IFFCO Tokio General Insurance Company Limited.

Servicing Office : 1st & 2nd Floors, Sohan Singh Complex, Shastri Nagar, LUDHIANA, PUNJAB (State Code:03) -
141005
Motor Commercial Vehicle Package Policy UIN --IRDAN106P0005V01200001
Certificate Cum Policy Schedule (FORM 51 OF THE CENTRAL MOTOR VEHICLE RULES, 1989)
PAN :AAACI7573H GSTIN: 03AAACI7573H2ZL CIN :U74899DL2000PLC107621 IRDAI Reg:106

Policy No: HIB/56259093 Proposal No. & Date: HIIB13076349, 28-DEC-2024

Policy Issued On: 28-DEC-2024 17:09 HRS Previous Policy No.: 80000031230360015961
Insured Name: MR. CHARANJEET SINGH Previous Insurer: The New India Assurance Company Limited.
Period of Own Damage : 03-JAN-2025 (00:00) To 02-JAN-2026 (1 YEAR)

Insured Address: H.NO-C-195 BHUMAN SHAH BASTI Period of Liability Cover: 03-JAN-2025 (00:00) To 02-JAN-2026 (1 YEAR)
PUNJAB
JALALABAD , FIROZEPUR , (State Code:03) - Period of Compulsory 03-JAN-2025 (00:00) To 02-JAN-2026 (1 YEAR)
Personal Accident Cover:
Customer Type PAN GSTIN Name Age (Yr.) Relation
Customer Details Nominee Details
INDIVIDUAL XXXXX5216J NA MANPREET 23 BROTHER

Vehicle Details
Make Model Variant Cubic Capacity Manufacturing Year Seating capacity
HYUNDAI AURA 1.2MT CNG SX 1197 2023 5
Body Type Registration No. RTO Hypothecation/Lease* Fuel Type VIN/Chassis No.
SALOON PB 01 E 2289 FIROZPUR YES PETROL+CNG MALB341CLPM250678
Vehicle IDV Electrical Accessories Non-Electrical Accessories BI Fuel Kit Total IDV Engine No
770,000 0 0 0 770,000 G4LAPM807056

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

Basic Own Damage Premium Basic Third Party Liability Premium 11,852
Vehicle 10,322 Bi-Fuel Kit 60
Non-Elec. Accessories (IMT-24) 0 Geographical Area Extension (IMT-1) 0
Elec. Accessories (IMT-24) 0 Sub Total (Third Party Liability) 11,912
Bi-Fuel Kit (IMT-25) 516 Personal Accident (PA) Cover
Geographical Area Extension (IMT-1) 0 Compulsory PA Cover for Owner Driver Rs 1500000 (IMT-15) 330
IMT 23 Premium 0 PA Cover for 0 Unnamed Passengers Rs 0 Each (IMT-16) 0
Sub Total (Basic Premium) 10,838 PA cover for Paid Driver of Rs 2 Lac (IMT-17) 0
Discount/Deductibles Sub Total PA Cover 330
Voluntary Deductibles (0) (IMT-22A) 0 Legal Liability
Anti Theft Device (IMT-10) 259 Paid Driver (IMT-40) 0
AA Membership (IMT-8) 0 Employees (for 0 persons) (IMT-29) 0

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

Handicapped Discount (IMT-12) 0 Net Liability Premium (B) 12,242

Sub Total (Deductibles) 259 Total Premium (A+B) 27,155
Total Own Damage Premium 10,579 SGST(9%) 2,444
Add On Coverages ( ZD,CM,KP ) 4334 CGST(9%) 2444
Net Own Damage Premium (A) 14,913 Gross Premium Paid 32,043
Add-on Cover Opted in the Policy: Zero Depreciation(IRDAN106A0015V01200910), Consumables(IRDAN106RP0005V01200607/A0018V01202223), Key Protect
(IRDAN106RP0002V01201920/A0003V01202223)
Notes: 1. Consolidated Stamp Duty deposited as per the order of Government of National Capital Territory of Delhi
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: India
during the subsistence of the Policy.
5.The policy is subject to compulsory deductible of INR 500
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 .iffcotokio.co.in
*Hypothecation Details: AU SMALL FINANCE BANK LTD - fazilka - FAZILKA Payment Mode: CUSTOMER ONLINE
Limitations as to use:�The Policy covers use only under a permit within the meaning of the Motor Vehicles Act, 1988. falling under the Sub sector 3 of the Section 66 of Motor Vehicles Act 1988. The
Policy covers use of the vehicle for any purpose other than: a) Organised Racing b) Use while drawing a Trailer, except the towing(other than for reward) of any one disabled mechanically propelled
vehicle c) Pace Making d) Reliability Trial e) Speed Testing.
Driver's Clause: Any person including 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 learners 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 Clause: Under Section II - 1(i) of the Policy - Death 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 - Rs.7.5 Lakhs P.A. Cover for the Owner cum Driver Under Section IV (CSI)- Rs. 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 .iffcotokio.co.in/contact-us/customer-services/grievance-redressal 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 : PUNJAB(State Code : 03), Insurer Invoice Number : HIB/56259093
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) IFFCO Tokio General Insurance Company Limited.
Haryana 122001
Broker Code: 822 (Valid UPTO:30/05/2025) MISP NAME-GROVER AUTOMOBILES
CIN No.: U67200HR2021PTC098982 PRIVATE LIMITED
GST: 06AAGCH0310P1ZP MISP CODE-HIIB-MHY-0147
Email ID: connect@hiib.in DP NAME-MONIKA MEHRA
Contact No: 0124-6833000
Authorized Signatory
For Claims, Policy Servicing & Renewal, Kindly contact (GROVER HYUNDAI) at +91-8248412692