THE NEW INDIA ASSURANCE CO. LTD.
(Government of India Undertaking)
POLICY SCHEDULE CUM CERTIFICATE OF INSURANCE
Commercial Vehicle Package Policy
UIN Number - IRDAN190RP0044V01100001
Policy Number :61020231230100000701
POLICY ISSUING OFFICE: BUSINESS CHANNEL/CPSC User: CLAIM CONTACT:
TANDUR (610202), NAME: M CHANDRA SEKHAR . - (1D4317394) CLAIMS HUB (610001)
H.NO.3-1-70,71, & 72, 2ND FLOOR, LAKSHMI Mr. G. Dayanand - (NIA1D4314033), ADDRESS: HYDERABAD CLAIMS HUB , , ,
VILLA, UPSTAIR OF ANDHRA BANK, , PHONE NUMBER: / / 9490016988 TELANGANA , 500003.
KODANGAL ROAD , TANDUR , LAND/FAX NUMBER:/ PHONE NUMBER: 04027155114 /
TELANGANA , 501141. EMAIL:goudampallydayanand@gmail.com / MOBILE NUMBER:
PHONE NUMBER:08411272894 Email: ch61@newindia.co.in
FAX NUMBER:08411273345 / NA
Email:nia.610202@newindia.co.in
INSURED DETAILS
Insured's Name GUDIMETLA RAJESH Customer ID PO89399971 (PAN No
:AIOPG1065B)
Insured's Address 4-2-194/50, VIGNAN PURI COLONY, TANDUR, Contact Number / / XXXXXX8989
VIKARABAD DIST.,,,
Rangareddi ,TELANGANA, 501141
Email madur.iocl@gmail.com
GSTIN 36AIOPG1065B2ZL
POLICY DETAILS
Period of cover 25/10/2023 12:26:55 PM to 24/10/2024 11:59:59 PM Receipt Number 61020281230000000648 -
25/10/23
Previous Insurer ICICI LOMBARD GENERAL INSURANCE CO. LTD. Previous Policy Number 3003/264597387/00/000
VEHICLE DETAILS
Geographical Area / Zone: India/C Year of manufacture: 2021
Type of Commercial A - Goods Carrying Sub Type: Other than 3 wheeler -
Vehicles: Public Carrier
Name of the Financier: Chassis no./Engine no.: MB1A9CHD9MRBS0038/M
BHZ415333
Type of fuel: Diesel Cubic capacity ( cc): 0
Type of body: Open Gross Vehicle Weight 18500
(GVW):
Make/Model: ASHOK LEYL/1618 Registration no. TS-34-TA-2345
Seating capacity including 3 Variant: 1920 CONTAINER
Driver:
Automobile Association Colour: NM
membership:
Cover Note No/Cover / Name of registration RTA VIKARABAD
Note Issue Date: authority:
FASTag ID:
INSURED DECLARED VALUE (Rs)
Vehicle Trailer Non-Elec Acc Electrical Acc Bi-fuel kit Total Value
2250000 0 0 0 0 2250000
SCHEDULE OF PREMIUM
Own Damage Liability
Basic OD Premium 3884 Basic TP Premium 35313
(+)Additional premium for GVW above 12000KG 175.5 (+)LL to paid driver conductor cleaner employed for
(-)Calculated NCB Discount(25%) 1166.96 oprn 100
(+)Loading for Inclusion of IMT 23 608.85
Calculated OD Premium 3501 Calculated TP Premium 35413
Signature Not
Verified
Digitally signed
by JAGATJAYEE Policy No. : 61020231230100000701Document generated by 35535 at 2023/10/25 20:31:06.
PANIGRAHI
Regd. & Head Office: New India Assurance Bldg., 87 M.G. Road, Fort, Mumbai - 400 001. TOLL FREE No. 1 800 209 1415.
Date: 2023.10.25
20:31:06 IST Give your valuable feedback on https://www.newindia.co.in/portal/policyFeedbackGen.
For redressal of your grievance, if any,you may approach any one of the following offices- 1. Policy issuing office 2. Regional office 3. Head office.In case, you are not satisfied with our own grievance redressal mechanism; you may also
approach Insurance Ombudsman. For details of our office addresses and addresses of office of Insurance Ombudsman, please visit our website http://newindia.co.in.
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THE NEW INDIA ASSURANCE CO. LTD.
