Policy Number : P0024200028/4190/127826
DEVELOPMENT HOUSE, 24 Park Street , Kolkata -700016
(www.magmahdi.com)
IRDA REG NO. 149 DATED 22nd MAY,2012
CIN: U66000WB2009PLC136327
In case of any query, assistance or claims, please contact us at 1800 266 3202
UIN: IRDAN149RP0003V01201213
PRIVATE CAR LIABILITY ONLY
Date : 03/02/2024
To,
Mrs SAROJ BHATNAGAR
W / O C . K. BHATNAGAR, I - ,856, PALAM VIHAR, CARTERPURI
GURGAON
HARYANA 122017
Mobile:8840258438
Agent/ Intermediary Name and Code:TURTLEMINT INSURANCE BROKING SERVICES PRIVATE LIMITED BRC0000157
Sub: Risk Assumption Letter
Dear Sir /Madam,
Thank you for choosing Magma-HDI General Insurance Company Limited as your preferred General Insurance Company. Please find enclosed Policy
No. P0024200028/4190/127826, which has been issued based on the details furnished to us as below:
Insured & Vehicle Details
Name of Insured Mrs SAROJ BHATNAGAR
Period of Insurance 05/02/2024 TO 04/02/2025
Vehicle Make/Model VOLKSWAGEN / POLO 1.2L HIGHLINE (DIESEL)
RTO GURGAON
Vehicle Registration No. HR 2 6 BX 5 8 1 0
Vehicle Registration Date 21/02/2013
Engine No. CFW352325
Chassis No. WVWA1360XDT037863
Reason for not opting PA Cover of Owner Driver :
1) Driver has existing PA cover of Rs 15 lakhs
Previous Policy Details
Previous Policy No D092806601
Previous Policy Period 02/02/2023 TO 01/02/2024
Previous Year NCB% 0
Previous Insurer Name GO DIGIT GENERAL INSURANCE LTD
Previous Policy Type LiabilityOnly
The information received from you is reproduced in the proposal attached with this Risk Assumption Letter and your proposal has been processed
accordingly.
Coverage of risk is subject to realisation of the full premium post which, insurance coverage under the policy would commence. In case the premium is not
received by us due to cheque dishonour or any other reason, the insurance cover shall be void ab-initio.
If you require any changes in the certificate of insurance cum policy schedule, you are requested to inform us by either writing to us at
customercare@magma-hdi.co.in or calling our toll free helpline on 1800 266 3202. Absence of any communication from you in this regard within a period of
20 days of date of this letter, would mean that the issued policy is in order and as per your proposal. The Risk Assumption Letter is to be read in conjunction
with the policy and shall be considered as null and void without the same.
Policy Number : P0024200028/4190/127826
Dear Customer , Magma HDI general Insurance Company may be storing your AML/KYC details and might require you to update the information submitted
from time-to-time, in accordance with and requirements under the Master Guidelines on Anti-Money Laundering/ Counter Financing of Terrorism (AML/CFT),
2022 issued by the Insurance Regulatory Development Authority of India.
Thanking You,
Regards
For Magma HDI General Insurance Co Ltd.
Authorised Signatory
Policy Number : P0024200028/4190/127826
DEVELOPMENT HOUSE, 24 Park Street , Kolkata -700016
In case of any query, assistance or claims, please contact us at 1800 266 3202
UIN: IRDAN149RP0003V01201213
PRIVATE CAR LIABILITY ONLY
CERTIFICATE OF INSURANCE CUM SCHEDULE /TAX INVOICE
Policy Servicing Office SCO-386, 1ST FLOOR, SECTOR-29, OPP. IFFCO CHOWK, METRO STATION, ,GURGAON -122001 ,HARYANA , PH: (1800) 2663202
Policy No P0024200028/4190/127826
Insured Mrs SAROJ BHATNAGAR
Address W / O C . K. BHATNAGAR, I - ,856, PALAM VIHAR,
Period Of Insurance 00:00 Hrs of 05/02/2024
CARTERPURI
To Midnight of 04/02/2025
GURGAON
Agent No.: BRC0000157
HARYANA 122017
Email ID: support@turtlemint.com
Mobile:8840258438
Toll Free No.: 18002660101
Contact Number 8840258438
Email ID: BANARASINSURANCE@GMAIL.COM
GST Number Unregistered
INSURED MOTOR VEHICLE DETAILS AND PREMIUM COMPUTATION
Trolley Serial Trolley Chassis Year of Type of
Registration No. & RTA Location Make/Model of Vehicle Engine no Chassis no CC SEATING CAPACITY
ID No. Manufacture Body
VOLKSWAGEN/ POLO 1.2L
HR 26 BX 5810/ GURGAON 2013 SALOON CFW352325 WVWA1360XDT037863 1199 5
HIGHLINE (DIESEL)
LIABILITY
LIABILITY(B)
Basic - TP 3,416.00
PA Paid Drivers, Cleaners and Conductors 50.00
Sub Total 3,466.00
Premium Computation
Total Liability Premium 3,466.00
CGST @ 9% 311.94
SGST @ 9% 311.94
TOTAL 4,090.00
LIMITATIONS AS TO USE - As per Motor Vehicles Rules, 1989.
The Policy covers use of the vehicle 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
DRIVERS CLAUSE
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 requirements of Rule 3 of the Central Motor Vehicles Rules,
1989.
