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Regi
PIN- 914104
clo 56 APO
690/Acets/ I-86 Adm ‘Aug 2024
Army Group Insurance Fund
AGI Bhawan, Rao Tula Ram Marg
Post Bag’No 14, PO — Vasant Vihar
New pelhi - 110057
A
FWD OF AGI CAR LOAN DOCUS
1 Pl ref AGI Car loan Folio No 1189477/JOC.
2. The fwg documents pertaining to AGI Car loan in r/o JC-355873K Nb Sub
R N Gogoi of this unit is fwd herewith:
(a) Certificate of Registration issued by Govt of Assam against Car No
AS-03X-4044.
(b) United India Insurance Company Ltd Policy No 1310063124P102844375
against Car No AS-03X-4044,
3. For your info & necessary action pl.
AGES
(Aiay Kapoor) \
Maj \
Adit oN
Enels: (As above) for COTRANCE COMPANY LIMIT
UNIT
NCH, 1ST
DE
OOR, 0JA COMMERCIAL BUILDING, Al
ROAD, ADABARI, GUWAHATI-781014
KAMRUP - 781014 ASSAM
PH: (361) 2570163 FAX: EMAIL:
SARAIGHAT HYUNL
PRIVATE CAR -
PACKAGE POLICY
UIN: IRDANS45RP0047V01199900
POLICY NO.:1310063124P102844375
VEHICLE NO.:AS - 03 - X - 4044
PERIOD OF INSURANCE
From 00:00 Hrs of 28/05/2024
‘To Midnight of 27/05/2025
Insured
MR RAJ NAYAN GOGOI
S/O. LT. HIRA NATH GOGOI ,DA-GAON, TEH SIMALUGURI,JORHAT,ASSAM
785001
JORHAT
: ‘ASSAM
eonrunonce WO Aout Ee oes (MY
19 PAN/FORY 60, PLEASE IENOREIF ALREADY UPDATED.
: Agent Name SURESH DAS
Agent Code + AGDIN30066
MobileLandline Number/Email —: 9957178026
‘The genuineness of the policy can be verified through
erity Your Polley" link at wawwaulc.co.n,
For any Information, Service Requests, Ct
imation and Grievances please write to 131006@ulie.coin
Pence, RES. EAD OFC, 28, WTES
HSS ea oct 4 TE RD Cr =o
Printed By : CUSTOMER @ 37/05/2024 3:13:05 PM.
This document is aigitaly signed
(
‘Dale; Mon, May 27, 2 rao)
ters et i
Byfoanhn
a ae
Signer KALAIVENT Supaneas!
mae
ult bangasrreo47v01199500
Eee ravens Poy HE L
nis — ose siaponaa
ne MR RA NAYARGOGOE —
mall ———— Feb 27560 a —
fied of trance ~~ Fro O00 Ts GT 5705/04 Te WGI 375
feinsuranes Taos] =
rica of Vice Taare = a
Beaataton Wot Soca i] Tyee or | vear or [cubic] sSeouiny
Veice| | Vande” | ensie no. | chessisn. — [maxer moses] TERS | Year LapSee tawy eto
TRAE
as-03-x- AF CHUGASS3SMALCUSIOLHMZ26674VERNAC2025 4 evan | 2024 | asox 5
aoa " 2020) 1.6 ma
vars!
fisurads Deciea Valve
For Vghile |For yaler | Won ERGeg Rezartoves | ECCIMEN/EICH RECEEEOMEE | —CHGUAR—| TPGEURIE | Total ave
96665. 3 a z z o ETInonE
Reslatation Ruthociy [Ate Asodiaton Membership No | Ccomraphical Ara Enero
503 Jonna THD
{mount Ta words: went Sh Whousand nine nundred WW-on8 FUpEES On
Persons oF clases of persons onlled to drive
ty person including Insured provided that person hold an effective diving licence atthe time of accdent and is not disqualified from
elding or obtaining such @ licence, Provided also thatthe person Neléng an effective Lasene's Lcsnce may alsa die the wemels Sood
Se ca SE
ne pa ae nna a ———— Tate
tata cern eno orsesot nee) fcr ener a
) Pace Making tecelpt Dates 27/05/202¢
) Speed Testing end Reliability Trails sbitNote Number:
Sr —= =
nder Section os (i) Death or bodily injury In respect of any one. purest DAS. ‘60003006
eS See fea papery age ot PIRES ene coe .
ry one claim or series of claims arising out of one event: RANJAN JAKHARIA, bas2676:
| Accident covers for Owner-Driver CSI: © 1500000
policy ls subectto terns and conditions and IMT Endorsement Nos. printed herein / attached hereto 23.28
spaued Execs: 0
mmpulsory excess 599]chvedute when shalt be the baste
rovicy wrasse ined herein or endorsed or expresued hereon
N- 1 LOSS OF OR DAMAGE TO THE VEHICLE INSURED
+ hous or damage to the vehicle Ingured hereunder and / or Its accessor!
