SCHEDULE CUM CERTIFICATE ACT ONLY
QR code for mobile download app: INSURANCE POLICY- PRIVATE CAR
Policy / Certificate No : POPMCAR00100298479
Alternate Policy No :
Policy Issue Date : 20/09/2023
Name : .RAMESH KT
Customer ID : 0000000066446237
Address : HNO, Policy Servicing Branch : Thane
6 57 AKAKI,Bangalore Bangalore,
Karnataka Intermediary Name : Phonepe Insurance Broking Services Private Ltd
560063
Intermediary Code : 0073431
Intermediary Contact No :
Contact No : +91-8095854069
Period of Insurance TP : From:21/09/2023 11:22
To:20/09/2024 Midnight
Email Id : RAJSHASHANK884@[Link] Period of Insurance PA to : From:21/09/2023 11:22
Owner Driver To:20/09/2024 Midnight
Dear .RAMESH000000006644
KT, POPMCAR001
POPMCAR00100
Welcome to the SBI General Family. With SBI Act Only Insurance Policy - Private Car, you can be in control & enjoy the journey no matter what
0000000096094
roadblocks life throws at you. RAMESH KT
PMCAR02
PolicyRenewal
2 Motor - Private
ABOUT YOUR POLICY
Policy/ Policy Issue Period of
certificate no Date Insurance TP
POPMCAR00100298479 From:21/09/2023 11:22
20/09/2023 To:20/09/2024 Midnight
Period of Insurance Policy
PA Cover to Owner Driver Type Geographical Area
From:21/09/2023 11:22 Liabillity Only India
To:20/09/2024 Midnight
SBI General Insurance and SBI are separate legal entities and SBI is working as Corporate Agent of the company for sourcing of insurance products
SBI General Insurance Company Limited | Act Only Insurance Policy - Private Car | Call (Toll Free) :1800 22 1111 , 1800 102 1111 |Visit:[Link]
ABOUT YOUR VEHICLE
Vehicle Make Registration Manufacturing Cubic Capacity /
Model & Variant Number Year Kilo Watt
Maruti Suzuki,Alto,800 LXI
KA04MW5367 2019 796
(O)
Engine & Chassis Seating RTO
Fuel Number Capacity Location
Petrol 60555 & 04327 5 Yeshwanthpur
COVERAGE DETAILS
Your Policy provides protection such as :
Protection towards Third Party Liability
Death or Injury to any Third Party
Personal Accident to Owner Driver (if opted)
Damage to Third Party Property
WE COVER YOU FOR
Third Party Premium
Basic Third Party2094 2094.00 0.0 0
Total Premium 2471
2094.00 2094.0
PA - Owner Driver 0.00 Tax 376.92
Legal Liability Driver 0.00 Final Premium 2471.00
Total Third Party 2094.00
ADD ON DETAILS Sum Insured Opted(Yes/No)
Legal Liability to Driver Yes
Legal Liability to Employees Yes
PA Cover to Un-named Passengers No
376.92
0 2094 0 0 0 0 0
PA Cover to Paid Driver No
Consolidated Stamp Duty ₹ 0.50 paid towards Insurance Policy Stamps vide Order [Link]/CSD/676/2023/(Validity Period Dt.11/04/2023 to
Dt.10/04/2024)/2017 Date:- 10/04/2023 Dated:2023-09-20 [Link].0 of General Stamp Office, Mumbai
SBI General Insurance Company Limited | Act Only Insurance Policy - Private Car | Call (Toll Free) :1800 22 1111 , 1800 102 1111 |Visit:[Link]
WHAT YOUR POLICY DOES NOT COVER
Driving under influence of Accident outside India
intoxicating Liquor/Drugs unless opted for
Driving outside purview of
Liability arising out of Limitation of use or Vehicle
Contractual Liability driven for purpose not allowed
HOW TO FILE YOUR CLAIMS WITHOUT ANY STRESS
In the event of loss and / or damage arising out of the use of the insured vehicle giving rise to a probable claim being led by a Third Party towards
bodily injury / death / property damage, please inform the Company at 1800221111 or SMS ‘CLAIM’ to 561612 or email your details on
[Link]@[Link]
RENEWAL
This Policy may be renewed by mutual consent every year and in such event, the renewal premium shall be paid to Insurer on or before the date
of expiry of the Policy or of the subsequent renewal thereof. However, Insurer shall not be bound to give notice that such renewal premium is
due.
