Policy - 2025-05-01T162700.368
Policy - 2025-05-01T162700.368
Registered and Head Office: Bajaj Allianz House, Airport Road, Yerwada, Pune
  A. Proposer details
  1. Proposer Name                         : MOHD YASEEN
  2. Proposer Address                      : PATIMHALL, PALMAR KISHTWAR
                                             , PALMAR, DODA, JAMMU AND KASHMIR-182205
  3. Proposer Mobile Number                : 9855496456
  4. Proposer Residential Number           : NA
  5. Proposer e-mail id                    : KMKISHTWAR2@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
    NEW        MAY/2025         BAJAJ        PULSAR       TWIN DISC          150          Petrol          2025            2
                                             150 DTSI        BT
 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.)
  DHXPSA76007 MD2A11CX4SP                 1,12,957.00             0                 0                 0           1,12,957.00
                 A28035
  C. Coverage opted
 1. Period of Insurance
For Own Damage Section               From 01-MAY-2025 16:27(Hrs) To 30-APR-2026 Midnight
For Third Party Liability Section    From 01-MAY-2025 16:27(Hrs) To 30-APR-2030 Midnight
  2. Is your vehicle fitted with external LPG/CNG kit                                 : No.
  3. Electrical Accessories cover Opted (If Applicable)                               : No.
  4. Non - Electrical Accessories cover Opted (If Applicable):                        : No.
  5. Is Voluntary Excess opted                                                        : No.
     Amount of voluntary excess opted                                                 : Rs.NA.
  6. Whether PA cover is opted for owner-driver                                       : Yes.
  7. compulsory deductible                                                            : Rs.100.00
  8. Is any additional compulsory deductible imposed and agreed upon                  : Yes.
     Amount of additional compulsory deductible imposed                               : Rs.
  9. Whether geographical area extension is opted                                     : No.
     Details of Countries to which geographical area extension cover is given         : NA.
  10. Is LL to person for Paid driver/Operation/Maintenance opted                     : No.
  11. Whether PA cover is opted for paid driver other than owner driver               : No.
      Sum Insured for Paid Driver                                                     : Rs.NA.
  13. Is TPPD restricted to statutory limit of Rs.6,000?                              : No.
  14. Pre Existing damages in the vehicle                                             : NA.
  15. 1 Premium for Liability coverage, quoted and agreed upon is                     :
  16. 1 Premium for OD coverage, quoted and agreed upon is                            :
  17. Do you have valid PUC certificate of the vehicle                                : NA
  18. Do you have valid Fitness certificate of the vehicle                            : NA
  19. Total Premium (excluding Goods and Service Tax (GST)) for Liability and OD coverages, quoted and agreed upon is
      :
  20. NCB (No Claim Bonus) claimed by you and granted by us based on your declaration of no claim during your previous
      previous policy : 0 %.
  21. About the last insurance company
  (i) Insurance Provider : .
  (ii) Previous Policy No : NA , Previous Policy Expiry Date : NA
  22. Whether your vehicle is Hypothecated and if so the details of Pledgee whose name is registered by us : Yes.
      Name of Pledgee : JK BANK BRANCH PALMAR.
 23. Add on Cover(s) optedm2 : Yes, Plan Name:Rim Safeguard And Drive Assure Basic Plan Description: rim safeguard ,
depreciation shield ,
 Please call us on 1800 103 5858 for any emergency.
24. To support our Go Green initiative, send policy copy link on registered mobile number / email id: YES
  I/We hereby give voluntary consent to BAGIC/Company to share my/our personal information and data provided in this
proposal form with its group companies or any other person in connection with the Insurance Policy or otherwise, including for
providing products and services of group companies that may be of interest to me/us, to be used in accordance with their
respective privacy policies and subject to appropriate measures being in place to safeguard my/our personal information : Yes
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 Allianz General Insurance Company Limited, SCO 30-31, 2nd floor,Guru Ram
Dass divine tower, Puda Complex, Opp. Tehsil Complex, Jalandhar-144001 PH:01814685506.
