Form 59

(See rules 115 (2)]

.
Pollution Under Contro
-
l Certificate
Authorised By :
Government of Uttar Pradesh

Date 26/1 2/20 24

Time 08:14 :34 AM
Validity upto 25/1 2/20 25

Certificate SL. No. UP01404900001976

Registration No. . UP16DB0004
Date of Registmtion 31/Dec /2021
Month & Year of Manufacturing December-2021
Valid Mobile Number "*****131 5
Emission Norms BHARAT STAGE VI
Fuel DIESEL
PUC Code UP0140490
GSTIN
Fees Rs.110.00
Mil observation No

Vehicle Photo with Registration plate

60 mm x ~C' mm

Sr. No. Pollut ant (as Units (as Measured Value

applic able) applic able} Emission limits (upto 2 decimal
place~..) •

l 2 3 4 5
Carbon Monoxide (CO) percentage (%)
idling Emissions
Hydrocarbon, (THC/HC) ppm
co percentage (%)
High idling
emissions RPM RPM 2500 ± 200
Lambda 1 ± 0.03
Smokl~ Density Light absorption
coefficient 1/metr e 0.7
....
•·

Th;s PUC certific ate is system genera ted• •throug h the nation . . r vehicles and 9oes
al registe r of moto . _•
not require any signat ure.
·

•
[ Note: 1. Vehicle • . . . .
owners to hnk their mobile numbers to registered vehicle by lo~l,"9 to httPs://puc.parivah_an,~ov.in
_-..
-
.
- . . -... . . y..\"qtfeO
rl Authorised _Signature With stamp of PUC Operator ~C'l'lef:; n?)~ wll#1: .
L 60mm x 20 mm _, l\?o\\~ \b._\ ,?~':~~~~-=~
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■
 GOVERNMENT OF UTTAR PRADESH
Transp ort Department Nolda
FORM 23
CERTIFICATE OF REGISTRATION

Registra tion No : UP16DB0004 Registra tion Date : 31-Dec-2021

: MOTOR CAR Purpose For Printing RC :NEW
Descript ion of Vehicle
IAL AREAR
Dealer's Name & Address : ASS AUTOMOBILES PVT LTD, C 1/2 SECTOR 22, MEERUT ROAD INDUSTR '''

Owner Name : KALING MAN POWER Son/wife/daughter of :NA

SOLUTIONS PVT LTD
NAGAR, UTTAR
Full Address : (Permanent) : PLOT NO 38, NS GROUND FLOOR SECTOR, P-2, , GAUTAM BUDDHA
PRADESH-201308
NAGAR-UTTAR
Full Address : (Temporary) : PLOT NO 38, NS GROUND FLOOR SECTOR, P-2, , GAUTAM BUDDHA
PRADESH-201308
Fitness UpTo : 30-Dec-2036 Tax UpTo : One Time
Owner Serial No :1
Detailed Description
Class of Vehicle : MOTORCAR Link Vehicle No
:FIRM Norms : BHARAT STAGE VI
Ownersh ip
Maker's Name : KIA INDIA PRIVATE LIMITED
: AA2041870631 RearHSR P No : AA2041870632
Front HSRP No
Month/Year of Manuf. : 12/2021

,
Type of Body : STAT-ION WAGON
:4 Chassis No : MZBET813MMN316194
No of Cylinders
: D4FA'MM435853 Fuel : DIESEL
Engine No
: 113.36 Cubic Capacity : 1493.00
Horse Power(BHP)
: SELTOS D1.5 6AT X LINE Wheel base : 2610
Maker's Classific ation
:5 Standing Cap :O
Seating Cap(in all)
:0 Unladen Wt (kgs) : 1375
Sleepar Cap
: MATTE GRAPHITE Laden/GV Wt (kgs) : 1770
Colour
AC Fitted : YES
Other Criteria
Vehicle Purchase As : Fully Built
(Gross Vehicle Weight)
Addition al Particul ars of all transpo rt vehicles other than motor cabs
By Manuf. As Regd.
Descrip tion Weight( in kgs)

a) Front:
b) Rear:
c) Other:
d) Tandem:
of BANK OF BARODA, GHAZIABAD, ,
The motor vehicle above describe d is subject to Hypothe cation in favour
, Ghaziabad, Uttar Pradesh-201001 w.e.f. 29-Dec-2021.
: 29-Dec-2021 Sale Amt : 1810000/-
Purchase dt
: 29-Dec-2021 Amount/Rcpt No : 181000 / UP16D21120006634
OTT Date
: One Time Vehicle is Govt./ Pvt. : PRIVATE
TaxUpTo
: NOT EXEMPTED Date of Approval : 13-Jan-2022
Tax Exempted or Not
Other State/Transfer/Conversion Details
Previous Owner Previou s RegNo
Old State Entry Date
Transfer Date Convers ion Date
This certificate is valid from 31-Dec-2021 to 30-Dec-2036

