Auto Secure Private Car Package Policy

Name : CELLCOMM SOLUTIONS LTD Date : 01/07/2024

Address : MAHALAKSHMI LAYOUTBENGALURU,BENGALURU­ Your Policy Details :
560096
MUMBAI ­ 400012 Policy Number : 0164335438 00 00
MUMBAI Policy Period : From 10/07/2024 to. Midnight Of 09/07/2025
MAHARASHTRA Premium Paid : 11,096.00
INDIA

Dear CELLCOMM SOLUTIONS LTD,

Welcome to Tata AIG General Insurance Company Limited’s family & we thank
you for choosing our Auto Secure Private Car Package Policy for your vehicle
insurance.

We are enclosing Policy schedule cum certificate of insurance of your vehicle.

You are requested to visit our website www.tataaig.com for policy wording.

We would like to inform you that policy has been issued based on the
information and declaration provided by you. No Claim Bonus (NCB) if shown
on your policy schedule has been allowed as you had not reported any claim
in the previous policy.

Kindly go through the enclosed information/declaration provided by you and in

case your policy shows No Claim Bonus, for which you are not entitled as
explained above or any other error/discrepancy then we request you to get in
touch with us within 15 days of receipt of the policy for correction otherwise
all particulars will be deemed to be correct.

You may reach us at our 24*7 helpline 1800 266 7780 for providing any
information or in case you desire to have a printed copy of policy wording.

We, thank you once again, for choosing Tata AIG General Insurance Company
Limited for insuring your vehicle. We assure you of our best of services at all
times. Happy driving!

Sincerely,
For Tata AIG General Insurance Company Limited

Authorized Signatory

TATA AIG General Insurance Company Ltd. Regd. Office: 15th floor, Tower A, Peninsula Business Park,Ganpatrao Kadam Marg, Off Senapati Bapat Marg, Lower Parel, Mumbai­ 400 013.
IRDA Registration No.108, CIN No : U85110MH2000PLC128425, PAN : AABCT3518Q, UIN No.: IRDAN108RP0002V01200001
Website: www.tataaig.com 24X7 Tollfree Helpline 1800­266­7780 E­mail: customersupport@tataaig.com
 ^Premium mentioned covers Self and Family and is Inclusive of All Applicable Taxes, Conditions apply.

#Premium mentioned is Inclusive of All Applicable Taxes, Conditions apply.

*Tax benefit under section 80D of Income Tax Act 1961. Tax benefits are subject to changes in tax laws. If one purchases a health insurance policy for
self/spouse/children, he/she can claim a tax deduction of upto 25000. When one purchases a health insurance policy for parents (a senior citizen), he/she is
eligible for an additional tax deduction benefit upto 30000.

Purchase of Tata AIG General Insurance Company Limited products are purely on voluntary basis. Insurance is the subject matter of the solicitation. For more
details on risk factors, terms and conditions please read sales brochure carefully before concluding a sale.

Accident Guard Policy UIN: IRDA/NL­HLT/TAGI/P­P/V.I/195/13­14 MediPrime UIN:IRDA/NL­HLT/TAGI/P­H/V.I/34/13­14 Homesecure (Householders) Instachoice
Policy for health component i.e. Personal Accident cover UIN: 53/IRDAI/HLT/TAGI/NL­PACKAGE/2015­16

TATA AIG General Insurance Company Ltd. Regd. Office: 15th floor, Tower A, Peninsula Business Park,Ganpatrao Kadam Marg, Off Senapati Bapat Marg, Lower Parel, Mumbai­ 400 013.
IRDA Registration No.108, CIN No : U85110MH2000PLC128425, PAN : AABCT3518Q, UIN No.: IRDAN108RP0002V01200001
Website: www.tataaig.com 24X7 Tollfree Helpline 1800­266­7780 E­mail: customersupport@tataaig.com
 Certificate Of Insurance and Policy Schedule Form 51 of the Central Motor Vehicle Rules, 1989