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
                                                                                                 
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 Allianz General Insurance Company Limited, SCO 30-31, 2nd floor,Guru Ram Dass divine tower, Puda Complex, Opp.
Tehsil Complex, Jalandhar-144001 PH:01814685506
Date of issue :01-MAY-2025
For & On Behalf of
Bajaj Allianz General Insurance Company Ltd.
For help and more information:
Contact our 24 Hour Call Centre at 1800-102-5858, 1800-209-5858, Toll Free: 30305858( chargeable, add area code before this number in case of mobile call) Email us at
Bagichelp@bajajallianz.co.in or Visit our Website www.bajajallianz.com
Corporate Identification Number U66010PN2000PLC015329
                                                                                                        Latest Schedule - 01-May-2025 16:27:00 PM- 20074751@md bajajallianz co in (Web) (NA)
Authorized Signatory
                                                                                                     
Invoice No 453076796/1
**Note: The above Total OD Premium is inclusive of all applicable Loading /Discounts viz (Automobile association membership, Voluntary Excess,
Anti Theft, Handicap Person, Driver Tuition, Fiber Glass, CNG/LPG Unit, Geographical Extension, Imported Vehicle Etc. wherever Applicable)
For help and more information:
Contact our 24 Hour Call Centre at 1800-102-5858, 1800-209-5858, Toll Free: 30305858( chargeable, add area code before this number in case of mobile call) Email us at Ba-
gichelp@bajajallianz.co.in or Visit our Website www.bajajallianz.com
Corporate Identification Number U66010PN2000PLC015329
                                                                                                        Latest Schedule - 01-May-2025 16:27:00 PM- 20074751@md bajajallianz co in (Web) (NA)
                                                                             
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 noti-
fied 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. 1,00,000.00
   No Claim Bonus
   Existing Damage Details NA
   Nominee Details         Name :SHNAZA BEGUM                         -   Relationship :Spouse
   Subject to Warranties/          7, 22, & Plan Name:Rim Safeguard And Drive Assure Basic & Plan Description: rim safeguard ,
   IMT-Endorsements/               depreciation shield ,
   Add on Package
   Additional Details              Coinsurance Details: - . Transaction Id: -
   Premium Details                 Receipt No. 1217-00448599,1217-00448037, Date ** If Premium paid through Cheque, the
                                   Policy is void ab-initio in case of dishonour of Cheque.
   Excess Details                  Compulsory Excess: Rs.100.00 Additional Excess: Rs.       Voluntary Excess: Rs..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.
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/19/2025/816 dated 01-MAR-25 of General Stamp Office, Mumbai, India.
Principal Location : Bajaj Allianz General Insurance Company Limited, SCO 30-31 , 2nd floor, Guru Ram Dass divine tower, Puda
Complex, Opp. Tehsil Complex, JALANDHAR - 144001 PH:0181-2996866 | Services Accounting Code : 997134 - Motor vehicle insur-
ance services. No reverse charge is payable on these services.
S3 - DEPRECIATION SHIELD
A. Endorsement Wordings
(UIN No. IRDAN113RP0008V01201819/A0024V01201819)
In consideration of payment of additional premium, it is hereby agreed and declared that this Policy extends to cover the
depreciation amount, partly or fully, on assessed damaged parts allowed for replacement during repairs in the event of a
Partial Loss to the Insured Vehicle .
In the event You have opted for co-payment, Your contribution shall be to the extent agreed by You as shown in the
Schedule for the depreciation amount on the assessed parts for each and every Partial Loss claim.
The benefits under 'Depreciation Shield' would be available only if the Insured Vehicle is repaired at Our authorized
workshops. In case You have opted to repair the Insured Vehicle at a non-authorized workshop, Our liability will be
restricted to 90% of the assessed total claim amount under this cover.
