Cholamandalam MS General Insurance Company Limited
Registered Office: 2nd Floor, "Dare House" No.2, NSC Bose Road, Chennai - 600 001.
Toll Free: 1800 208 5544 | Ph: 044 4044 5400 | Fax: 044 4044 5500 |
E-mail: customercare@cholams.murugappa.com | www.cholainsurance.com
PAN AABCC6633K CIN: U66030TN2001PLC047977 IRDAI Regn. No.123
Policy Schedule cum Certificate of Insurance
Chola Standalone Own Damage Policy for Private Car UIN IRDAN123RP0002V01201920
Policy cum Certificate Number 3407/00213197/000/00 Period of Insurance: From 00:00 hrs. on 08/12/2024 To: Midnight of 07/12/2025
Name & Communication Address: Registration Address:
CHOLAMANDALAM INVESTMENT AND FINANCE C54 AND 55 SUPER B-4, CHOLA CREST, THIRU VI KA INDUSTRIAL
C54 AND 55 SUPER B-4, CHOLA CREST, THIRU VI KA INDUSTRIAL ESTATE ESTATE , KOCHAR BLISS, GUINDY,
, KOCHAR BLISS, GUINDY, DEFENCE OFFICER S COLONY S.O,CHENNAI,TAMIL NADU, PIN -
DEFENCE OFFICER S COLONY S.O,CHENNAI,TAMIL NADU, PIN - 600032
Business/ Profession: Organisation Mobile: 9841826972 Landline: Mail:ananthrv@chola.murugappa.com
Customer ID 190000798619 EIA Date of Registration 10/12/2023 Place of Registration CHENNAI WEST
GSTIN 33AAACC1226H1ZB Geographical Area: India Financier Name
Nominee Name Nominee Relationship Financier Address
PARTICULARS OF VEHICLE INSURED
Registration Mark TN09DE4620 Engine Number K15CN9370252 Chassis Number MA3RYHK1SPL332293
Type of Body SUV Vehicle Colour Licensed Carrying Capacity 5
Make MARUTI SUZUKI Model BREZZA Variant 1.5 VXI BSVI Year of Mfg 2023 Cubic Capacity 1462
Fuel used PETROL Total Seating Capacity including Driver 5 Contract No
Non-Electrical
For Vehicle 8,70,461 0
IDV (Insured's Accessories
Declared Value) in
Electrical/Electronic
Rupees (Rs.)
Accessories 0.00 Value of CNG/ LPG kit 0.00 Total Value 8,70,461
Details of Motor Third Party Insurance Policy covering the vehicle insured under this Policy
Name of Insurer CHOLA MS Policy Number 3404/00025687/000/00 Start Date 08/12/2023 End Date 07/12/2026
The coverage hereunder is only for Own Damage of the vehicle insured under this policy. No other liability in connection with the vehicle
including Third party liability for Personal injury / Property damage is payable under this Policy.
PREMIUM COMPUTATION TABLE
Sum Insured Premium Sum Insured Time Premium
A. OWN DAMAGE (Rs.) IMT B. ADD-ON COVER (Rs.) Options Excess
(Rs.) (Rs.)
Basic - OD 8,70,461.00 28,577.00 Consumables Cover for 910
Standalone Private Car OD
Total Own Damage Premium 28,577.00 Hydrostatic lock cover for 1150
Experience Based Discount 24,290.00 Standalone Private Car OD
Waiver of Depreciation for 100 5223
Sub Total(Discounts) 24,290.00 Standalone Private Car OD
ADD-ON COVERS 7283
Total 24,290.00 PREMIUM
4,287.00 Total Premium (B) 7283
TOTAL PREMIUM (A)
TOTAL PREMIUM (A+B) 11570
CGST(9%) 1,041.50
SGST(9%) 1,041.50
IGST(0%) 0.00
TOTAL AMOUNT Rs. 13,653.00
E-Invoice Declaration ''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 (E-Invoice), we are not required to prepare an invoice in terms of the provisions of the said
sub-rule and also as per Notification No. 13/2020-CT dated 21-03-2020.'' This policy schedule shall be in lieu of Tax Invoice and hence no separate
GST invoice required in compliance with Rule 54(2) of CGST Rules, 2017.
Refer our Website for the Policy/Add-on wording and the Ombudsman list. For claims Assistance Contact Toll Free:1800 208 5544 SMS CHOLA to 56677|
Visitwww.cholainsurance.com | Email customercare@cholams.murugappa.com. Disclaimer: The Company may contact you for matters related to your
policy or to provide details of products & services offered. To opt out from the facility, please register under Do Not Call section on our website.
Cholamandalam MS General Insurance Company Limited
Registered Office: 2nd Floor, "Dare House" No.2, NSC Bose Road, Chennai - 600 001.
