Date:01/09/2016
Policy Number: FPV/S4767282/41/07/003954
MR S M SUDHEER KUMAR
CHUNDURU
18 306 MALIKARJUNA To update your contact
NAGAR details, kindly call
MALKAGIRI 1 800 103 2292
9505589555
support@corporateinsuraneservice.com
Dear MR S M SUDHEER KUMAR CHUNDURU,
We thank you for choosing Bharti AXA General Insurance.
Your Smart Drive Private Car Insurance Policy(S4767282) is enclosed. The terms, conditions, guidelines and other relevant details of your insurance coverage are available in the
enclosed policy document.
Bharti AXA General Insurance is amongst the fastest growing multi-line general insurance companies in India. We are the first GI company in India to be both ISO9001:2008 and
ISO27001:2005 certified in our first year of operations.
Our bouquet of products is designed to cover all your insurance needs: from Health insurance, Motor insurance, Personal Accident Insurance, Home insurance to other insurances
pertaining to your business.
To know more about our product range or to buy online, kindly visit www.bharti-axagi.co.in
In order to assist you and service you better, we provide
Tie-up with 2000+ garages & over 4300 Hospitals across India that offer cashless facility
24x7 claims assistance
A quick and hassle free claim settlement process
Visit us at www.bharti-axagi.co.in to know more. We take pride in going the extra mile in our service and look forward to a lasting relationship.
Should you require any assistance or clarification on your insurance or any information pertaining to our other products, you can call us on 1 800 103 2292 or get in touch with
SHANKAR PADMANABHAN(41002484) at 08040260100
Warm Regards,
Authorized Signatory
Registered Office Address:
Bharti AXA General Insurance Co. Ltd.
1st Floor, Ferns Icon, Survey No. 28,Doddanekundi,
Bangalore – 560037.Tel: 080 40260100 Fax: 080 40260101
Insurance is the subject matter of solicitation.WL/PA/01-14
Bharti AXA GENERAL INSURANCE COMPANY LTD
1st Floor, Ferns Icon, Survey No.28, Doddanakundi, Bangalore 560037. INDIA. IRDA Regn.No.139
Tel: 080 40260100 Fax: 80 40260101 Email: Customer.service@bharti-axagi.co.in
For redressal of your grievance, if any, you may approach any one of the offices- 1.Policy issuing office 2.Corporate Office. In case, you are not satisfied with our own grievance redressal mechanism; you may
also approach Insurance Ombudsman. Details of Insurance Ombudsman offices are available at IRDA website: www.irda.gov.in, or on the website of General Insurance Council: www.gicouncil.in or on the
company website www.bharti-axagi.co.in
Smart Drive Private Car Insurance Policy, CERTIFICATE OF INSURANCE AND SCHEDULE, NEW BUSINESS,
Pride Quadra No-30 3rd Floor Bellary Road Hebbal, Bangalore- 560024 PH No.+91 80 43476000
ORIGINAL
Form 51 of the Central Motor Vehicle Rules ,1989
Certificate / Policy No : FPV/S4767282/41/07/003954 Account Number : 41002484
Policy type : Private Car - COMPREHENSIVE INSURANCE POLICY
Period of Insurance : From 00:00 Hours on 10/07/2016 To Midnight on 09/07/2017
Premium Paid (incl. S. Tax) : INR 18314.33
: MR S M SUDHEER KUMAR CHUNDURU
Policy holder's Name
:
Address : 18 306 MALIKARJUNA NAGAR
: MALKAGIRI
:
: HYDERABAD 500047
: TELANGANA
Under Hire purchase/Hypothecation/Lease with : Agent Details
Geographical Area : Agent Name : SHANKAR PADMANABHAN
Tel No - Mobile No: 08040260100
Regn.No : TS083N0377 Place of Regn : RANGAREDDY / Uppal Kalan / Ibrahimpatnam
