Date: 14/12/2024
To,
Mr. K ANIL
S/O K KESHYA NAIK,
BUDDAMARRI THANDA,
KONDAPUR, HANMANPA,
NARAYANPET, TELANGANA-509210
India
Contact Details: 9886121410
Subject : Policy Number: P032001251351799
Dear Customer,
Welcome to SBI General. Thank you for choosing SBI General‟s “Pccv Three Wheeler Passenger Carrying” policy. We are
delighted tohave you as our esteemed customer. With this, we enclose the following documents pertaining to your policy:
• Policy Schedule
• Policy clauses & wordings
• Premium Receipt
• Grievance redressal letter
We have taken care that the documents reflect details of risk and cover as proposed by you. We request you to verify and confirm
thatthe documents are in order .Please ensure safety of these document as they form part of our contract with you. for all your future
correspondence you may have with us, kindly quote your Customer ID and Policy No.
Your Customer ID: 0
Your Policy No: P032001251351799
The Postal Address of your SBI General Branch that will service you in future is:
SBI General Insurance Company Limited
9th Floor, A & B Wing, Fulcrum Business Centre, Sahar Road,
Ashok Nagar, Andheri (East), Mumbai
Maharashtra-400099,
India
In case of any queries or suggestions, please do not hesitate to get in touch with us. You can contact us at
customer.care@sbigeneral.in or call our Customer Care Number 1800-22-1111 (MTNL/BSNL user) and 1800-102-1111 (for other
users)
We look forward to a continuing and mutually beneficial relationship.
Yours sincerely,
Authorized Signatory
Page 1 of 3
PCCV THREE WHEELER PASSENGER CARRYING VEHICLE CERTIFICATE OF INSURANCE CUM
POLICY SCHEDULE
Important Note: 1) The Validity of this Certificate of Insurance cum Schedule is subject to realization of the premium cheque. 2) This Insurance Policy cover is valid
subject to availability of Complete and Correct Registration Number within 15 days from the Date of Commencement of this Policy.
Policy Issuing Office : 9th Floor, A & B Wing, Fulcrum Business Centre, Sahar Road, Ashok Nagar, Andheri (East), Mumbai 400 099.
Policy No : P032001251359799 Policy Servicing Branch : HO
Insured Name : K ANIL
Address : S/O K KESHYA NAIK, BUDDAMARRI THANDA,
: KONDAPUR, HANMANPA,
NARAYANPET, TELANGANA
: 9886121410
Customer Contact Details : From : 14/12/2024 00:00:00 Hours to Midnight of: 13/12/2025
Period of Insurance : India
Geographical Area
INSURED MOTOR VEHICLE DETAILS INSURED TRAILER DETAILS
Make, Model & Variant BAJAJ AUTO LTD , BAJAJ RE CNG 4S FI (WITH LH GASOLINE) Trailer Registration No:
Year of Manufacturing 2023 Trailer Chassis No:
Registration Number TS-38-T-2807 Trailer Type
Engine Number AZXWPF04784
Chassis Number MD2B47AX4PWF11541
Cubic Capacity 236
Carrying Capacity 4
Type of Body HACKNEY
RTO Location Name NARAYANPET
GVW of the Vehicle 687
INSURED’S DECLARED VALUE (IDV)
Vehicle - (Rs.) Body Value -(Rs.) Trailer Value -(Rs.) Non Electrical Electrical Bi fuel kit Value – (Rs.) Total IDV
Accessories - (Rs.) Accessories - (Rs.)
1,20000 0 0 0 0 0 1,20000
LIMITATION AS TO USE : As per Motor Vehicle Rules, 1989, The Policy covers use of the vehicle for any purpose other than : : a) Organized racing, b) Pace Making,
c) Reliability Trials, d) Speed Testing, e) Use whilst drawing a trailer except the towing (other than for reward) of any one disabled Mechanically propelled vehicle (only
for Passenger Carrying Vehicles).
PERSONS OR CLASSES OF PERSONS ENTITLED TO DRIVE: Any person including Insured
STAGE CARRIAGE/CONTRACT CARRIAGE/ PRIVATE SERVICE VEHICLE: Provided that the person driving holds an effective driving license at the time of
theaccident and is not disqualified from holding or obtaining such a license.