Toll Free: 1800 208 5544 | Ph: 044 4044 5400 | Fax: 044 4044 5500 |
E-mail: customercare@cholams.murugappa.com | www.cholainsurance.com
PAN AABCC6633K CIN: U66030TN2001PLC047977 IRDAI Regn. No.123
Policy Schedule cum Certificate of Insurance
Chola Standalone Own Damage Policy for Private Car UIN IRDAN123RP0002V01201920
Consolidated Stamp Duty Paid Vide G.O. Rt No.397, Commercial Taxes and Registration (j1) Department,Tamil Nadu dated 24/05/2024
Subject to I.M.T. Endt. Nos. and Memorandum:22
Compulsory deductible under Section 1 Rs. 1000
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.
1. As per Sec 147 of MV Act issued policy the premium received only to an extent of liability fixed by IRDA/Central Govt
2. Sec 150 (2) (b) that the policy is void on the ground that it was obtained by, nondisclosure of any material fact or by representation of any fact which was,
false in some material particular;
i. Or
ii. (c) that there is non-receipt of premium as required under section 64VB of, the Insurance Act, 1938.
3. No Application for compensation shall be entertained unless it is made within 6 Months from the date of occurrence of the Accident
4. No Sum shall be payable by an Insurer incase a person driving the vehicle does not have a valid driving license or is under the influence of Alcohol or
Drug.
DRIVER 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 as amended from to time.
Warranties: It is hereby warranted that the coverage under this Policy commences only from the Risk Start time and Date as mentioned
in the Policy schedule. No Liability shall attach under this Policy in respect of any Accident/Loss prior to the time and date of commencement of Period
of Insurance. If this policy is preceded by break-in insurance, it is expressly agreed and understood that there will be no liability for any loss or damage that
has occurred prior to the date of commencement mentioned in the schedule.Coverage under this policy is subject to realisation of premium cheque(s).
In case of dishonor of cheque(s), no separate intimation will be given and the policy stands cancelled from inception.
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 - 20 % No Clam is made or pending during the Preceding Two consecutive years- 25 % No claim is made or pending during the Preceding
Three consecutive years-35 % No claim is made or pending during Preceding Four consecutive years-45 % No claim is made or pending during the
Preceding Five consecutive years-50%. No Claim Bonus will only be allowed provided the policy is renewed within 90 days of the expiry date of the previous
policy.Warranted that NCB under this Policy is based on representation regarding NCB and absence of claim under the previous Policy. If the information be
found incorrect or false in any aspect, this Policy shall be void ab initio and no benefit shall be payable by the company.
PUC: 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, during the
subsistence of the Policy.
NOTE:The Policy Schedule CUM Certificate of Insurance is an important document issued based on your declaration.We request you to verify the details
and ensure that everything is in order. In case of any discrepancies, please contact us within 15 days from the date of issuance of policy.
Grievance Clause: For resolution of any query or grievance, you may contact the respective branch office of the Company or may call 1800 208 5544 or
may write an email to customercare@cholams.murugappa.com.If you are not satisfied with the response of the office, you may email to Grievance Officer at
GRO@cholams.murugappa.com.In the event of unsatisfactory response from the Grievance Officer, you may, subject to vested jurisdiction, approach the
Insurance Ombudsman for the redressal of grievance.Details of the offices of the Insurance Ombudsman are available at IRDAI website www.irdai.gov.in or
General Insurance Council https://www.cioins.co.in/Ombudsman or on company website www.cholainsurance.com.
Intermediary Name: DIRECT-CHENNAI MG Code: 2004519488710001 Contact No.: 4430985800
Business Location: CHENNAI MG
GST Invoice No. 2024113300573452 GSTIN: 33AABCC6633K1ZQ SAC Code: 997134 SAC Description:Motor vehicle insurance services
Place: CHENNAI Date: 25/11/2024 for Cholamandalam MS General Insurance Company Limited
Receipt No. 10028961 Receipt Date: 25/11/2024
Signature Not Verified
Signed by: DS CHOLAMANDALAM MS GENERAL
INSURANCE COMPANY LIMITED 4
Reason: KANCHIPURAM SRIDHAR HARISH
Location: Chennai
25-11-2024 16:39:59
Duly Constituted Attorney(s)
Refer our Website for the Policy/Add-on wording and the Ombudsman list. For claims Assistance Contact Toll Free:1800 208 5544 SMS CHOLA to 56677|
Visitwww.cholainsurance.com | Email customercare@cholams.murugappa.com. Disclaimer: The Company may contact you for matters related to your
policy or to provide details of products & services offered. To opt out from the facility, please register under Do Not Call section on our website.
Cholamandalam MS General Insurance Company Limited
Registered Office: 2nd Floor, "Dare House" No.2, NSC Bose Road, Chennai - 600 001.
Toll Free: 1800 208 5544 | Ph: 044 4044 5400 | Fax: 044 4044 5500 |
E-mail: customercare@cholams.murugappa.com | www.cholainsurance.com
PAN AABCC6633K CIN: U66030TN2001PLC047977 IRDAI Regn. No.123
Policy Schedule cum Certificate of Insurance
Chola Standalone Own Damage Policy for Private Car UIN IRDAN123RP0002V01201920
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 the Motor Vehicles Act, 1988.
