of Policy To 05-Jun-2024 23:59:59

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NCB % (Current Policy) 0% Policy Type Public Carrier

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Voluntary Deductible --

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Compulsory Deductible 500

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YOUR VEHICLE DETAILS

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Make HOOGHLY MOTORS PVT LTD Trailer Reg. No. RTO Location West Tripura,TRIPURA
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Model/Vehicle Variant Year of Regn. / 2023 / 2023 Licensed Seating

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BUTTERFLY/E RICKSHAW Manufacturing Capacity 5
(Sub-Type)

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Engine No. HMTM21429 Chassis No. M3HHMPBB22J021429 Power

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8 KW

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Fuel Type Electric Gross Vehicle Weight 705KG Vehicle Body Type PCV -3W

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104 Goods Type -- Permit Type Public Carrier Wheels 3

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6-
G0 Odometer FASTag Number Financier Details

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YOUR VEHICLE IDV (THE MAXIMUM MONEY YOU CAN GET IN CASE OF A CLAIM)
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59 Broker
Vehicle IDV IDV ofMAKL
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Electrical IDV of Non-Electrical CNG/LPG KIT IDV Trailer IDV Body IDV Total IDV
-0

(`) Accessories (`) Accessories (`) (`) (`) (`) (`)

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120750 -- -- 120750.00
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G01 -- -- --
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OWN DAMAGE PREMIUM [A] (`) LIABILITY PREMIUM [B] (`)

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Own Damage Premium (`) 699.87 Basic Third-Party Liability (`) 4804.00
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Add-Ons Premium (`) 0.00

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PA cover for Owner-Driver (`) 330.00

NCB Discount Amount (`) -0.00
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Legal Liability to Paid (`) Driver (Persons:1) 50.00

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9 Total Act
Total OD
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Premium
(`) 699.87 Premium (`) 5184.00
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Net Premium [A+B} (`) 5883.87

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IGST @ 18% = (`1059.10) 1059.10

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Total Premium (`) 6942.97

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.0 Special Terms: 1) Any loss or damage to the Insured Vehicle resulting from Fire/ self-ignition / short circuiting whilst charging of battery or stationed at
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charging station is excluded from the scope of cover. 2) Loss of Battery due to Theft, Burglary or Housebreaking is excluded from the scope of cover unless
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Public the complete vehicle is stolen at same time. 3) Deductible Applicable to Theft Claims: 25% of Insured Declared Value (IDV).
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Note: The above total OD premium is inclusive of all applicable loading / discounts viz (automobile association memberships, voluntary excess, anti-theft
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handicap person, driver tuition, fiber glass, CNG/ LPG unit, geographical extension, imported vehicle etc., wherever applicable).
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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
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of “Act only” policy for the Third Party Cover during the remaining period of policy.
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ENDORSEMENT
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Invoice Number Invoice Date Net Premium Igst Cgst Sgst Utgst Cess Gross Premium
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J IA097855211 2023-06-06 5883.87 1059.10 0.00 0.00 0.00 0.00 6942.97

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Policy No: D104905279

Page No: 1 of 3
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: Pune Business
Centre,1st to 6th Flr, Ananta One, Pride Hotel Lne, Narveer Tanaji Wadi,Pune,Maharashtra,PIN-411005
 Go Digit General Insurance Ltd. Schedule/Certificate
Digit Commercial Vehicle Package Policy - Passenger Carrying Vehicle UIN No.: IRDAN158RP0002V01201819

OTHER DETAILS
Previous Insurer --
Previous Policy No. -- Previous Policy Expiry Date --
IMT - Endorsements IMT-21,IMT-23,IMT-40

Invoice Number IA097855211

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GSTIN/UIN No. Unregistered State Code 16

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Payment Mode Cheque/Transation No 16_dp-DI5579DD4E7B14-1

