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Product Code: 3004/A UIN: IRDAN115RP0015V01200102
Reference No.: W207970314
Date: Apr 20, 2023
MOHAMMED HASAN
S/O PYARU MOHAMMED BHAGABANPUR BHAGABANPUR BHAGABANPUR
BHAGABANPUR PURI ODISHA - 752011
PURI
ORISSA 752011
Mobile No: 99******17
Sub: Risk Assumption Letter
Dear MOHAMMED HASAN,
We value your relationship with ICICI Lombard General Insurance Company Limited and thank you for choosing us as your preferred insurance provider.
Please find enclosed Policy No. 3004/A/288415002/00/B00, The same has been issued based on below mentioned details, provided by you at the time of policy
purchase.
Insured & Vehicle Details
Name of the Insured MOHAMMED HASAN
Period of Insurance Apr 21, 2023 to Apr 20, 2024
Vehicle Make / Model CHEVROLET / TAVERA B3
RTO City ORISSA-PURI
Vehicle Registration No. OR13G9375
Engine No. 3KL137461
Chassis No. MA6ABCL5BAH136351
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The commencement of coverage of risk under the policy is subject to realisation of payment of premium in full. In case the premium is not realised due to
cheque dishonour or any other reason, the insurance cover shall be void ab-initio.
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We have issued the policy basis your confirmation that you hold a valid PUC and/or Fitness certificate, as applicable.
Government of India has mandated electronic toll payments using FASTag to reduce vehicular traffic at toll plazas. Customers are advised to comply with the
direction of the government and get their FASTag from Point of Sale locations at Toll Plazas or from Issuer Agency. Please visit http://www.fastag.org/ for
details.
Please check the policy details for accuracy. Should you find any discrepancy / require any changes in the Certificate of Insurance cum Policy Schedule, please
contact us immediately at our toll free number 1800 2666 or email us at [email protected], so that we can rectify the same. Absence of any
communication within a period of 15 days of the date mentioned on this letter, would mean that the issued policy is in order and as per your proposal.
Important Points:
a. Any accidental loss, damage and/or liability caused, sustained or incurred, while vehicle not being registered permanently will not be covered.
b. Any minor scratches to the vehcile, paint fading, wear and tear arising out of normal use and requiring touch-up or minor repair under routine maintenance
will not be covered.
c. Any liability of whatsoever nature caused by, contributed by or arising due to the vehicle being driven by a person without having valid driving license will not
be covered.
( Please visist www.icicilombard.com for the policy wordings, for complete details on terms and conditions governing the coverage and NCB)
The information provided is merely illustrative and shall not be construed to be an evidence of existence of a contract of insurance. The Risk Assumption Letter
is to be read in conjunction with the policy and shall be considered null and void without the same.
The Compulsory Personal Accident cover has not been opted in this policy on account that, the Owner driver has a separate existing Personal Accident cover
against Death and Permanent Disability (Total and Partial) for Sum Insured of at least Rs.15 lacs.
CORP/SUP/OPI/2014/1777
Apr 20, 2023