GOODS CARRIAGE: 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 a license. Provided also that the person holding an effective learner‟s license may also drive the vehicle when not used for the transport of passengers at the time of
the accident and that such a person satisfies the requirements of Rule 3 of The Central Motor Vehicles Rules, 1989.
NON-TRANSPORT VEHICLES: Provided that the person driving holds an effective driving license at the time of the accident and is not disqualified from holding
orobtaining 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.
LIMITS OF LIABILITY: Under Section II-1(i) of the Policy-Death of or bodily injury to any person so far as it is necessary to meet the requirements of the Motor
Vehicle Act, 1988. b. Under Section II (1)(ii) of the Policy-Damage to property other than property belonging to the insured or held in trust or in the custody of control
or the insured up to the limits specified Rs. 750000/-. (c) PA Cover for owner-drive under Section-III CSI - Rs. /-.
Deductible under Section-I: (i) Compulsory deductible Rs.1500/- (ii) Additional Compulsory deductible Rs. /-.
WARRANTY: Warranted that the insured named herein/owner of the vehicle holds a valid Pollution Under Control (PUC) Certificate and/or valid fitness certificate, as
applicable, on the date of commencement of the Policy and undertakes to renew and maintain a valid and effective PUC and/or fitness Certificate, as applicable,
during the subsistence of the Policy. Further, the Company reserves the right to take appropriate action in case of any discrepancy in the PUC or fitness certificate.
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 – 20%; Preceding two consecutive years – 25%; Preceding three consecutive years – 35%; Preceding four consecutive years – 45%; Preceding
five consecutive years – 50%. The No Claim Bonus will only be allowed provided the Policy is renewed within 90 days of the expiry date of the previous policy.
INTERMEDIARY DETAILS
Intermediary Name : Girnar Insurance Brokers P Ltd Intermediary Code : 0045786
Contact Details : Mobile No : 9177705313 Landline No :
Page 2 of 3
NOMINATION DETAILS
Name of the Nominee Date of Birth Relationship with Proposer Name of Appointee (in Nominee is Minor)
LEGAL HIRE 05/06/1974 Employee
Premium Computation Table
OWN DAMAGE SECTION LIABILITY SECTION
A. OWN DAMAGE SUM INSURED PREMIUM (Rs.) A. LIABILITY PREMIUM (Rs.)
Section
Basic TP Premium 4521.00
Total Own Damage
Premium (including all 80000 6411.00
Tariff Add-on, Discount & Legal Liability Cover
Loadings )
LL to paid driver 1 50.00
IMT 23 712.00
LL to 1 50.00
cleaner/conductor
NCB Details and coolies
No Claim Bonus 25% - Rs 1281.00
(A) TOTAL OWN DAMAGE PREMIUM 7842.00 (B) TOTAL LIABILITY PREMIUM 2521.00
Subject to IMT Nos: IMT-21 IMT-23 IMT-28 IMT-7 TOTAL POLICY PREMIUM (A+B) 6184.00
Taxes as applicable 299.00
SBIG Add Nos :
Kerala Flood Cess @ 1%
Total Premium Collected 8520.00
Hire Purchase/ Lease /Hypothecated with :
Premium Collection details: Receipt No.: C2001243491020, Receipt Date: 14/12/2024
For claims, Please contact us at Toll Free number
MTNL/BSNL users – 1800-22-1111 other users – 1800-102-1111
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 M.V. Act, 1988.
For and on behalf of SBI General Insurance Co. Ltd
Authorized Signatory
Consolidated Stamp Duty Rs. 0.5 paid towards Insurance Policy Stamps vide Order No: 261 Dated: 2014-11-17 16:16:32.0of General Stamp Office,
Mumbai
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 Act,1988 is recoverable from he Insured.
See the clause headed“AVOIDANCE OF CERTAIN TERMS AND RIGHT OF RECOVERY”. For legal interpretation English version will be good.
Policy printed by: 0045786 on Date: 14 December 2024 Time 17:23:28
Disclaimer: Please examine this Policy including attached Schedules / Annexure if any. In the event of any discrepancy please contact the office of the Company
immediately, it being noted that this Policy shall be otherwise considered as being entirely in order. Please find claims settlement & grievance redressal procedure
document attached herein for ready references.
Page 3 of 3