(Government of India Undertaking)
Total OD Premium (Rs) 3501 Total TP Premium (Rs) 35413
Net Premium (Rs) 38,914
GST (Rs) 4,886
Total Payable (Rs) 43,800
Total Payable in Rs(in words): RUPEES FORTY-THREE THOUSAND EIGHT HUNDRED ONLY
GSTIN(Issuing Office) 36AAACN4165C3ZQ
SAC 997134 (Motor vehicle insurance services)
Limitation as to use:The Policy covers use 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 does not cover use FOR a)Organised racing b) Pace Making c)
Reliability Trials d) Speed Testing
Limits of Liability:Limit of the amount the Company's Liability Under Section II 1(i) in respect of any one accident: as per the Motor Vehicles
Act, 1988. Limit of the amount of the Company's Liability Under Section II 1(ii) in respect of any one claim or series of claims arising out of one
event: Up to Rs. 7,50,000
For individual covers (OD) in RS:2250000 Compulsory excess in Rs:1500
Imposed excess in Rs:0 Voluntary excess in Rs:0
Persons or classes of persons entitled to drive:Any person including the insured provided that a person driving holds an effective driving
license at the time of the accident and is not disqualified from holding or obtaining such a license. Provided also that the person holding an
effective Learner's License may also drive the vehicle and that such a person satisfies the requirement of Rule 3 of the Central Motor Vehicles
Rules, 1989.
PA cover for Owner Driver
Name of Nominee Age of Nominee Relationship with the Name of the Appointee (if Relationship to the
Insured Nominee is a minor) Nominee
none 0 none none none
PA cover for named persons
Name CSI Opted(Rs.) Nominee Relationship
NA NA NA NA
Premium and GST Details
Rate of Tax Amount in INR
Premium Rs3601
SGST 9 324
CGST 9 324
IGST 0 0
Premium Rs35313
SGST 6 2119
CGST 6 2119
IGST 0 0
In witness where of this policy has been signed at TANDUR on this 25/10/2023
WARRANTED THAT IN CASE OF DISHONOUR OF THE PREMIUM CHEQUE, THIS DOCUMENT STANDS AUTOMATICALLY CANCELLED ABINITIO
This policy is subject to the Terms, conditions and exceptions applicable to Package/Liability policy attached/available on the web site
http://newindia.co.in; IMT Endorsement Number(s) printed herewith attached 21,23,40.
Important notice:
The insured is not indemnified, if, the vehicle is used or driven otherwise than in accordance with this schedule. Any payment made by the
company by reason of wider terms appearing in the certificate in order to comply with the Motor Vehicles Act, 1988 is recoverable from the
insured: see clause headed "AVOIDANCE OF CERTAIN TERMS AND RIGHTS OF RECOVERY". It is clarified that in case the declaration regarding
the ncb or other previous policy details made by the insured, is found to be incorrect, all the benefits (including claim) under section-1 of this
policy, will stand forfeited.
Anti Money Laundering Clause: In the event of a claim under the policy exceeding Rs 1lakh or a claim for refund of premium exceeding Rs 1
lakh, the insured will comply with the provisions of AML policy of the company. The AML policy is available in all our operating offices as
well as Company website.
I/We hereby certify that the policy to which this Certificate For and on behalf of The New India Assurance Company Limited
Policy No. : 61020231230100000701Document generated by 35535 at 2023/10/25 20:31:06.
Regd. & Head Office: New India Assurance Bldg., 87 M.G. Road, Fort, Mumbai - 400 001. TOLL FREE No. 1 800 209 1415.
Give your valuable feedback on https://www.newindia.co.in/portal/policyFeedbackGen.
For redressal of your grievance, if any,you may approach any one of the following offices- 1. Policy issuing office 2. Regional office 3. Head office.In case, you are not satisfied with our own grievance redressal mechanism; you may also
approach Insurance Ombudsman. For details of our office addresses and addresses of office of Insurance Ombudsman, please visit our website http://newindia.co.in.
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THE NEW INDIA ASSURANCE CO. LTD.
(Government of India Undertaking)
relates as well as this Certificate of Insurance are issued in
accordance with the provisions of Chapter X and XI of M.V. Act,
1988.
Date of Issue: 25/10/2023
Duly Constituted Attorney(s)
IRDA Registration Number: 190
NIA PAN NUMBER: AAACN4165C
Policy No. : 61020231230100000701Document generated by 35535 at 2023/10/25 20:31:06.
Regd. & Head Office: New India Assurance Bldg., 87 M.G. Road, Fort, Mumbai - 400 001. TOLL FREE No. 1 800 209 1415.
Give your valuable feedback on https://www.newindia.co.in/portal/policyFeedbackGen.
For redressal of your grievance, if any,you may approach any one of the following offices- 1. Policy issuing office 2. Regional office 3. Head office.In case, you are not satisfied with our own grievance redressal mechanism; you may also
approach Insurance Ombudsman. For details of our office addresses and addresses of office of Insurance Ombudsman, please visit our website http://newindia.co.in.
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