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Online

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Bank Name IFSC/MICR No --

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Premium Payment Details Receipt No. RA109006797 Receipt Date 06-Jun-2023

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Nominee Details SHILPI SHUKLA
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SPOUSE

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01-Jan-2001

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Details of Existing Damages --

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Other details --

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POSP INFORMATION AKA PARTNER DETAILS

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Name ABHIJIT BHATTACHARJEE

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Unique Number Q876539146320031204

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Location GAKULBARI

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PAN Number DKLPB2338L

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xxxxxxxx6320
Aadhaar Number 20
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Follow these rules like you follow the rules of the road.
- 06
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Geographical Area -Any accidental loss damage and/or liability caused sustained or incurred within India shall be covered subject to and
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Conditions, unless specifically agreed and endorsed. Limitation as to use - The policy covers use of the vehicle only under a permit within the
meaning of the Motor Vehicles Act 1988 or such a carriage falling under sub-section (3) of Section 66 of the Motor Vehicles Act, 1988. The policy
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does not cover use for Organised racing, Pace Making, Reliability Trials, Speed Testing, Use whilst drawing a trailer except the towing (other
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than for reward) of any one disabled Mechanically propelled vehicle (only for Passenger Carrying Vehicle). 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
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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
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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
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policy: Death of or bodily injury - Such amount as is necessary to meet the requirements of the Motor Vehicles Act, 1988. 3) Under Section II - 1
(ii) of the policy: Damage to Third Party Property - `750000 4) P.A. Cover for Owner Driver under Section III (CSI): ` 1500000
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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 the date of commencement of the Policy . NCB Declaration: The premium has been charged and policy has been issued subject to NCB
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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
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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
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issuance of policy or before the start date of period of insurance whichever is earlier.
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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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Break in Insurance: In case of a break-in, the company may conduct pre-inspection of the vehicle and in such a case, Own Damage cover
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(Section -I) of the policy would not commence unless the pre-inspection of the vehicle has been done and the acceptance of risk is subject to
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evaluation of the vehicle inspection report. In case of any adverse findings in the report, the Company, at its discretion, may cancel the Policy as
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per the Motor Tariff.

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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.
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Policy would be void on the ground that it was obtained of material fact or by a representation of fact which was false in some material
particular.
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Cheque dishonor / Non-receipt of payment premium paid through Cheque, the policy is void ab-initio in case of dishonor of Cheque or non-
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receipt of payment.
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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
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subsequent amendment as applicable. Any violation will forfeit all benefits and coverages under the Policy. The insured is not indemnified if the
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vehicle is used or driven otherwise than in accordance with this Schedule. This policy is subject to the standard policy wordings, warranties and
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conditions applicable for this product in addition to Indian Motor Tariff. Any payment made by the Company by reason of wider terms appearing
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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) in the policy.
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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
conditions detailed in this policy schedule as well as the policy document sent by Digit shall prevail in case of any dispute.

Policy No: D104905279

Page No: 2 of 3
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: Pune Business
Centre,1st to 6th Flr, Ananta One, Pride Hotel Lne, Narveer Tanaji Wadi,Pune,Maharashtra,PIN-411005
 Go Digit General Insurance Ltd. Schedule/Certificate
Digit Commercial Vehicle Package Policy - Passenger Carrying Vehicle UIN No.: IRDAN158RP0002V01201819

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
Senior Vice President - Customer Experience
praveen.bhat@godigit.com
Authorized Signatory

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Printed, Signed, and Executed at Bengaluru

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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 ,
Bengaluru- 560009 - KARNATAKA.

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Hey,our document is now digitally signed

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Click here to view the certificate.
For instant resolution, you can ping us “Hi”

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on WhatsApp at 702 606 1234

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Policy No: D104905279

Page No: 3 of 3
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: Pune Business
Centre,1st to 6th Flr, Ananta One, Pride Hotel Lne, Narveer Tanaji Wadi,Pune,Maharashtra,PIN-411005