Important notice as per tariff: 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 as
amended from time to time is recoverable from the insured. See the clause headed ''AVOIDANCE OF CERTAIN TERMS wider AND RIGHT OF
RECOVERY''. For legal interpretation, English Version will hold good.
For Claims: please call 1800-208-5544 or mail to customercare@cholams.murugappa.com. or visit our website www.cholainsurance.com.
Whether tax is payable under reverse charge basis - No
Note: UIN for the Add-on covers availed under this policy are as mentioned below, which forms part of the policy schedule.
Add on Cover Name UIN
Consumables Cover for Standalone Private Car OD IRDAN123RP0002V01201920/A0014V01201920
Hydrostatic lock cover for Standalone Private Car OD IRDAN123RP0002V01201920/A0021V01201920
Waiver of Depreciation for Standalone Private Car OD IRDAN123RP0002V01201920/A0005V02201920
Refer our Website for the Policy/Add-on wording and the Ombudsman list. For claims Assistance Contact Toll Free:1800 208 5544 SMS CHOLA to 56677|
Visitwww.cholainsurance.com | Email customercare@cholams.murugappa.com. Disclaimer: The Company may contact you for matters related to your
policy or to provide details of products & services offered. To opt out from the facility, please register under Do Not Call section on our website.
Policy Schedule cum Certificate of Insurance
Chola Compulsory Personal Accident (Owner-Driver) under Motor Insurance Policies
UIN IRDAN123RP0086V02201819
Policy Number 3407/00213197/000/00
A INSURED DETAILS
Name of the Insured Gender Age Date of Birth Nominee Name Nominee Relationship
Period of Insurance From 00:00 hrs. on 08/12/2024 To Midnight of 07/12/2025
A SUMINSURED DETAILS
Sum Insured: Rs.15,00,000 (Rupees Fifteen lakhs only)
Nature of injury Scale of compensation
(i) Death 100% of Sum Insured
(i) Loss of two limbs or sight of two eyes or one limb and sight of one eye 100% of Sum Insured
(iii) Loss of one limb or sight of one eye 50% of Sum Insured
iv) Permanent total disablement from injuries other than named above 100% of Sum Insured
Provided always that:
The compensation shall be payable under only one of the items (i) to (iv) above in respect of the Insured arising out of any one occurrence and the total
liability of the insurer shall not in the aggregate exceed the sum of Rs.15 lakhs (Rupees Fifteen Lakhs only) during any one period of insurance.
C. VEHICLE DETAILS
Vehicle Make Reg.No Eng.no Chassis.No
MARUTI SUZUKI TN09DE4620 K15CN9370252 MA3RYHK1SPL332293
D. PREMIUM DETAILS
Premium Rs.
CGST (9%) Rs. 0.00
SGST (0%) Rs. 0.00
IGST (9%) Rs. 0.00
Total Premium Rs.
The registered Owner in person is entitled to the Compulsory PA cover where he/she holds an effective driving license.
Coverage under this policy will extend to all the vehicles owned by the Owner-driver under the same Policy. In other words,the cover under this Policy
would be valid when the owner-driver drives any of the vehicles he / she owns
Grievance Clause: For resolution of any query or grievance, you may contact the respective branch office of the Company or may call1800 208 5544
or may write an email to customercare@cholams.murugappa.com.If you are not satisfied with the response of the office,you may email to Grievance
Officer at GRO@cholams.murugappa.com. In the event of unsatisfactory response from the Grievance Officer,you may, subject to vested jurisdiction,
approach the Insurance Ombudsman for the redressal of grievance. Details of the offices of the Insurance Ombudsman are available at IRDAI website
www.irdai.gov.in or General Insurance Council https://www.cioins.co.in/Ombudsman or on company website www.cholainsurance.com.
Intermediary Name:DIRECT-CHENNAI MG Intermediary Code: 2004519488710001 Contact No.:
Business Location:CHENNAI MG
GST Invoice No. : 2024113300573452 GSTIN: 33AABCC6633K1ZQ SAC Code: 997133 SAC Description: Motor vehicle insurance services
Receipt Number and Date SYS-24-000000312494 25/11/2024
In WITNESS WHEREOF, this Policy of Insurance has been signed on 25/11/2024 for Cholamandalam MS General Insurance Company Limited
Place : CHENNAI Signature Not Verified
Signed by: DS CHOLAMANDALAM MS GENERAL
INSURANCE COMPANY LIMITED 4
Reason: KANCHIPURAM SRIDHAR HARISH
Location: Chennai
25-11-2024 16:39:59
Duly Constituted Attorney(s)
Refer our Website for the Policy/Add-on wording and the Ombudsman list. For claims Assistance Contact Toll Free:1800 208 5544 SMS CHOLA to 56677|
Visitwww.cholainsurance.com | Email customercare@cholams.murugappa.com. Disclaimer: The Company may contact you for matters related to your
policy or to provide details of products & services offered. To opt out from the facility, please register under Do Not Call section on our website.