Make / Model : HYUNDAI - I20 - SPORTZ 1.2
Year of Manufacture : 2015 Body Type :
Seating Cap. (Incl.Driver) :5 Engine C.C : 1197
Public / private Carrier : Private Car
Chassis No. : MALBM51BLFM125076F Engine No. : G4LAFM716590
IDV of the Vehicle : 565000
Bi-Fuel(CNG/LPG) :
Non Electrical Accessories :
DEPRECIATION COVER : INR 100%
Total Insured Declared Value of the Vehicle : INR 565000.0
Schedule of Premium
A)Own Damage Premium B) Liability premium
Premium for (Vehicle and non Electrical Accessories) : INR 18029.15 Basic : INR 2237
CNG/LPG Kit (IMT 25) : TPPD :
Anti Theft Discount (IMT 10) : Comp. PA : INR 100
AAI Discount : INR 0 No. of Passengers :5
Handicap Discount (IMT 12) : INR 0 Add: legal Liability to paid Driver as per Endt. IMT 28 : INR 0
NCB % :
Load /Discount : INR -8113
CNG/LPG (IMT 25) : INR 0
Add On Cover Premium
CONSUMABLES COVER : INR 847.5
DEPRECIATION COVER : INR 2825
A. Total Own Damage premium : INR 13588.5 B. Total Liability Premium : INR 2337.0
Net Annual
: INR 15925.5
Premium (A+B)
Service Tax @ 14% : INR 2229.57
Swachh Bharat Cess @ 0.5% : INR 79.63
Krishi Kalyan Cess @0.5% : INR 79.63
Total Annual Premium : INR 18314.33
Driver's clause: Persons or Classes of person 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 Vehicle Rules, 1989
Limitation 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 of personal luggage)
c)Organised Racing d)Pace Making
e)Speed Testing f)Reliability Trail
g)Use in connection with Motor Trade.
Limits of Liability
Under Section II-1 (i) of the policy (Death or bodily injury) : such amount as is necessary to meet the requirements of the Motor Vehicles Act, 1988.
Under Section II-1 (ii) of the policy
(Damage to third party Property) : INR 750000
P.A Cover for Owner - Driver Under Section
III: CSI : INR 200000
Deductable under Section-I
Compulsory Deductable : INR 1000
Name of Nominee : V A G PRASHAD Age of Nominee : 58
Driver Nominee Relationship : FATHER Name of Appointee : SUDHEER
Appointee Nominee Relationship : SON
Subject to Indian Motor Tariff Endorsement (nos)
IMT21-I102-I067-
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. In witness of this policy has
been signed at _______________ on _______________ in lieu of covernote no. dated
Receipt No. : 1876924
Service Tax Registration no. : AADCB2008DST001
BHARTI AXA GENERAL INSURANCE COMPANY LTD.
Authorized Signatory
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's Act , 1988 is recoverable from the insured. See the clause headed "AVOIDANCE OF CERTAIN TERMS AND RIGHT OF RECOVERY"
The Schedule, the attached Policy 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.
Issued By - SHANKAR PADMANABHAN On 04/06/2016
This motor policy is generated and issued online therefore the stamp duty payable on this policy is paid separately.
Bharti AXA GENERAL INSURANCE COMPANY LTD
1st Floor, Ferns Icon, Survey No.28, Doddanakundi, Bangalore 560037. INDIA. IRDA Regn.No.139
Tel: 080 40260100 Fax: 80 40260101 Email: Customer.service@bharti-axagi.co.in
For redressal of your grievance, if any, you may approach any one of the offices- 1.Policy issuing office 2.Corporate Office. In case, you are not satisfied with our own grievance redressal mechanism; you may
also approach Insurance Ombudsman. Details of Insurance Ombudsman offices are available at IRDA website: www.irda.gov.in, or on the website of General Insurance Council: www.gicouncil.in or on the
company website www.bharti-axagi.co.in