1. by tee explosion satiation oF Hahtning;
BY eordnqate ire and shock damage);
eee eee jarcigane storm tempest loundatlon cyclone halatorm frost;
Itand- waternay Ht elevator oF at
prociaton atthe rates mentioned below in respect of parts ceplaced
ERISA fbr nyt ot cen and tubes, batteries and air bage SOW
(1) For al rubber? nytony paste parts,
(2) For nbve lass components 30%
Gi) RaetiMprecieion forall other parts Including wooden parts wil be a8 per the following schedule
[corvemece ‘OF DEPRECTATION
Wot exceeding o montis i
[Escceaing 6 months but nor enseding yer
HEEening 1 year But not exceeding ? years
frxceeding ? years but nol exceeding 3 yeare
frsceeding-)- years but not exceeding + year
teenie a yenrs but ot exeneding years =
Henning 5-year but at exceedkng 10 Yea
Fexccoaing 19 years
(synate of Depreciation for Painting: In the case af painting, the depreciation rate of $0% shall be applied only on the material
cost of total painting ghorges, In cave of consatigateg bil fer palating charges, the material component shall be considered ax 25% of
Stet poling chorges for the purpose of applying the deprecation,
2. The Company shall not be lable to make any payment in respect of :=
{ay conseavertia! oss, depreciation, weor and tear, mechorical or electrical breakdown fallures or br
(6) damage to tyres and tubes uniess the vehlete inured is domaged atthe sume time in which cas
shall be limited te 5D¥ of the cost of replacement.
the lability 6f the company
(c) ony accidental loss or damage suffered whilst the insured or any person driving the vehicle with the knowledge and consent
the insured Ie under the Influence of Inoxleaing liquor or drugs ns U
5, In the event of the vehicle Being disabled by reasan of loss ar damage covered under this Polley the Company wil
easonsote cout of protection’ removal to the nearest repairer and relvary to ne naured but not exe¥ecing Ie aN as
Feapect of any ane acient
the
ae 1007
4.__The insured may authorise the repalrof the vehicle necessitated hy damage far which
provided thot
') the estimated cost of such repair including replacements, f any, does not exceed fa:500/-;
1} the Company is urnished forthwith witha ‘dtatied timate teas of se
} the insured tall ive he Company every arsataice tate tat such repay
he Company may be Hable under thi
1 he charges are reasonabte
antfe iw of se weit il be deemed tobe the SUM INSURED for he purses aft pir when
Fond scceazoric tay fied tothe vant of insurance/renewal and agjusted for depreciation (x= per schedule
Fe-nise deprecation as shown below Is applicable for the purpose of Tetal Loss/Constructive Total Loss (TL/CTL) claims
aceeding 6 months but not exceeding 1 year = 13%
cessing ? years bul nol exceeding 3 yeaa - 30%
[scseding 2 years but not exceeding @ Years 40%
[seceding # vetre butnot exceeding 5 years 50%
DY of vehicles beyond § years af age and of absolete madels ofthe vehicles (ne. models mhich the manufacturers have discontinued to
manufacture) ie daceinad of the hace of on understanding Between te insurer snd the sured
IDV shall be treated asthe Market Value throughout the pollcy period without any further depreciation forthe purpose of Total Loss (TL)
Peanstttve Total Lose (ert) coins
The insured venicie snail be treated as a CTL ifthe aggragate cost of retrieval and / or repair of the vehicle, subject to terms and
Conditions a he pole, exceeds 75% of the IDV ofthe veNee
1, Subject to the limits of lablty a5 lad down in the Schedule hereto the Company wil indemnify the Insured in the event of an
Bécisentenored oy or arising out of these oF Ne insures vensie apnnst si nome wich the Incured sal Become Tegaly isle to psy