Date: 18-Jan-2022 10:16:39

Taxation Particulars/ Advance Registration Mark Fee Details

N 1506988

Pradesh Go r ent Uttar Pradesh Government U

ta Pradesh Government Utta r Pradesh Government (Jtt
 0
.
The New India Assurance Co Ltd
•
' Brigade PlazaNortb WlngS C RoadBANGALORE, KARNATAKA-560009
' Help Desk t:'~·: 080-22879261 !RDA Reg No.: 190 CIN Ne.: L66000MHl9l9GOI000.526
Servicing Branch GSTJN No. : 2llAAACN4165ClZM PAN No.: AAACN4165C

CERTIFICATE OF INSURANCE CUM POLICY SCHEDULE

-Polley N0:- ---- - - - ----
77000031240360088099 Private Car Package Polley UIN: IRDAN190RP0042V01100001 •·---.a t;;: -- -
llQU,c-u I 4/•Dec-2024 (18:35:00)
Proposal No. & Date : PRDKIA 11926330, 27-Dec-2024 Period at Own Dam .
lnsurtd'1 Name : MIS KALING MAN POWER SOLUTIONS PRIVATE Period atll!lrd Part~~labllftw :
., '
202
=;~
4<00:~:00) To 28-0.:C-202S(Midnigh1)
• •2024 (00.00:00) To 28-Dcc-~ (Midnighl)
LIMllcD
lnsurtd Type : CORPORATE
PAN Card : AADCK60S2G Prevlou1 OD Polley No. : 3001/0/KA-18782737/00~
Cultomer GSTIN : 09AADCK60S2GlZJ Previous OD Insurer : ICICI Lombard General Insurance Co. Ltd.
lnsurtd'■ Addresi : PLOT NO. 38, NS GROUND FLOOR SECTOR.P.2 GAUTAM Prevlou1 TP Policy No. : OG-22-1021-1825-0002.JOOS
BUDDHA NAGAR, NOIDA, UTTAR PRADESH-201301 Prevlou1 TP Insurer : Bajaj Allianz General Insurance Co. Ltd.
GSTIN:09AADCK60S2GIZJ
Nominee Dttalls
Name or Nominee Age Relatlon.1blp with Insured Name or Appointee Relatlol15h.lp with Nominee
NA 0 NA NA NA
Vehicle Details
Registration No. Reafslntlon Aulhorlty Cb-1JNo. Enafne No. CC/KW
UP 16 DB 0004 NOIDA MZBET8 I 3MMN3 l 6 I 94 D4FAMM43S8S3 1493
Make Model Variant Fuel Type Year ol Manufacture
KIA SELTOS DI.S 6AT X LINE DIESEL 2021
Seatin1 Capacity Vehlde Cius Invoice Date Geoaraphlcal Area Geoar■phlcal Area Ext.
5 Private 29-Dec-2021 INDIA NO
INSURED'S DECLARED VALUE (RI.)
YEAR Vehlde Electrlcal Aaa,or!e, Non Electrical Accasorles CNG/LPG Total IDV
I 1226940 0 0 0 1,226,940
SCHEDULE OF PREMIUM
A. Own Damage (OD) Premium Amount (Rs.) 1 Amount (Rs.)
Basic Premlom Dbcounts
Vchid-: 7,830 Voluntary Deductibles (0) OMT-22A) 0
Non-Elc.nical Accessories 0 Anti Theft Device (IMr-l0) 196
Electrical Acc:cssori~ OMT-24) 0 . AA Membciship OMr-8) 0
Bi Fuel Kit (IMT-25) 0 Handicap Discount 0
Sub Total (Basic Pi-emium) 7,830 No Claim B~nus (3.5%) 2,672
Geographical Arca Extension (tMT-1) 0. Sub Total (Discounts) 2,868
o Add On (NU Depredation, CODSWD■ble, Enainc Protect Cover, Key Protect 11,342
Lamp.Tyre Mudguards OMT - 13' . Cuver)
l,ur, Total 7,830 Net Own Jlamage Premium (A) :6,304

