Go Digit General Insurance Ltd.

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

Name DHARMENDRA REVATI RAMAN JHA Vehicle Registration No. MH48N3242

KFZ RO NO 05 INDRESH SINGH CHAWL VISHAL PANDEY LANDMARK INSURANCE BROKERS
Pass Address NGR NALLASOPARA EAST PALGHAR Partner Name PRIVATE LIMITED
MAHARAS,HTRA 401209,Palghar-401205 Partner Code 1001709

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Mobile Partner Email customercare@policyboss.com

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Email pxxxxy@gxxxxxxxxxxxe.com Partner Mobile No. --
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1 Aadhar No. 9106

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YOUR POLICY DETAILS

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Policy No. D177809383 / 11122024 Policy Issue Date 11-Dec-2024 Invoice Date 11-Dec-2024

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13-Dec-2024 12:07:42

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From
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Prime Broker
Period of 2
MAKL Policy 12-Dec-2025 23:59:59

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To
G0 NCB % (Current Policy) 20 %

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Policy Type Public Carrier
2S

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Compulsory Deductible 500 Voluntary Deductible --
YOUR VEHICLE DETAILS -1
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KFZ
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Make BAJAJ AUTO Trailer Reg. No. RTO Location Palghar,MAHARASHTRA

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Model/Vehicle Variant RE COMPACT / 2S Petrol Year of Regn. / 2014 / -- Licensed Seating 4

(Sub-Type) Manufacturing Capacity
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G01
C Chassis No. MD2A47AZ1EWG21442
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Engine No. 24ZWEG82976 Cubic Capacity 145 CC

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51 Fuel Type Petrol Gross Vehicle Weight 672KG Vehicle Body Type PCV -3W
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Goods Type -- Permit Type Public Carrier Wheels 3

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Odometer FASTag Number Financier Details

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4.
YOUR VEHICLE IDV (THE MAXIMUM MONEY YOU CAN GET IN CASE OF A CLAIM)
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Vehicle IDV IDV of Electrical IDV of Non-Electrical CNG/LPG KIT IDV Trailer IDV Body IDV Total IDV
(`) Accessories (`) Accessories (`) (`) (`) (`) (`)
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41982 -- -- -- -- -- 41982.00
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OWN DAMAGE PREMIUM [A] LIABILITY PREMIUM [B] (`)

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(`)
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Own Damage Premium (`) 187.50 Basic Third-Party Liability (`) 5773.00
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.0 Add-Ons Premium (`) 0.00
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PA cover for Owner-Driver (`) 330.00

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Public NCB Discount Amount (`) -37.50

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Carrie
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Legal Liability to Paid (`) Driver (Persons:1) 50.00

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Total OD Total Act (`)

Premium (`) 150.00 Premium 6153.00
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6303.00
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Net Premium [A+B} (`)

CGST @ 9% = (`567.27) + SGST/UTGST @ 9% = (`567.27)

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1134.54
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CSC ID
VLE / RAP Name
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E VLE / Mobile Number

Note: The above total OD premium is inclusive of all applicable loading / discounts viz (automobile association memberships, voluntary excess, anti-theft
handicap person, driver tuition, fiber glass, CNG/ LPG unit, geographical extension, imported vehicle etc., wherever applicable).

Policy No: D177809383

Page No: 1 of 4
Go Digit General Insurance Ltd, GST Reg No 27AACCO4128Q1Z0 , PAN No:- AACCO4128Q, HSN: 997134/General Insurance Services, GSTIN Address :Mumbai
Business Centre,13th Flr, Godrej Coliseum, Lokmanya Pan Bazaar,Behind Everard Nagar,Sion(E),Mumbai,Maharashtra,PIN-400022. Website : www.godigit.com.
Corporate office Address : Atlantis, 95, 4thB Cross Road, Koramangala Industrial Layout, 5thBlock, Bengaluru, Karnataka, PIN – 560095, IRDAI Reg No. 158, CIN –
U66010PN2016PLC167410
 Go Digit General Insurance Ltd. Schedule/Certificate
Digit Commercial Vehicle Package Policy - Passenger Carrying Vehicle UIN No.: IRDAN158RP0002V01201819

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
of “Act only” policy for the Third Party Cover during the remaining period of policy.
In case of an accident to your vehicle, please intimate us immediately for SPOT SURVEY. Failure to intimate in time could prejudice your claim. In case of
Total Loss and/or Theft claim, applicable subsidy amount availed as per government policy will be reduced from IDV for claim settlement.

