Policy
Policy
Registered and Head Office: Bajaj Allianz House, Airport Road, Yerwada, Pune
  A. Proposer details
  1. Proposer Name                         : YELE ANKUSH KISAN
  2. Proposer Address                      : AT POST PALI, TA AND DIST BEED, PUNE, MAHARASHTRA
                                             , , , -411067
  3. Proposer Mobile Number                : 9763409349
  4. Proposer Residential Number           : NA
  5. Proposer e-mail id                    : dineshmore409@gmail.com
  6. Proposer Profession                   : NA
  B.Vehicle Details
Registration Month / Year       Vehicle       Vehicle     Vehicle Sub Cubic Capa- Fuel Type Year of Man- Seating Ca-
 Number       of Regn            Make         Model          Type     city/Kilowatt           ufacture     pacity
MH12JM241       DEC/2012       MARUTI           SX4           ZXI           1586          Petrol          2012            5
    3
 Engine Number        Chassis Number Vehicle IDV (in         Electrical      Non-Electrical CNG/LPG Unit         Total IDV (in
                                          Rs.)               Accessories       Accessories   (Extra fitted)          Rs.)
                                                           IDV (in Rs.)      IDV (in Rs.) IDV (in Rs.)
 M16AN2047766 MA3EFJC1S002                2,66,310.00             0                 0                 0           2,66,310.00
                 15123
  C. Coverage opted
24. To support our Go Green initiative, send policy copy link on registered mobile number / email id:
Please note Cover Note No. / issued to you basing on the above information.
In case of Disagreement or objection or any changes with respect to information and contents mentioned hereinabove, please
contact our toll free number & register your objections/changes/disagreement to the contents of this transcript or you may also
send us email or written correspondence at the following details within a period of 15 days from date of your receipt of this
transcript along with Policy:
I/We hereby unconditionally allow the Company to share all my / our information being collected in this proposal form or
through telephonic / email / web-inputs means or other means, as updated from time to time within group entities.
Toll free Number                     : 1800-102-5858,1800-209-5858
Email address                        : Bagichelp@bajajallianz.co.in
Website                              : www.bajajallianz.com
Contact our policy servicing branch at: Bajaj Finserv Building, 1st Floor, Behind Weikfield IT-Park, Viman Nagar,
Pune-411014 PH:1800-209-0144.
INSURANCE ACT, 1938 SECTION 41 - PROHIBITION OF REBATES
No person shall allow or offer to allow either directly or indirectly, as an inducement to any person to take out or renew or
continue an insurance in respect of any kind of risk relating to lives or property in India, any rebate of the whole or part of the
commission payable or any rebate of the premium shown on the policy, nor shall any person taking out or renewing a policy
accept any rebate, except such rebate as may be allowed in accordance with the published prospectus or tables of the insurer.
ANY PERSON IN BREACH OF COMPLYING WITH THE PROVISIONS OF THIS SECTION SHALL BE PUNISHABLE
WITH FINE WHICH MAY EXTEND TO RUPEES TEN LAKH.Bajaj Allianz General Insurance Co Ltd
                                                                           
                                                                      UIN : IRDAN113RP0025V01200102
Policy Number: OG-25-9906-1801-00153691                                                                                                             Customer ID: 421797291
Particulars of Vehicle Insured:
 Registration Number Place of Registration                                       Engine Number                      Chassis Number                            Make & Model
    MH12JM2413           MH12-PUNE                                               M16AN2047766                      MA3EFJC1S0021512                           MARUTI - SX4
                                                                                                                           3
Limitations as to Use:
The Policy covers use for any purpose other than
a) Hire or Reward, b) Carriage of goods (other than samples or personal
luggage), c) Organized racing, d) Pace Making, e) Speed testing,     f)
Reliability Trials, g) Any purpose in connection with Motor Trade
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 provi-
sions of Chapter X and Chapter XI of M.V. Act, 1988.
Policy issuing office and correspondence address for communication by holder of Certificate of Insurance for claim,
service request, notice, summons, etc:
 Bajaj Finserv Building, 1st Floor, Behind Weikfield IT-Park, Viman Nagar, Pune-411014 PH:1800-209-0144
Date of issue :31-DEC-2024
For & On Behalf of
Bajaj Allianz General Insurance Company Ltd.
As per the GST regulations, the amount of GST will not be refunded if the policy / endorsement is cancelled after 30th September of the next financial year
I/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.
   Limitation as to Use                   The Policy covers use of the vehicle for any purpose other than : Hire or reward, Carriage of
                                          goods( other than samples or personal luggage),Organised racing,Pace making, Speed testing,
                                          Reliability trials. Any purpose in connection with Motor Trade.
   Driver                                 Any person including the insured provided that a person driving holds an effective driving li-
                                          cense 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
                                          when not used for the transport of goods/passengers at the time of the accident and that such a
                                          person satisfies the requirements of Rule 3 of the Central Motor Vehicle Rules, 1989.
   Limits of Liability                    Under section II-I(i) of the policy -> Death of or bodily injury : Such amount is necessary to meet
                                          there requirements of the Motor Vehicles Act,1988. Under section II-I(ii) of the policy -> Dam-
                                          age to Third Party Property : Rs. 7,50,000.00
   Existing Damage Details
   Nominee Details                        Name :NA            - Relationship :NA
   Subject to Warranties/                 22, 16 & Plan Name:24x7 Spot Assistance & Plan Description: 24x7 spot assistance ,
   IMT-Endorsements/
   Add on Package
   Additional Details                      Coinsurance Details: - . Transaction Id: -
   Premium Details                        Receipt No. 9906-10891689, Date 31-DEC-24 ** If Premium paid through Cheque, the Policy is
                                          void ab-initio in case of dishonour of Cheque.
