Auto Secure - Standalone Own Damage Private Car Policy

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TrackOn-1 Date : 21/08/2024
IlIllllIIIlI Your Policy

Details
f ici»e SEKHAR CHATTOPADHYAY
/.ddress : SAHEB BAGAN,BANDEL Policy Number : 6691586736 00 00
CHINS”URAH„MAGRA„CHINSURAH -

MAGRA HOOGHLY,W EST BENGAL,712123. Own Damage Policy Period : From 27/08/2024 to. Midnight of
26/08/202
5

!”ho'ae No: 9330815831

Premium Paid : 13881.00

Dc ar SEKHAR CHATTOPADHYAY ,
W' lcuir'e :o Tata AIG General Insurance Company Limited's
Family an . \°v'e Thank you For Choosing our Auto Secure -
Standalone Own Da nage Private Car Policy for your vehide
insurance.

VG a'u enc\osing Policy schedule cum certificate of insurance • Free pick-up of car!
of your vet irle You are requested to visit our website
•Direct settlement facility!
www.tataaig.com for
•3/6-month warranty on parts and paint!
\/\’r. \‘.ould like to inform you that policy has been issued
based on the in+‹ rinelion and declaration provided by you.
No Claim Bonus (NCB) if
Sh‹ v.‘n on your policy schedule has been allowed as you
had not red orled any claim in the previous policy.

Ki’.d!y go through the enclosed information/declaration

provided by you and' in case your policy shows No Claim
Bonus, for which you are not er . t!cci as explained above or
1 www.tataaig.com
! 8=^ fr - !in9
any error/discrepancy then we request you !c› gei in touch air 2tX7 Toi
Fæe No.
with us within 15 days of receipt of the policy for cr.' eel.an
‹otherwise all particulars will be deemed to be correct.

Yr.'.i any reach us at our 24a helpline 1800 266 7780 for
Q i k Ñeps inœse Ö a claim
providing any ini rmalion or in case you desire to have a
printed copy of policy ¥• FIRSTATTMD TO ANY
INJURY k RECORD THE
wo ding.
INCIDENT
¥' EEP REQUIRED DOCUMENTS HANDY
V\'‹ , Iblink you once again, for choosing Tata AIG General
Insurance Cr ndany Limited for insuring your vehicle. We
asure you of our best sEi /ices at all limes. Happy driving! k SCAN THE QR CODE T
REG1STERYOUR CLAII¥I or . .
• CONTACT UB ON ”
Si iccrely , OUR TOLL FREE - •
NOS. œ - '
Fo TATA A!G General Insurance Company Limited • REGISTER CLAIM ON OUR -
WE9SITE
wow.tataaIg.œrn

Au:thorized Signatory ¥• INCASE OF THEFT. PROPERTY DAMAGE

OR INJUR'ï’, INFORM THE POLICE

• " ””’ s + ‹' . +

U
O -E TO °
Z4X7 Toll Fzea

Tata
 Limited

Registered office: Peninsula Business Park, Tower A, 15th Floor,G.K Marg,Lower Parel , Mumbai-400013
24”7 Tollfree Number.1800 266 7780 Fax:0226693 8170 Email.customersupport@tataaig.com
website:www.tataaig.com

Page 1 of 6
 eg Liu N:ime : ARIJIT MAJUMDAR
A3‹'ii1 1.icense Code : POSP8045A Agent Contact No. : 8240784901
6691586736 Policy Type: Auto Secure-Standalone Own Damage Private Car Policy
Poll cy Code: 00/00/3184/05
Altc nate Policy Number:

Nam e : SEKHAR CHATTOPADHYAY (Section - I Own Damage) From 00:00 Hours on 27/08/2022 To
Midnight of 26/08/2023 .

Col 'acl Number :

9330815831 Cus crner lc:l
6114269697
GSTIN :
PIa‹:e of Supply : WEST Hire Purchase / Hypothecation / Lease With :
BENGAL
Su¡ fly Code : 19
RTC. LOCATION : HOOGHLY
Get graphical Area : India Contract / loan / Ref No. :

Llcensed
R<- Make / Model / Engin Chassi Mfg CC/K Trailer Registration
carrying
gistratio Body Type e s . W No
Capacity
n Numbe Numbe Yea / Chassis No. including
l4umber r r r driver
HYUNDAI/
GRAND l10 NIOS
WB 1G BF MAGNA AMT 1.2 M958283 M2270701 2021 1197 5
4003 KAPPA
VTVT/HATCH
BACK
Insured Declared Value (IDV) 1
Electrical /
Non Bifuel / CNG
Year IDV Of Electronic Trailer Side car Total
Electrical / LPG Kit
Vehicle Accessories IDV
Accessories
1 609140 0 0 0 0 609140
SCHEDULE OF PREMIUM
Section - I OWN DAMAGE (A)