Agent/Broker/Producer Name: ADITYA BIRLA INSURANCE BROKERS LTD

Agent/Broker License Code: 146; Agent/Broker Contact No.: 02222058770(mobile or landline)
Certificate & Policy No.: 0164335438 00 00 Policy Type: Auto Secure ­ Private Car Package Policy
Period of Insurance: From 00:00 Hrs on 10/07/2024 Date of Expiry To midnight of 09/07/2025
Premium (Inclusive of All
Insured Name & Address: 11,096.00
Applicable Taxes)
CELLCOMM SOLUTIONS LTD Insured Business/Profession: N/A
MAHALAKSHMI LAYOUTBENGALURU,BENGALURU­ 560096 Geographical Area: India
MUMBAI ­ 400012 Registration Authority: BANGALORE EAST (INDIRANAGAR)
MUMBAI HPA / Hyp / Lease to: N/A
MAHARASHTRA
INDIA
Place of supply ­MAHARASHTRA
State code ­27

Seating
Registration No. Make & Model Engine No. Chassis No. CC/KW Mfg. Year Body Type
Capacity
HONDA BRIO ­ 1.2 VX
KA 03 MW 0958 L12B34010505 MAKDD185EFN301993 1198 2015 SALOON 5
AT
IDV of Vehicle IDV of trailers Bi­Fuel/CNG/LPG IDV of non­built­in Accessories( ) Total Insured Declared
() () Kit( ) Electrical Non­Electrical Values(IDV) ­ ( )
232186.5 0 0 0 0 232186.5
SCHEDULE OF PREMIUM
A. OWN DAMAGE B. LIABILITY
Premium on Vehicle and non electrical accessories 2,501.08 Basic 3,416.00
Less : 20% for NCB 500.22 Add : Legal Liability to paid driver as per (IMT 28) 50.00
A. TOTAL OWN DAMAGE PREMIUM 2,000.86 PA cover to unnamed passengers (IMT 16) No. of Passengers : 5 CSI per
250.00
Add: Key Replacement (Sum Insured :(SI) 25,000.00 per occurrence limit passenger: 100,000.00
425.00
50% of SI) (TA15) B. TOTAL LIABILITY PREMIUM 3,716.00
Add: Loss of Personal belonging (TA 09) COMPREHENSIVE PREMIUM(A+B+C) 9,404.20
180.00
Sum Insured : 10000 NET PREMIUM 9,404.00
Add: Consumables Expenses(TA 18) 580.47 UGST/SGST @9 % 846.00
Add: Emergency transport and hotel expenses (TA 10) CGST @9 % 846.00
Any One Accident : 5000 180.00
TOTAL PREMIUM 11,096.00
Any One Year : 10000
Add: Depreciation reimbursement (TA 01) 1,393.12 Road Side Assistance 136.00
Add: Engine Secure (TA16) 928.75 (Inclusive of All Applicable Taxes)
C. TOTAL ADD ON PREMIUM 3,687.34
Drivers Clause: Persons or classes of persons entitled to drive: 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.
Limitations as to Use: 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
Limits of Liability: Under Section II ­1 (i) of policy (Death of or bodily injury): Such amount as is I/we hereby certify that the Policy to which this Certificate relates as
necessary to meet the requirements of the Motor Vehicles Act, 1988. well as this Certificate of Insurance are issued in accordance with
Under Section II ­1 (ii) of policy (Third Party Property Damage): 7,50,000.00 provisions of Chapter X and XI of Motor Vehicles Act,1988.
Under Section III : PA Owner Driver Capital Sum Insured:0/­ based on Insured's declaration that he/she In witness whereof this Policy has been signed at ANDHERI EAST on
is not holding any valid Driving License and thus not eligible for Compulsory Personal Accident cover for 01/07/2024
Owner Driver. Receipt No.(s): 102001076728418 01/07/2024
Stamp Duty of 0.50/ ­ is paid as provided under Article 47­B of
Number of claims covered under Depreciation Reimbursement Cover :2 Indian Stamp Act, 1899 and included in Consolidated Stamp Duty
Basis of claim settlement for Tyre Secure cover :0 Paid to the Government of Maharashtra Treasury vide Order of
Addl. Controller Of Stamps, Mumbai at General Stamp Office, Fort,
Mumbai ­ 400001., vide this Order No.
LOA/ENF1/CSD/13/2024/2289 Validity Period Dt.30/05/2024 To
Dt.09/05/2027/2289 Date:10/05/2024
This policy does not cover pre­existing damages as per Inspection photographs and Report For Tata AIG General Insurance Company LTD.
Deductible Under Section ­ I : 1,000.00 ­ (Compulsory Deductible : 1,000.00, Voluntary Deductible:
0.00,Imposed Excess: 0.00)Franchisee: 0.00
Deductible Engine Secure ­ 5% of claim amount in case of repair and 10% of claim amount in case of
replacement
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), as follows: The preceding year ­ Authorized Signatory
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 will only be
allowed provided the policy is renewed within 90 days of the expiry date of the previous policy.
Subject to: A) IMT Endorsement No.: 16,22,28
B) TATA AIG Auto Secure endorsement No.(TA): 01, 08, 09, 10, 15, 16, 18, 19
GSTIN : 27AABCT3518Q1ZW ­ MAHARASHTRA Service Accounting Code : 997134
Policy Servicing Office : SUMIT BUSINESS BAY, UNIT NO.524, ANDHERI KURLA ROAD,, ADJACENT TO CINEMAX AND WEH METRO
TATA AIG General Insurance Company Ltd. Regd. Office: 15th floor, Tower A, Peninsula Business Park,Ganpatrao Kadam Marg, Off Senapati Bapat Marg, Lower Parel, Mumbai­ 400 013.
IRDA Registration No.108, CIN No : U85110MH2000PLC128425, PAN : AABCT3518Q, UIN No.: IRDAN108RP0002V01200001
Website: www.tataaig.com 24X7 Tollfree Helpline 1800­266­7780 E­mail: customersupport@tataaig.com
STATION,,MUMBAI,MAHARASHTRA,MUMBAI­400069, Tel No:91­91­2101551677, Fax No:91­91­2101551631
For Roadside Assistance, Please contact on 18005724029
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 Vehicles Act, 1988 is recoverable from the Insured. See the clause headed 'AVOIDANCE OF CERTAIN TERMS AND RIGHT OF RECOVERY'.
Note :This Schedule, Policy terms and conditions available on company website and Endorsements mentioned herein above shall read together and word or expression to which a specific meaning has been attached in any part of this Policy or
of the Schedule shall bear the same meaning wherever it may appear. Any amendments/modifications/alterations made on this system generated policy document is not valid and Company shall not be liable for any liability whatsoever arising
from such changes. Any changes required to be made in the policy once issued, would be valid and effective, only after written request is made to the Company and Company accepts the requested amendments/modifications/alterations and
records the same through separate endorsement to be issued by the Company. You are advised to go through the policy schedule cum certificate of insurance which is issued based on your declaration and if any error/ discrepancy is found in
respect of vehicle details, No Claim Bonus or any other material information, it should be brought to our notice within 15 days of receipt of this policy for necessary correction along with the supporting documents, otherwise it will be deemed
correct. You may visit company website at www.tataaiginsuarance.in for detailed benefits, terms & conditions & exclusions of the policy. You may also reach us at our 24*7 helpline 1800 266 7780 in case you desire to have a printed copy of
policy wording. Our grievance redressal procedure and details about ombudsman is also available in our policy wording. 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. We will specifically seek confirmation on No Claim Bonus availed by you from your previous insurer. In case we receive confirmation that you had lodged claim with them
then we will forfeit all the benefits under section I i.e. own damage section of the policy.