LIMITS OF LIABILITY
Under Excess in respect of each and every claim under Sec I of Under In respect of any one Under Damage to Third Party Property Rs. Under PA Owner – Driver as
Section I motor policy Section accident -- As per Section 750000/- in respect of any one claim Section III: per premium
Compulsory : Voluntary : Total : II-I (i) Motor Vehicle Act II-I (ii) or series of claims arising out of one computation table
event.
Subject to I.M.T Endorsement Nos. IMT 17
Pollution Under Control(PUC)
Warranted that the insured named herein/owner of the vehicle holds a valid Pollution Under Control (PUC) Certificate and/or valid fitness certificate, as applicable, on the date of
commencement of the Policy and undertakes to renew and maintain a valid and effective PUC and/or fitness Certificate, as applicable, during the subsistence of the Policy. Further, the
Company reserves the right to take appropriate action in case of any discrepancy in the PUC or fitness certificate at the time of issuance of policy.
NOMINATION DETAILS
Name Of the Nominee Date of Birth of Nominee Age of Nominee Relationship Percentage
Mr Bhatnagar 09/08/1933 90 Husband 100
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 chapter XI of M.V. Act,
1988.
Premium Collection Details :- [Collection No - ReceiptDate - Amount] : P/200028/24/101003955- 03/02/2024 , 4090
Premium Amount in Word's ( ) :- Four Thousand Ninety Only
For Magma HDI General Insurance Co. Ltd.
In case of Claims, please contact us at 1800 266 3202
Date of Issue : 03/02/2024
Place : Kolkata
Consolidated Stamp Duty on the issue of General Insurance Policies Paid vide G.O No. 1879, dated 16.10.2023
GST Number of MHDI - 06AAGCM1685C1ZN
GST Invoice Number - POL0602240000265
Accounting Code for Service - 997134, Motor vehicle insurance services
Place of Supply:HARYANA ( 06 )
Authorised Signatory
Whether Tax is payable on Reverse Charge - No
UIN : IRDAN149RP0003V01201213
This is a valid Tax invoice in terms of Sub-rule 2 of Rule 54 of CGST Rule 2017. Further, being an Insurance Company,
issuing of e-invoice and QR Code are not applicable on us in terms of Notification No 13 and 14 of 2020 dated 21st March
2020 issued from Central Board of Indirect Taxes and Customs. 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.
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". For legal
interpretation English version will be good. Please note that any misrepresentation, non disclosure or withholding of material facts will lead to cancellation of policy ab initio with forfeiture of
premium and non consideration of claim, if any.
As per the GST regulations, the amount of GST will not be refunded if the policy / endorsement is cancelled after 31st October of the next financial year.
For Complete details of coverage , terms, conditions & exclusion please refer the standard policy wording attached with this schedule
IMPORTANT - 1) The Validity of this Certificate of Insurance cum Schedule is subject to realisation of the premium cheque.
2) No Claim Bonus will only be allowed provided the Policy is renewed within 90 days of the expiry date of the previous policy.
3) This document is digitally signed, hence counter signature / stamp is not required.
Policy Number : P0024200028/4190/127826
4) For detailed terms & conditions please refer our website www.magmahdi.com
Policy Number : P0024200028/4190/127826
Magma HDI General Insurance Company Limited
Toll Free Number 1800-266-3202
Website - www.magmahdi.com
Policy Issuing Office OFFICE NO. 301, 3RD FLOOR, Policy Servicing Office SCO-386, 1ST FLOOR, SECTOR-29, OPP.
KALPATARU PLAZA,CHINCHOLI IFFCO CHOWK, METRO
BUNDER ROAD, NADIAWALA STATION, ,GURGAON -122001 ,HARYANA ,
COLONY 2, MALAD PH: (1800) 2663202
(WEST),MUMBAI,
MAHARASHTRA, 400064
Policy Number P0024200028/4190/127826 Product Name PRIVATE CAR LIABILITY ONLY
Start Date & Time 05/02/2024 00:00 Expiry Date & Time 04/02/2025 23:59
Agent Name TURTLEMINT INSURANCE Agent Contact Number 0
BROKING SERVICES PRIVATE
LIMITED
Policy Holder Name SAROJ BHATNAGAR Hypothecation
Address of Insured W / O C . K. BHATNAGAR, I - ,856, PALAM VIHAR, CARTERPURI
Person GURGAON
HARYANA 122017
Mobile:8840258438
Vehicle Detail
Vehicle RTO Manufacturer Model Variant Registration Engine Chassis Number Insured
Location No Number Declare Value
GURGAON VOLKSWAGEN POLO 1.2L HR 26 BX CFW352325 WVWA1360XDT0378630.00
HIGHLINE 5810
(DIESEL)
Add on Cover:
NOMINATION DETAILS
Name Of the Age of DOB of Relationship of Name of Relationship of Contact No. Contact No.
Nominee Nominee nominee nominee with Appointee Appointee with of Nominee of Appointee
Proposer nominee
Mr Bhatnagar 90 09/08/1933 Husband
Premium Details
Net Premium (Rs.) 3466
GST @ 9% (Rs.) 311.94
GST @ 9% (Rs.) 311.94
Total Premium (Rs.) 4090
Renew Your Policy on 05/02/2025 through
Our website:www.magmahdi.com
Email: customercare@magma-hdi.co.in
Call us at: 1800 266 3202
How do you intimate an intimate claim?
Call us at: 1800 266 3202