ENDORSEMENT
Invoice Number Invoice Date Net Premium Igst Cgst Sgst Utgst Cess Gross Premium

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0.00 0.00 0.00 0.00 0.00 0.00 0.00

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OTHER DETAILS

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Previous Insurer Go Digit General Insurance Limited

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Previous Policy No. D123145267 Previous Policy Expiry Date 08-Nov-2024

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IMT - Endorsements IMT-21,IMT-23,IMT-28,IMT-40

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Invoice Number IA157871742

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GSTIN/UIN No. Unregistered State Code 27

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Payment Mode Online Cheque/Transation No 32_DICA5DFE944111_HG

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Bank Name IFSC/MICR No --

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Premium Payment Details Receipt No. RA196619285 Receipt Date 11-Dec-2024

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Nominee Details --
POONAM DHARMENDRA JHA .

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Spouse
15-Apr-1984

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Details of Existing Damages --

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Other details -- Trailer chassis no -

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Follow these rules like you follow the rules of the road. -1
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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
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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
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
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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
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(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.
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.

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
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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-
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
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
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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.
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Policy No: D177809383

Page No: 2 of 4
Go Digit General Insurance Ltd, GST Reg No 27AACCO4128Q1Z0 , PAN No:- AACCO4128Q, HSN: 997134/General Insurance Services, GSTIN Address :Mumbai
Business Centre,13th Flr, Godrej Coliseum, Lokmanya Pan Bazaar,Behind Everard Nagar,Sion(E),Mumbai,Maharashtra,PIN-400022. Website : www.godigit.com.
Corporate office Address : Atlantis, 95, 4thB Cross Road, Koramangala Industrial Layout, 5thBlock, Bengaluru, Karnataka, PIN – 560095, IRDAI Reg No. 158, CIN –
U66010PN2016PLC167410
 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.

Wish to go through your detailed policy wordings, click here.

In case of claim or any other query, please contact our 24-hour Praveen Bhat
Call Centre at 1800-258-5956 or email us at hello@godigit.com Senior Vice President - Customer Experience
praveen.bhat@godigit.com
or visit our website Digit Insurance: Car, Bike, Health & Travel Authorized Signatory

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Insurance Online .

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Printed, Signed, and Executed at Bengaluru
For instant resolution, you can ping us “Hi” on WhatsApp at 702 Consolidated Stamp Duty has been paid as per Letter of

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606 1234 Authorization No.67-B/04/2017-18 Date: 30th May 2017
For Claims Notification and Procedure click here. issued by Department of Stamps and Registration ,

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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”
on WhatsApp at 702 606 1234

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Policy No: D177809383

Page No: 3 of 4
Go Digit General Insurance Ltd, GST Reg No 27AACCO4128Q1Z0 , PAN No:- AACCO4128Q, HSN: 997134/General Insurance Services, GSTIN Address :Mumbai
Business Centre,13th Flr, Godrej Coliseum, Lokmanya Pan Bazaar,Behind Everard Nagar,Sion(E),Mumbai,Maharashtra,PIN-400022. Website : www.godigit.com.
Corporate office Address : Atlantis, 95, 4thB Cross Road, Koramangala Industrial Layout, 5thBlock, Bengaluru, Karnataka, PIN – 560095, IRDAI Reg No. 158, CIN –
U66010PN2016PLC167410
 Go Digit General Insurance Ltd. Schedule/Certificate
Digit Commercial Vehicle Package Policy - Passenger Carrying Vehicle UIN No.: IRDAN158RP0002V01201819

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Policy No: D177809383

Page No: 4 of 4
Go Digit General Insurance Ltd, GST Reg No 27AACCO4128Q1Z0 , PAN No:- AACCO4128Q, HSN: 997134/General Insurance Services, GSTIN Address :Mumbai
Business Centre,13th Flr, Godrej Coliseum, Lokmanya Pan Bazaar,Behind Everard Nagar,Sion(E),Mumbai,Maharashtra,PIN-400022. Website : www.godigit.com.
Corporate office Address : Atlantis, 95, 4thB Cross Road, Koramangala Industrial Layout, 5thBlock, Bengaluru, Karnataka, PIN – 560095, IRDAI Reg No. 158, CIN –
U66010PN2016PLC167410