Go Digit General Insurance Ltd.

Servicing Office : 6-3-1219/J , 3RD FLOOR, PRESTIGE PHOENIX BUILDING ,SURVEY NO 199 , KUNDANBAGH,
BEGUMPET, HYDERABAD 500016, , , HYDERABAD, TELANGANA (State Code:36) -500016
Digit Private Car Policy ±Bundled UIN --IRDAN158RP0008V01201819
Certificate Cum Policy Schedule (FORM 51 OF THE CENTRAL MOTOR VEHICLE RULES, 1989)
PAN :AACCO4128Q GSTIN: 36AACCO4128Q1Z1 CIN :U66010PN2016PLC167410 IRDAI Reg:158

Policy No: D142602076 Proposal No. & Date: HIIB8162971, 03-APR-2024

Policy Issued On: 03-APR-2024 16:09 HRS Previous Policy No.: NA
Insured Name: MR. NAVILA KIRAN Previous Insurer: NA
Period of Own Damage : 03-APR-2024 (16:09) To 02-APR-2025 (1 YEAR)
H.NO:1-8-86/C BHAGATH SINGH NAGAR KHAMMAM ROAD, Period of Liability Cover: 03-APR-2024 (16:09) To 02-APR-2027 (3 YEARS)
Insured Address:
SURYAPET, SURYAPET , TELANGANA (State Code:36) -508213
Period of Compulsory 03-APR-2024 (16:09) To 02-APR-2027 (3 YEARS)
Personal Accident Cover:
Customer Type PAN GSTIN Name Age (Yr.) Relation
Customer Details Nominee Details
INDIVIDUAL XXXXX9139B NA SATHEESH N 38 BROTHER

Vehicle Details
Make Model Variant Cubic Capacity Manufacturing Year Seating capacity
HYUNDAI ALCAZAR 1.5T MT PRESTIGE 7S 1482 2024 7
Body Type Registration No. RTO Hypothecation/Lease* Fuel Type VIN/Chassis No.
SUV NEW SURYAPET YES PETROL MALPC816LRM876960
Vehicle IDV Electrical Accessories Non-Electrical Accessories BI Fuel Kit Total IDV Engine No
1,516,675 0 0 0 1,516,675 G4LHRM898734

Own Damage Premium (A) Amount(INR) Liability Premium (B) Amount(INR)

Basic Own Damage Premium Basic Third Party Liability Premium 10,640
Vehicle 38,719 Bi-Fuel Kit 0
Non-Elec. Accessories (IMT-24) 0 Geographical Area Extension (IMT-1) 0
Elec. Accessories (IMT-24) 0 Sub Total (Third Party Liability) 10,640
Bi-Fuel Kit (IMT-25) 0 Personal Accident (PA) Cover
Geographical Area Extension (IMT-1) 0 Compulsory PA Cover for Owner Driver Rs 1500000 (IMT-15) 1,336
IMT 23 Premium 0 PA Cover for 7 Unnamed Passengers Rs 100000 Each (IMT-16) 1,050
Sub Total (Basic Premium) 38,719 PA cover for Paid Driver of Rs 2 Lac (IMT-17) 300
Discount/Deductibles Sub Total PA Cover 2,686
Voluntary Deductibles (0) (IMT-22A) 0 Legal Liability
Anti Theft Device (IMT-10) 0 Paid Driver (IMT-28) 150
AA Membership (IMT-8) 0 Employees (for 0 persons) (IMT-29) 0