NET PREMIUMt7 7.509.00

Ow‹i Damage Premium on Vehicle & Accessories CGST @9%7676.00
Basic OD Premium
SGST/UGST @9% |7 676,00
Discounts Under Own Damage Section £ 5,248.17 TOTAL POLICY PREMIUM t7 8,B61.0g
Less hto claim bonus (20%) t
TOT,‘tL OWN DAMAGE PREMIUM (A) Road Side Assistance (Inclusive of applicable taxes)l+136.88
Y 1,049.63
7 4,198.30

Section 1 Add On Covers O•

Add: Depreciation Reimbursement (TA 01/ 7 3,045.70
Add: key Replacement:(TA 15) Sum Insured: 25000 t 7 265.00
per '.-currence Iimft/50°é of SI

TO“I ML ADD ON PRE CUQ 7 3,310.70

” Motor Third Part Polic Details
TPCover TP COVER “
Policy Type Insurance Company start Date End Datg
Name
Certificate &
Poiqy“No.
2708(2021
9!!14921237400ZB765 PackageComprehensive RELIANCE GENERAL INSURANCE_ CO.LTD. _

26/08/2024
’ ‹!/* .’’”

lnsurt:rice is the subject matter pt the soliñt8t!o8.Fof rrD'e

 b ef0‹8 condudlng a
details on risk factors, terms and conditions , ple088 read •ai•• brochure caFe(uIIy ,

Tax AIG General Insurance company L\mlted

Registered Of[1 Peninsula Business Park, Tower 15th Floor,G.K Marg,Lower Parei , Mumba 00013
24a TqJlffee Number.1800 266 7780 Fax:0226693 B170 Email:customersupport@(ataaig.com
website:www.ldtaaig.GoM Page 2 of 6

IRDA of India Registration No : 108 CIN:U85110MH2000PLC128425,

1201920
UIN:IRDAN108RP0001V0
 Li+ :i‹›ns as to Use: The Policy covers use of the vehicle for any purpose olher than : a) Hire or Reward other than for the purpose of driving tuitions b) Carr

LIMI US OF LIABILITY
Nun '›cr of claims covered under Depreciation Reimbursement Cover: 2

Bas.s of claim settJement for Tyre Secure cover :

Deci\‘ctib Compulsory Deductible : ¢

UIN Numbers: ,IRDAN108RP0001V01201920/A0003V01201920(TA 01)
le Undcr ,IRDAN108RP0001V01201920/A0010V01201920(TA 15)
Sectioi› ,IRDAN108RP0001V01201920/A0015V01201920(TA 19)
1.000.0O Volunta Dedu
I ,IRDAN108RP0001V01201920/A0007V01201920(TA 08)
tible : {0.00 lmposed Excess:

7 0.00

Franchisee: {0.00

Subj‹ ct to: A) IMT Endorsement Number : 22

B) T/ TA AIG Auto Secure Endorsement Number (TA): 15 , 01 , 08
NGf.iINATION DETAILS
hame of the Nominee Relationship with Insured | Name of Appointee (If nominee Is Relationship with
minor) Nominee
NA NA NA

Pcl! .t ervicing OfFice : 1ST FLOOR, HOLDING NO. P-4, DOBSON LANE. PARMAR HO USE,NEW HO WRAH BRIDGE APPROACH ROAD,HO WRAH
HOWRAH WC:. ENFoAL HOWRAH-711101

!Mu' -nice ‹s the suf§agt rñatter of the soiicitation.For rrore details on risk factors. terms and conditions , please read sales brochure carefully, before
concluding a sale.
Tata AIG General Insurance Company Limited
Registered office: Peninsula Business Park, Tower A, 15th FIoor,G.K Marg,Lower Parel , Mumbai-400013
24a Tolltree Number:1800 266 7780 Fax:0226693 8170 Email:customersupport@tataa ig.com website:www.tataaig.com
IRDA of India Registration No : 108 CIN:U85110MH2000PLC128425, UIN:IRDAN108RP0001V01201920 Page 3 of 6
 r ’-

RECEIPT

R‹ ceipt No. 1043210342760I 9 Receipt Date: 21/08/2024

Policy No: 6691586736 00

Received with thanks from SEKHAR CHATTOPADHYAY a sum of 8998 ( Rupees Eight Thousand Nine Hundred Ninety-Eight And Paise Ze°o Only ) vid

Ë! NO Policy Total Premium Utilized from the receipt for Balance

Number T policy 7 7
1 6691586736 13,881.00 13,881.00 1.00

r ‘e
1. ”his is a computer generated reœipt and does not require a signature.
2 Jpon issuance of this Reœipt, all previously issued temporary receipts, if any, related to this Policy shall be considered null and void.
3. Amounts received by cheque shall be subject to realisation.
4 .Any amount received in excess of the Premium is being/shall be refunded by lhe Company.