   Excess Details                         Compulsory Excess:               Additional Excess: Rs.   Voluntary Excess: Rs..00
                                          Rs.2,000.00
                                           Theft Excess: Rs.0
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 Vehicle Act,
1988 is recoverable from the Insured. See the clause headed AVOIDANCE OF CERTAIN TERMS AND RIGHT OF RECOVERY.
It is mandatory to keep your policy with updated contact (Mobile No., Email ID and PAN Card) and bank account details, to process any of
your service requests faster and hassle-free in future.
You can update the same through Caringly yours App {Link}, WhatsApp Service { Say Hi on WhatsApp - +91 75072 45858}, Contact our
24-Hour Call Center at 1800-209-5858, 1800-102-5858, Give a Missed Call on 8080945060, SMS WORRY to 575758, Email ba-
gichelp@bajajallianz.co.in, website {http://www.bajajallianz.com}, contact your agent or nearest branch.
Warranted that insured named herein or owner of the vehicle insured holds a valid Pollution Under Control (PUC) and / or Fitness Certificate on the date of
commencement of the Policy. If the PUC and/or Fitness Certificate is not found to be valid on the date of commencement of the Policy, the Company reserves
its right to consider the policy void ab initio.
For & On Behalf of
Bajaj Allianz General Insurance Company Ltd.
                                                                                                        Stamp
                                                                                                        Duty Rs.
                                                                                                        0.50
Authorized Signatory
This document is digitally signed, hence counter signature / stamp is not required.
Consolidated Stamp Duty of Rs. 0.50/- paid for insurance policy stamps vide Order No. CSD/36/2024-25/2886 dated 01-AUG-24 of General Stamp Office, Mumbai, India.
Principal Location : Bajaj Allianz House, Airport Road, Yerwada, Pune - 411006 PH:66026666 | Services Accounting Code : 997134 -
Motor vehicle insurance services. No reverse charge is payable on these services.
           Bajaj Allianz General Insurance Company Ltd.
      Bajaj Finserv Building, 1st Floor, Behind Weikfield IT-Park, Viman Nagar, Pune - 411014
                                Contact No:Contact No: 1800-209-0144
RECEIPT
Authorised Signatory
       God perils like flood, earthquake etc. (6) Claims pertaining to theft losses. (7) Any consequential loss arising out
       of claims lodged under '24x7 Spot Assistance' .(8) Where a loss is covered under Motor Insurance Policy or any
       other type of insurance policy with any other insurer or manufacturer's warranty or recall campaign or under any
       other such packages at the same time.(9) Replacement cost of battery and/or any associated repair cost. (10) Cost
       of supply of parts or replacements elements or consumables. (11)Repair cost of tyre and/or parts or replacement
       cost of any part of consumable at a third party workshop/repairer. (12)Any taxes, levy and expenses incurred in
       excess of the limit described under the plan opted by You . (13)Loss of valuables and personal belongings kept in
       the Insured Vehicle . (14) Any loss or damage to the Insured Vehicle arising out of participation in a motor ra-
       cing competition or trial runs. (15)Where it is proved that You have abused the benefits under '24x7 Spot Assist-
       ance'. (16)Any loss or damage caused due to pre- existing damages. (17)Any loss or damage arising out of inter-
       vention of Government Authorized Agencies, Police Authorities or Law Enforcing Agencies . (18)Any loss or
       damage resulting from the use of Insured Vehicle against the recommendations of the owners manual and/or
       manufacturer's manual. (19)Any loss resulting from Your deliberate or intentional and/or unlawful or criminal act
       (20)Benefits under 'Taxi Benefits' and 'Accommodation Benefits' for occupants in excess of the seating capacity
       as per the registration certificate of the Insured Vehicle . (21)Additional cost incurred in towing the Insured
       Vehicle to a dealer/workshop as specified by You instead to Our specified nearest authorized workshop. (22)Ser-
       vices organized without Our prior consent for the various assistance services. (23)If You or Your personal repres-
       entative is already at a garage for delivery of the Insured Vehicle or at the place of recovery in case of theft
       (24)Mechanical and/or electrical breakdowns that require replacement of spare parts and/or specialized tools/
       equipments that are usually available only in automotive workshops
If You do not agree whether any of these exclusions apply to Your claim, You agree to accept the burden of proving that
they do not apply.
D. Definitions
The words and phrases listed have special meanings We have set below whenever they appear in bold type and initial
capitals. Please note that references to the singular or to the masculine also include references to the plural or to the fe-
male the context permits and if appropriate.
       (1) You,Your,Yourself: The person or persons We insure as set out in the Schedule . (2) We, Our, Us: Bajaj Al-
       lianz General Insurance Company Limited and/or the Service Provider with whom Bajaj Allianz General Insur-
       ance Company Limited has entered into a contract to provide the benefits under this cover to You . (3) Accident,
       Accidental: A sudden, unintended and fortuitous external and visible event. (4) Policy/Motor Insurance Policy:
       Private Car Package Policy issued by Us to which this cover is extended. (5) Insured Vehicle : The vehicle in-
       sured by Us under the Motor Insurance Policy. (6) Policy Period: The period between and including the com-
       mencement date and expiry date as shown in the Motor Insurance Policy Schedule . (7) Schedule : The Sched-
       ule and any Annexure or Endorsement to it which sets out Your personal details and the type of insurance cover
       in force