No Claim Bonus (0%) 0 Sub Total (Legal Liability) 150

Handicapped Discount (IMT-12) 0 Net Liability Premium (B) 13,476

Sub Total (Deductibles) 0 Total Premium (A+B) 63,870
Total Own Damage Premium 38,719 SGST(9%) 5,749
Add On Coverages ( ZD, CM, EP, RTI, KP, PB ) 11675 CGST(9%) 5749
Net Own Damage Premium (A) 50,394 Gross Premium Paid 75,368
Add-on Cover Opted in the Policy: Digit Private Car Parts Depreciation Protect ±Bundled(IRDAN158RP0008V01201/A0025V01201819), Digit Private Car Consumable Cover ±Bundled
(IRDAN158RP0008V01201/A0024V01201819), Digit Private Car Engine and Gear Box Protect ±Bundled(IRDAN158RP0008V01201/A0026V01201819), Digit Private Car Return to Invoice ±
Bundled(IRDAN158RP0008V01201/A0029V01201819), Digit Private Car Key and Lock Protect -Bundled(IRDAN158RP0008V02201819/A0072V01202021), Digit Private Car Loss to Personal
Belongings- Bundled(IRDAN158RP0008V02201819/A0073V01202021)
Notes: 1. Consolidated Stamp Duty has been paid as per Letter of Authorization No.67-B/04/2017-18 Date: 30th May 2017 issued by Department of Stamps and Registration, Bengaluru-560009-Karnataka.
2.This policy has been issued upon declaration by the Insured that a valid Pollution Under Control (PUC) Certificate is held on the date of
commencement of the Policy. The insured undertakes to renew and maintain a valid and effective PUC and/or fitness Certificate, as applicable, 3.Geographical Area Ext. extended to (IMT-1): NA
during the subsistence of the Policy.
5.The policy is subject to compulsory deductible of INR 1000
4. Policy issuance is subject to realization of cheque if premium is paid by cheque
(IMT-22) & Voluntary Deductible of INR 0
6. This policy is to be read in conjunction with the Policy /Add-on wordings T&C available on the insurer website http://www.godigit.com
*Hypothecation Details: BANK OF BARODA - SURYAPET - SURYAPET Payment Mode: Online
Limitations as to use:The policy covers use of the vehicle for any purpose other than (1) Hire or Reward (2) Carriage of goods (other than samples or personal luggage) (3) Organized racing (4) Pace
making (5) Speed testing (6) Reliability trials (7) Any purpose in connection with motor trade.
Driver's Clause: Any person including the insured: Provided that the person driving holds an effective driving license at the time of the accident and is not disqualified from holding or obtaining such
license. Provided also that the person holding an effective learners license may also drive the vehicle & that such a person satisfies the requirements of Rule 3 of the Central Motor Vehicle Rules, 1989.
Limits of Liability Clause: Under Section II-1(i) of the policy-Death of or bodily injury: Such amount as is necessary to meet the requirements of the Motor Vehicle Act 1988.Under Section II-1 (ii) of
the policy-Damage to third party property is INR 7.5 Lakhs, PA Cover Under Section III for Owner-Driver is INR 15 Lakhs.
No Claim Bonus: The insured is entitled for a No Claim Bonus (NCB) on the own damage section of the policy, if no claim is made or pending during the preceding year(s) - 20%, preceding
two consecutive years - 25%, preceding three consecutive years - 35%, preceding four consecutive years - 45%, preceding five consecutive years - 50% of NCB on OD Premium.
NCB is allowed provided the policy is renewed within 90 days of the expiry date of the previous policy.
Declaration on Tax Invoice We hereby declare that though our aggregate turnover in any preceding financial year from 2017-18 onwards is more than the aggregate turnover notified under sub-rule (4)
of rule 48, we are not required to prepare an invoice in terms of the provisions of the said sub-rule.
Important Notice: The insured is not indemnified if the vehicle is used or driven otherwise than in accordance with the schedule. Any payment made by the company by reasons of wider terms
appearing in the certificate in order to comply with the Motor Vehicle Act, 1988 is recoverable from the insured. See the clause headed "AVOIDANCE OF CERTAIN TERMS & RIGHT
OF RECOVERY" For legal interruption, English version will hold good.
Grievance Clause: For resolution of any query or grievance, Insured may check Grievance redressal policy at https://www.godigit.com/claims/grievance-redressal-procedure or connect with the respective
servicing office of insurance company. In the event of unsatisfactory response,he/she may approach the insurance ombudsman for the redressal of grievance at www.irdai.gov.in or on website of General
Insurance Council: www.gicouncil.in
HSN/SAC : 997134, Description of Service : Motor Vehicle Insurance Services, Place of Supply : TELANGANA(State Code : 36), Insurer Invoice Number : HAP/IA129897846
I/we hereby certify that the policy to which this certificate relates as well as this certificate of insurance are issued in accordance with the provisions of Chapter X and XI of Motor Vehicle Act, 1988.
Insurance Broker Name : Hyundai India Insurance Broking Pvt. Ltd. Scan for Renewal For & On Behalf of
Corporate Office:16th Floor, Building No. 9A, DLF Cybercity, Phase III, Gurugram, (Valid from 90 Days Prior to Expiry) Go Digit General Insurance Ltd.
Haryana 122001
Broker Code: 822 (Valid UPTO:30/05/2025) MISP NAME-SRI JAYALAKSHMI
CIN No.: U67200HR2021PTC098982 AUTOMOTIVES P LTD
GST: 06AAGCH0310P1ZP MISP CODE-HIIB-MHY-0236
Email ID: connect@hiib.in DP NAME-NAGENDRA PRASAD KOGANTI
Contact No: 0124-6833000
Authorized Signatory
For Claims, Policy Servicing & Renewal, Kindly contact (LAKSHMI HYUNDAI) at +91-8886628127