B. Conditions
        (1) Claims made by You against Us under 'Depreciation Shield' are subject to the terms and conditions set forth
        under the Motor Insurance Policy. (2) In case of transfer of ownership of the Insured Vehicle , the cover under
        'Depreciation Shield' shall expire. (3) The benefits under 'Depreciation Shield' can be utilized for a maximum of
        two times during the Policy Period
C. Exclusions
In addition to the exclusions mentioned under Motor Insurance Policy, We will not be liable to indemnify You for the
following events:
        (1) Where the Own Damage Claim made by You against Us under the Motor Insurance Policy is not payable (2)
        Depreciation pertaining to any part/ sub part/ accessories not approved for replacement by Us under Motor Insur-
        ance Policy. (3) Loss or damage to tyres and/or battery of the Insured Vehicle . (4) Consequential loss of any
        kind arising out of claims lodged under 'Depreciation Shield'. (5) 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
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 Alli-
        anz General Insurance Company Limited. (3) Accident, Accidental: A sudden, unintended and fortuitous external
        and visible event.(4) Policy/Motor Insurance Policy: Two Wheeler Package Policy issued by Us to which this
        cover is extended (5) Insured Vehicle : The vehicle insured by Us under the Motor Insurance Policy and as
        shown on the Schedule .(6) Policy Period: The period between and including the commencement date and expiry
        date as shown in the Motor Insurance Policy Schedule . (7) Schedule : The Schedule and any Annexure or En-
        dorsement to it which sets out Your personal details and the insurance cover in force. (8) Own Damage Claim:
        The claims raised by You against Us for loss or damage to the Insured Vehicle due to the perils mentioned under
        Section 1 of Motor Insurance Policy. (9) Total Loss/ Constructive Total Loss: A loss under the Motor Insur-
        ance Policy where the aggregate cost of retrieval and/ or repair of the Insured Vehicle , subject to terms and con-
        ditions of the Policy, exceeds 75% of the IDV of the Insured Vehicle . (10)Partial Loss: Any loss falling into a
        category other than (A) the loss mentioned under Sr. No. 9 above and (B) theft of the Insured Vehicle
A. Endorsement Wordings
In consideration of payment of additional premium, it is hereby agreed and declared that the Base Policy is extended to
cover loss or damage to the Rim(s) and/or Alloy(s) of the Insured Vehicle by Accidental external means.
The Company will indemnify You for the cost of replacing the damaged Rim(s) or Alloy(s) with a new equivalent or
near equivalent rim(s) or alloy(s) of similar make, model and specification,subject to the Basis of Loss Settlement Cri-
teria as specified herein below.
                                           Age of Vehicle               % Admissible Claim Amount for Rim(s) and/or
                                                                                          Alloy(s)
                     Upto 1 year                                                           100%
                     Exceeding 1 year but not exceeding 2 years                             95%
                     Exceeding 2 year but not exceeding 3 years                             90%
                     Exceeding 3 year but not exceeding 4 years                             85%
                     Exceeding 4 year but not exceeding 5 years                             80%
                     Exceeding 5 Years                                                      60%
  TWO WHEELER POLICY - BUNDLED : ADD ON COVERS(Plan Name:Rim Safeguard And Drive Assure Basic):
                                                     POLICY WORDINGS
Note: Age of the vehicle shall be calculated from the date of first purchase as a new vehicle.
B. Specific Conditions
1) This cover will be provided only to the vehicles fitted with Tubeless Tyres or Run Flat Tyres.
2) The benefits under Rim Safeguard cover can be utilized only for a maximum of two (2) rim(s) or alloy(s)of the In-
sured Vehicle during the Policy Period.
3) If due to any reason whatsoever, You replace rim(s) and/or alloy(s) of the Insured Vehicle on Your own,it is Your
obligation to inform about such change with necessary details of the new rim(s) and/or alloy(s) including but not limited
to the identification number. It may be noted that the Company shall not be liable to any loss or damage to any wheel
rim and/or alloy whose identification number has not been informed to Us and not stated in the endorsement document.