(eat of or belly insur t any person Including occupants carted inthe vehicle ( provided such occupants are not carried for
ture or reward) but exeent Zo far aa\8 ir teceseary to meet the requirements of Motor Vehicles Act te Company Ehall ot Be able where
$c death or njry anger aut of and in the exurte ofthe employment 9 such person by te Insure,
{i} damage to property ether thon property belonging fo te Insured or Hed Im trst orm the Custody or control ofthe Insured
2. The Company wil pry ai coms and eepenses Incurred mith ts writen conse
3, _Imterms ot ng eubjeet tothe hmiations ofthe indemnity granted by this Section tothe insured, the Company wl Indemnity any
driver whe driving the vehicle on ene Inaureds order or wit sures permission provised that such river shal ag Enough c/o woe
theatres rere ful ana be subject othe terme exceptions an condcions sts Poly ns far they appl
a Mint event ofthe death ef any person ented to ingernty unde tis pay the Company wil n reaper ofthe lgblty incurred by
Sich person indemityha/her persona representative in terms of ond subject to the limitations this Paley proved that such person
‘eprosentative shall as tnough Such representative was the insured observe Tull and be subject go the terms exceptions and eondiions of
{Ne Baicy in so tor az they appl
5." The Company may sk ts onn option (a) arrange for representation at any Inquest or F
be une tubject of rademnlty under this Polley and (o)undertoke the defence of prseeasings i
ieged offence causing ar relating to ony event which may be the Subject ef indemnity under tis
ty nese of any enn wien may
Policy. se
Nothing inthis Policy or any endorsement hereon shall affect the right of any person indemnified by this Policy or any ether person to
‘ecover an emourt under bby urtue of the provicios othe Motor Weniles Ac ann
But the ngured shal repay to the Company all sums pid by the Company which the Company woUld not have been lable to pay but for
APPLICATION OF LIMITS OF 1NDENNTY
SSS act tema rem teh eect ye te ae fae——— i Sei eget
Fine oT tw Uns oF HARE OT Ove Ayes Or Oe Band sgh of ane eye [100%
Ie Pesmonant (oa digableent om noes oer Than named AD To
Pe eraion sal be payable under only on of the tems to) above incest of
who compensation shall be payable in respect of death or body Injury directly or Inarectty wholly or in part arising or resulting fr or
Pest 0) coal si ny sudo emote sie ten! efecto fmt or 8) an scien henpening whet ssh
‘Such compensation shell be payable directly to the Insured or to his/her tegot repres
in venpeet ofthe inory ts the neuro
Sythe ower atver tthe repstered r h
(B) the er ve he Insired named in he Bly, - ae We
Rules, 1989, st the tine of Me seedent se "
(GENERAL EXCEPTIONS ( Applicable to al Sections of the Policy)
{The Compuny shall not ge hable under this Policy in vespect st
1 “Shy acedental las damage sndfor liabilty caused sustained or incurred outide the geographical area
2. ny dim arising cut of any contractual abil
3. ny seetdental ss damage snafor lly caused sustained or Incurred whilst the vehicle insures herein
(ct being Used otherwise tan im beearcance withthe Limitations as 0 Use
(6) boing crven by or Is forthe purpose of being driven by him/her inthe charge of any persan other than a Oriver as stated in the
Ie ha eens or damage to nr opty waster ony ln expanse wtsonvrreming or ng ee a oF ay
aay eeSuey of whatsoever nature directly or Indirectty caused by of contributed to by or arising from lonlsing radiations oF
conten at eh eee et sm ony nuclear fuel or trom ani nuclear wae fam the combustion of rclear fuel. For the purposes of
inateheeaton combustion enol Incude any selfsvateining process of nucle Masion.