Rcvunue (Con6o1idäle d) Stamp Duty paid vide challan No. LOA_NO.CSD/270/2022/727 date 10/02/2022 for applicable cases

''?‹.:
.'./

Insui-unœ is the s\zIg tBr of the solicitatiori.For rrore details on risk factors, terms and conditions . please read Sales brochure œrefully, before conduding a
sale.
Tata AIG General Insurance Company Limited

, Registered office: Peninsula Business Park, Tower A, 15th Floor,G.K Marg,Lower Parel , Mumbai-400013
e Number.1800 266 7780 Fax:0226693 8170 Email:customersupport@tataaig.com
website:www.tataaig.com

. ,\ IRDA of India Registration No : 108 CIN:U85110MH2000PLC128425, UIN:IRDAN108RP0001V01201920 Page 5 of 6

'
 Transcript of Proposal for Auto Secure - Standalone Own Damage Private Car Policy

(Registered Owner of the Motor Vehicle)“ : SEKHAR CHAT TOPADHYAY

1 Name
SAHEB BAGAN,BANDEL CHINSURAH„MAGRA„CHINSURAH - MAGRA,
ddress FOrCommunication” :
HOOGHLY,W EST BENGAL,712123.

3 \' hicle Detdils : Please refer policy schedule cum certificate

4 £ ›el Type : PETROL

I!.sured’s Declared Value - Please refer policy schedule cum certificate.

6 I evious Insurance Particulars“:

P‹ !icy Number : 991492123740028765
Dz te of inception of TP portion :
27/08/2021 Date of Expiry of TP
portion : 26/08/2022 Type of Cover :
Package

7 Puriod of insurance desired from* : 27/08/2022 to midnight of 26/08/2023

8 Fiitancier's Details: Please refer policy schedule cum certificate

9 Extra Benefits opted

!”ersonaI Accident Cover for Owner Damage:
' lame of the Nominee : NA
Age: RelationShip : NA
'• ame of Appointee (if Nominee is
Minor) :NA Relationship to the Nominee : NA

10 ñ•estriction of Cover/Discounts/Concessions/Extended
Covers Name of Automobile . No Membership no
: No
Voluntary Deductible opted : No Amount of Deductible opted : 0
. cl1icIe is fitted with Anti Theft Device approved by ARAI : N/A

11 "dd on covers : Please refer policy schedule cum certiùcate.

12 - ank Details (Required for Refund / Claims)

fJame of the Account

Name of Bank & Branch
Holder ê.ccount Number
IFSC Code of Bank :

13 Oeclaration for No Claim Bonus : (If NCB Confirmation is not submitted but NCB claimed)
’ ’We declare thet the rate of NCB daimed by me/us is correct and that NO CLAIM has arisen in the expiring Policy
eriod (Copy of Policy enclosed). I/We further undertake that if this declaration is found incorrect all benefits
under the Policy in respect of Section 1 of the Policy will stand forfeited.

14 I hereby give fny consent to receive one page insurance policy.

15 A.ML Guidelines:
1 l/'•e hereby confirm that all premiums have been/will be paid from bonafide sources and no premiums have been/will be paid out of
:.:oceeds of crime related to any of the offence listed in Prevention of Money Laundeñng Act, 2002.

2 l i›ride/sland that the Company has the right to call for documents to establish sources of funds.

3. ”''ir: insurance company has right to cancel the insurance contract in case I am/have been found guilty by any competent court of law
under
\y Of the statutes, diredly or indirectly governing the prevention of money laundering in India.

-'°,
lnsuiance is the subject Uttar of the solicitation.For more details on risk factors, terms and conditions , please read sales brochure carefully, before conduding a
sale.
Tata AIG General Insurance Company Limited
Registered office: PeninSula Business Park, Tower A, 15th Floor,G.K Marg,Lower Parel , Mumbai-400013
24*7 Tollfree Number.1800 266 7780 Fax:0226693 8170 Email:customersupport@tataaig.com
website:www.tataaig.com
IRDA of India Registration No : 108 CIN:U85110MH2000PLC128425, UIN:IRDAN108RP0001V01201920 Page 6 of 6