B. Llat.ility Premium Amount (Rs.) PA Cover

Basic Third Pany Liability Premium (including TPPD) 3,416 Compulst•;y PA Cover For Owner Driver of Rs. 0 Lakh (0Year) 0
Bi-Fuel Kit 0 PA Cover for Paid Driver of Rs 200000 (IMr-17) 0
0 _PA Cover (0 Per Peis~) _For 0 PersonsOMT-16) 0
Geographical Arca Extension
Legal Liability
Paid Driv~ OMT-28) so
Emplo;:ce (for 5 Pezson) (IMT-29) 2SO
Sub Total (Legal Liability) 300
Sub Total (P.A. Cover) 0
Net Liability Premium (B) 3,716
. Total Premium (A+B) 20,020
IGST(18.~%) 3604
Gros.9 Premlom Paid 23,624
The policy is subject to compulsory deducul>le of Rs.1000
Note: - I. Issue of Policy is subject to realisation of cheque if premiwn is paid by cheque. 2. Con.,olidated stamp duty paid to state exchequer 3.
01100001/AOOS8V03201819, Ename Protect
(IMT-22). 4. Add on Cover(■) : Nil Depreciation UIN: IRDANlllORP0042V01100001/A0002V02201112, Con■umable UIN: IRDAN190RP0042V Geoerapblcal Extension Area: NA.
Cover UIN:_IRDAN190RP0042V01100001/A0007V02201516, Key Protect Cover UIN: IRDANlllORP,!)042V01100001/AOOOJV01201819.
Number :37240088089
HSN :997134, Dacription at Service : Motor Vehlde J.uurance Services, Pll'Ct ol Supply : U'ITAR PJUDESH(State Code : 09), Invoice
or personal luggage) (3) Organized racing (4) Pace
Limitations as to use: The policy covers use of the vehicle for any purpose o<her than (I) Hire or Reward (2) Carr:age of goods (o<her than samples
malting (5) Speed testing (6) Reliability trills (7) Any pwposc in connection with motor trade.
Driver'■ Clause: Any person including the insured: Provided that the person driving holds an effective
driving license at the time of the accident and is not disqualified from holding or obtaining such
of Ruic 3 of the Central Motor Vehicle Rules, 1989.
license. Provided also that the person holding an effective learner'■ license may also drive the vehicle & th.at such a person satisfies the requirement! of the Motor Vehicle Act 1988. Under Section 11-1
Limits at Liability Clause: Under Section II-l(i) nf tbc policy-Death of or bodily injury to any person so far as it is necessary to meet the requirement!
control of the insw'ed up to the limit specified Rs.7.5 Lakh. Under Section (iii) of
(ii) of the policy-Damage to propctty other than the propctty belonging to the insured or held in trust or in the custody of
polic;- PP. cover for owner driver CSI Rs. 15 l..akh.
Subject to IMT Endt. Nos.& Memorandum:10,12,23,29
HypoChecatioo Details: -NA--
by reasons of wider tenns appearing in the certificate
The insured is not indemnified. if the vehicle is used or driven otherwise than in accordance with the schedule. Ally payment made by the company
& RIGtIT OF RECOVERY". For legal
in order to comply with the Motor Vehicle Act, I 988 is recoverable from the insured. Sec the clause headed "AVOIDANCE OF CERTAIN TERMS
interpretation, English version will hold good. (18002091415) or may write an email at
Grlevance Clause: For resolution of any query or grievance, Insured may contact the respective branch office of the Company or may call at
of the Company at (pn.ramcsh@newindia.co.in). In the
(sunitha.nwy@newindia.co.in). In case the insured is not satisfied with the response of the office, insured may contact the Nodal Grievance Officer
In the event of unsatisfactory response from the Head
event of unsatisfactory response from the Nodal Grievance Officer, insured may email to Head Grievance Officer at (nuresh.babu@newindia.co.in). Ombudsman are available at IRDAI website
Grievance Officer, he/she may. subject to vcstedjuriscliction, approach the Insurance Ombudsman for the redrcssal of gricvanco. Details of Insurance
www.irda.gov.in <>r on company website https://www.newindia.co.in or on www.gicouncil.in
facts or non-cooperation by or on behalf of the
The Company rcscn·::s the right to cancel this Policy immediately upon becoming aware of any mis-representation, fraud, non-disclosure of material
lnsw-ed; the Company is not obliged to refund the premium paid under this Policy.
Please visit for the policy wordings for complete details on Terms and Conditions.
Uwe herelly certify that the policy to which this certificate relates as well as this certificate of insurance are issued in accordance
with the provisions of Cl\apter X and Cllaptcr XI of M.V. Act, 1988
notified under sub-rule (4) of rule 48, we arc not required
We hereby deelarc that though our aggregate turnover in any preceding financial year from 2017-18 onwards is more than the nuregate turnover
to prepare an invoice in terms of the provisions of the said sub-rule.
BrOker Name : SMC Insurance Brokers Pvt. Ltd. MISP Name: ASB AUTOMOBILES PRIVATE For & On Behalf of
IRDA - D;Rccr BROKER LICENSE NO :DB 272AJ4 /289 MISP Code: 191000366 The New India Assurance Co. Ltd.
Designated Person Name: NAMITA JOSHI ~
(Valid up to 2; ;~n 2026)
CIN : U66000DLI 99SPTCJ 72311 MISP Contact No: 7428098724 f,utborized Signature
Em.r.il ID: support@k.iasafcty.com MISP Email: imurance.gzb@asbkia.in
Toll Free No.: !800-2666-9666