TATA AIG General Insurance Company Ltd. Regd. Office: 15th floor, Tower A, Peninsula Business Park,Ganpatrao Kadam Marg, Off Senapati Bapat Marg, Lower Parel, Mumbai­ 400 013.
IRDA Registration No.108, CIN No : U85110MH2000PLC128425, PAN : AABCT3518Q, UIN No.: IRDAN108RP0002V01200001
Website: www.tataaig.com 24X7 Tollfree Helpline 1800­266­7780 E­mail: customersupport@tataaig.com
 RECEIPT

Receipt No. : 102001076728418 Receipt Date : 01/07/2024

Policy No : 0164335438 00 00

Received with thanks from CELLCOMM SOLUTIONS LTD a sum of 11,232.00 ( Rupees Eleven Thousand Two Hundred Thirty Two And Paise Zero Only)
vide Card no. XXXXXXXXXXXX9999

Sr. Policy Utilized from the receipt for

Total Premium ( ) Balance ( )
No. Number policy ( )
1 0164335438 00 00 11,232.00 11,232.00 0.00

Note:
1. This is a computer generated receipt and does not require a signature.
2. Upon issuance of this Receipt, all previously issued temporary receipts, if any, related to this Policy shall be considered null and void.
3. Amounts received by cheque shall be subject to realisation.
4. Any amount received in excess of the Premium is being/shall be refunded by the Company.