4) Mid-term inclusion of this Add on cover shall not be allowed.
Subject otherwise to the terms, conditions, exceptions, exclusions and limitations of this Policy.
C. Specific Exclusions
We do not cover losses or expenses, or any loss, damage to the Rim(s) and/or Alloy(s), directly or indirectly, as a result
of or if caused by or arising from events, stated below:
1) For any excess mentioned in Schedule.
2) Loss or damage during waiting period as stated in Schedule.
3) Any loss or damage occurred prior to inception of the Policy.
4) Any damage to Rim(s) and/or alloys(s) of the Insured Vehicle fitted with tyres other than Tubeless Tyres or Run Flat
Tyres;
5) any loss or damage resulting as a consequence of Tyre pressure being lesser than the limit prescribed by the Vehicle
Manufacturer.
6) Any form of damage resulting from a collision or any accidental fire or theft damage to the Insured Vehicle.
7) Non damaged rims/and/or alloys for the purpose of matching a set of rims and/or alloys.
8) Where a loss is covered under manufacturers warranty or recall campaign or under any other such packages at the
same time.
9) Rim(s) and/or Alloy(s) with scratches, noise and vibrations that do not affect product function or performance and/or
damages which are consequential in nature.
10) Any loss or damage that results from modification, neglect of the periodic maintenance, normal wear and tear, oper-
ating methods not mentioned in the owners manual and approved by the manufacturers of Insured Vehicle.
11) Any loss or damage arising due to theft of Rims(s)/alloy(s) and/ or illegal activities and are fraudulent in nature and/
or resulting from hard driving due to race or rally.
12) Any expenses incurred, due to any reason whatsoever, in routine maintenance such as wheel alignment, wheel bal-
ancing and tyre rotation, of the Insured Vehicle.
13) Expenses related to personal injury or property damage arising due to damage of the Rim(s) or alloy(s) of the In-
sured Vehicle.
14) Any expenses incurred on towing, safe guarding and/or repair and replacement labour charges,consumables arising
out of damage to the Rim(s) or Alloy(s) of the Insured Vehicle.
15) Any loss or damage to suspension or any other part or accessories of the Insured Vehicle arising as a result of dam-
age to the Rim (s) or alloy(s) of the Insured Vehicle.
16) Any loss or damage arising as a result of poor workmanship at the time of manufacturing/ assembling/disas-
sembling and/or repair and / or due to improper storage and/or transportation.
17) Any loss or damage arising out of ageing, normal wear and tear, corrosion and/or oxidation of the Rim(s) and/or Al-
loy(s) of the Insured Vehicle.
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) Accident, Accidental : A sudden, unforeseen and involuntary event caused by external and visible means.
2) Company : Company shall mean Bajaj Allianz General Insurance Company Limited.
3) Insured Vehicle : The vehicle insured by Us under the Base Policy.
4) Policy/Base Policy/Motor Insurance Policy : Two Wheeler Policy - Bundled issued by Us to which this cover is exten-
ded.
5) Policy Period: The period between and including the commencement date and expiry date as shown in the Base Policy
Schedule.
6) Schedule: The Schedule and any Annexure or Endorsement to it which sets out Your personal details and the type of
insurance cover in force
7) We, Our, Us, Company: Bajaj Allianz General Insurance Company Limited.
8) You, Your, Yourself: The person We insure as set out in the Schedule.
   TWO WHEELER POLICY - BUNDLED : ADD ON COVERS(Plan Name:Rim Safeguard And Drive Assure Basic):
                                                     POLICY WORDINGS
E. CANCELLATION
Cancellation conditions of the add-on cover will be identical to the cancellation conditions in Base Policy to which the
add-on cover is attached
Subject otherwise to all other terms conditions and exclusions of the Base Policy.