Ie ect cotal lors or damage or habiity eecly or mncrelly coused by or contibuted to by or arising fom nuclear weapons material
Any accidental et edamane endfor llaviity sirecly or inglrecti or proximetely or remotely ecasioned by or contributed to By oF
cole Met tsing wut of as in connection with war, invasion, the actof foreign enemies, hostilities or warike operations (whether
Tare He SR ceclorsuin of war, cil war, mutiny rebellion, milla or usurped power or by any direct or Inirect consequences of any of
eee ore seca in the vent of any clan hereunder the Iaaured shall prove that the accidental loss damage and/or labiity
oa occurences 2 eno may connected wth ar occasioned by ar contributed to by or traceable to any ofthe sald occurrences
rose Independently of pogeot and In Gelout of such proat the Company shall not be lable to make any payment in respect of such 8
>reoucrIBLe
He eer, shal not be liable for each and every claim under Section - 1 (loss of or damage to the vehicle insured) ofthis Pe
Qipcctof ine deauctole stated inthe shedble
‘ONDITIONS
FONDTTIONS schedule shall be read together and any word or expression to which 2 specifi meaning has been attached in any part
Thusboley oror the Schedule shall beer the same meaning wherever may appear
etic all be given In wating te the Company immiediatsly upon the occurrence of any accdentsl loss or damage inthe event of
by cues G hereafcr the insured shall give al uch information and assistance asthe Company shall require. Every letter clam writ
Feo on entree eae soy ther tot salle formarded tothe Company immediately on receipt by the insured, Wotie shal zo be
Here vttng te tne Company immediately she Insured aholl have Knowledge of any impending Prosecution inquest of fata Injury In
Caer te ce nhich'may give ise toa claim under tie poly. In ease of theft or eriinal act which may Be the subject Of @
He gee Balcy the Insured shal give immediate noice to the palce and co-operate with the Company in securing the conveton of
Ne serisson offer promise payment or Indemnity shall be made or given by or on behalf of the Insured without the written consent
Fn es sya be enuttea rit so desires to take over and conduct in the name of the Insured the defence or settlement of
eae vette in ee name of the Insured for itz own benetlt ny lai for demeity oF damages or otherwise ond shell have
TH ease eon eine conauel of any proceedings avin the settlement of anyelolm and the Iosured shall give all ch Information and
Eeletance ag the Compony may require
‘Fhe company may at te awn option repar reinstate or cep
Je amount ofthe faze or damage and the laity of the Compa
“a) tor (otal ise J constructive total loss of the vehicle 1
verdon) as specified Inthe Schedule les the value ofthe wreck
“i Yor posal Tosses) es losses ster than Total Loea/ Constructive Total Loss ofthe vehicle ~ actual and reasonable costs of repr
saybr replacement of parts lost/damaged subject to depreciation as per limits speed
‘ihe lnsured shal take all reasonoble steps to safeguard the vehicle from fos or damage and to maintain i in efficient conation
‘a tne Company stall nave aval Unes free and full accese to ewamine the vehicle or any part thereof or any driver ar employee of the
ined.in the suent of any ateldent breakdown, the vehicle sholl not be left unattenaed without proper precautions being taken to
vent further damoge or lose an i the venicle be driven etore the necessary repels are effected any extension of the damage or any
‘her damage to tne vehicle thal be ently at the insureds Gon ik,
“rhe Cesipany may'nt any ume cancel the polcy an grounds of misrepresentation, rau. noncdisclosure of material fact or non-
operation bythe inured by fending seven days notice by recorded delivery to the Inred at insureds IRs known address and Vo such
Jace the vehicle or part thereof and/or Rs accessories or may pay in cash
ny shall not execea!
ne nsured"s Declared Value (IDV) of the vehicle (including accessories
oiWhere suen tegat heirs) desire(s) &0 apply for kransfer of this policy or obtain new policy for the vehicl
ef tr pay Cunichever Wes td beh foal eva ohne
pe ticompanad bye) NON NANG me
t} Proot ott tothe venice SScommana Sedusine(Aopcabe te Peat Cts tres MMSE peat | on two ears Lae
comer esac (AS acc re pate ve strut an wwe NS)
Subiege SE "Gapitiny To Pato DRIVER ANO/OR CONDUCTOR AND/OR CLEANER EMPLOYED IN CONNECTION WITH THE
(fora Cassar of enicles)
J natmnstaning enyting to he contary SOmalned NS eetng sua narey
tts ongeged inthe service of
at premium of © 50
‘Compensation Ack 1933, the SS |Deursrags ey, LABS or at Common Law 2
Eomanaation A 1925 6 Sanna nny Soa Ee Se ee wn a ‘leaner
fi cera ee Syren mh he wen need nets and wl AUGNION 'st'vesponsiole fora
TESTS che wen cone
riya Endoremet oes not ingen he nsred eS aby as Nee anere the taured holds of subsequently eects
inured in respec 5% Qty as herein dees for nsrees generat employee
this Engcrer or aroun of insurers POUCY
tay ee nsre sol tke resonable recast prevent accents ad ha COME va at statutory ebioatons:
vray ane nnre eal kee record of e136 of Pe re cean shal a emplayed in fosding and/or unioading
3) enna Sa eet an ve ering ald 0 fue" emo}eNEEEanE SNA i meaetow the insurer to inspect uch
Hieords on semane
tay me ever of te Paley Bln cncsieg a the equa of he need ne end ofthe premium pate In respect of tis Endorsement
Sit aowes.
inject emernize tothe terme cnatons Hoesins and exception of te Poly SASK. 29 ar as necessary to meet the requirements of
are cacao vate cary moar wo wheelers (ot used for re or reward) ete EPA