GSTIN : 27AABCT3518Q1ZW ­ MAHARASHTRA Service Accounting Code : 997134

Revenue (consolidated) Stamp Duty duly paid vide challan No.LOA/ENF1/CSD/25/2023/5069 date 18/12/2023 for applicable cases.

TATA AIG General Insurance Company Ltd. Regd. Office: 15th floor, Tower A, Peninsula Business Park,Ganpatrao Kadam Marg, Off Senapati Bapat Marg, Lower Parel, Mumbai­ 400 013.
IRDA Registration No.108, CIN No : U85110MH2000PLC128425, PAN : AABCT3518Q, UIN No.: IRDAN108RP0002V01200001
Website: www.tataaig.com 24X7 Tollfree Helpline 1800­266­7780 E­mail: customersupport@tataaig.com
1. Name (Registered Owner of the Motor Vehicle)*: CELLCOMM SOLUTIONS LTD

2. Address for : MAHALAKSHMI LAYOUTBENGALURU,BENGALURU­ 560096

Communication* MUMBAI ­ 400012
MUMBAI
MAHARASHTRA
INDIA

3. Vehicle Details: Please refer policy schedule cum certificate.

4. Vehicle Purchased is 5. Vehicle Type: Indigenous

6. Fuel Type: Petrol

7. Insured’s Declared Value ­ Please refer policy schedule cum certificate.

8. Previous Insurance Particulars*:

Policy Number*: 0164250033 Date of Expiry*: 09/07/2024 Type of Cover: PackageComprehensive

Name of the Insurer*: TATAAIG

Accident in the previous policy period: No NCB in previous policy: 0 NCB claimed: 20

9. Period of Insurance Desired from*:10/07/2024 to midnight of 09/07/2025

10. Financier’s Details: Please refer policy schedule cum certificate.

11. Extra Benefits opted

Un­Named Persons Personal Accident Cover for seating capacity, including driver: CSI 100000

Wider Legal Liability to Paid Driver (As per Workmen’s Compensation Act, Fatal Accident Act & Common Law) : N/A

PA Owner Driver Capital Sum Insured:0/­ based on Insured's declaration that he/she is not holding any valid Driving License and thus not eligible for Compulsory Personal
Accident cover for Owner Driver.

12. Restriction of Cover/Discounts/Concessions/Extended Covers

Name of Automobile: Membership no

Third Party Property Damage Cover restricted to 6,000/ only: No

Is Voluntary Deductible opted NO Amount of Deductible opted : N/A

Vehicle is fitted with Anti Theft Device approved by ARAI : No

13. Add on covers ­ Please refer policy schedule cum certificate.

14. Bank Details (Required for Refund / Claims)

Name of the Account Holder: CELLCOMM SOLUTIONS LTD

Name of Bank & Branch:N/A , N/A Account Number:N/A IFSC Code of Bank: N/A

15. Declaration for No Claim Bonus (If NCB Confirmation is not submitted but NCB claimed)

I/We declare that the rate of NCB claimed by me/us is correct and that NO CLAIM has arisen in the expiring Policy Period (Copy of Policy enclosed). I/We further undertake that
if this declaration is found incorrect all benefits under the Policy in respect of Section­1 of the Policy will stand forfeited.

16. I hereby give my consent to receive one page insurance policy.

17. AML Guidelines:

1. I/we hereby confirm that all premiums have been/will be paid from bonafide sources and no premiums have been/will be paid out of proceeds of crime related to any of the
offence listed in Prevention of Money Laundering Act, 2002.
2. I understand that the Company has the right to call for documents to establish sources of funds.
3. The insurance company has right to cancel the insurance contract in case I am/have been found guilty by any competent court of law under any of the statutes, directly or
indirectly governing the prevention of money laundering in India.

TATA AIG General Insurance Company Ltd. Regd. Office: 15th floor, Tower A, Peninsula Business Park,Ganpatrao Kadam Marg, Off Senapati Bapat Marg, Lower Parel, Mumbai­ 400 013.
IRDA Registration No.108, CIN No : U85110MH2000PLC128425, PAN : AABCT3518Q, UIN No.: IRDAN108RP0002V01200001
Website: www.tataaig.com 24X7 Tollfree Helpline 1800­266­7780 E­mail: customersupport@tataaig.com