Toll Free Number Website SMS RENEW Mobile App
POPMCAR00100298479 to Download SBI General Mobile
1800-102-1111 [Link]
561612 App on Playstore or Appstore
GRIEVANCE REDRESSAL PROCEDURE
Please follow the steps below
Call us at Toll Free Nos.: 1800 - 102- 1111 & 1800-22-1111 from Monday to Saturday
1 (08.00 a.m - 8.00 p.m) or write to us at [Link]@[Link]
2 If the resolution you received does not meet your expectations, please email your
concerns to Head - Customer Care at [Link]@[Link]
If you are dissatisfied with the resolution provided, you may send your ‘Appeal’ addressed
3 to the Chairman of the Grievance Redressal Committee. You can write to our Grievance
Redressal Officer on - gro@[Link]
If your issue remains unresolved you may approach IRDA by calling on the Toll Free No.
4 155255 or you can register an online complaint on the website : [Link]
SBI General Insurance Company Limited | Act Only Insurance Policy - Private Car | Call (Toll Free) :1800 22 1111 , 1800 102 1111 |Visit:[Link]
GRIEVANCE REDRESSAL PROCEDURE
Please follow the steps below
If after having followed the above steps, you are still not happy with the resolution and your
5 issue remains unresolved, you may approach the Insurance Ombudsman for Redressal.
For Insurance Ombudsman Offices, kindly visit our website
[Link] us/Ombudsman Office List
TERMS AND CONDITIONS
LIMITATION As per Motor Vehicle Rules, 1989 - 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)
AS TO USE Pace Making, e) Speed Testing, f) Reliability Trials, g) Any purpose in connection with Motor Trade.
Our
Simply do not use vehicle for the purpose it is not allowed.
Recommendation
Any Person including the Insured provided that a person driving holds an effective driving license at the
DRIVERS time of the accident and is not disqualified from holding or obtaining such a license; provided also that
CLAUSE 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.
Our
Drive only when you hold a Valid Drivers License in India.
Recommendation
a. 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.
LIMITS b. Under Section II (1) (ii) of the Policy-Damage to property other than property belonging
OF LIABILITY to the insured or held in trust or in the custody or control of the insured up to the limits
specified Up to ₹ 7,500,00/-.
c. PA Cover for Owner-Driver under Section-III CSI - ₹1,500,000 /- (if opted).
Our
Know what your policy covers.
Recommendation
Warranted all damages existing prior to inception of risk are excluded from the scope
of Policy.
SPECIAL
CONDITIONS The Policy has been issued subject to valid Pollution Under Control (PUC) Certificate disclosed by you as
an insured on or before the date of commencement of the Policy. If the PUC Certificate is not found valid
at any point of time during the policy period, the Company reserves the right to cancel the policy.
SBI General Insurance Company Limited | Act Only Insurance Policy - Private Car | Call (Toll Free) :1800 22 1111 , 1800 102 1111 |Visit:[Link]
IMPORTANT DETAILS
PREVIOUS POLICY DETAILS
Previous Insurer Previous Policy Number Period of Insurance Previous Policy Type
Tata AIG General Insurance Co. From 21/09/2023 11:22 to
weur82wh Comprehensive
Ltd 20/09/2024 Mindnight
Financier Details Nominee Details POSP Details
Phonepe Insurance Broking
Name :
Services Private Ltd
Code :
0073431
, ,,
Contact Details :
Landline Nos :
+91-22-68727374
PREMIUM RECEIPT
This is to confirm and certify that we have received premium(s) from the below named Policy Holder
Policy Number POPMCAR00100298479
Policy Holder Name RAMESH KT
Intermediary Name Phonepe Insurance Broking Services Private Ltd
Receipt Number 000047774704
Product Name Act Only Insurance Policy - Private Car
Receipt Date 20/09/2023
Policy Start Date 21/09/2023
Policy End Date 20/09/2024
Premium Paid by RAMESH KT
*Cheque dishonor - If premium paid through cheque, the policy is void ab-initio in case of dishonor of cheque.
Digitally signed by
VISHWANATHAN
SUBRAMANIAN
Date: 2023.09.20 [Link] IST
Authorized Signatory
For SBI General Insurance Company Limited
GST INVOICE : You may download GST invoice from www [Link]\download\
The information provided herein above is for the purpose of illustration only. For more details on risk factors, terms, conditions and exclusions,
please read the Policy wordings ([Link]/portal/act only insurance policy-private car/policy wording) carefully.
SBI General Insurance Company Limited | Act Only Insurance Policy - Private Car | Call (Toll Free) :1800 22 1111 , 1800 102 1111 |Visit:[Link]
PROPOSAL DETAILS
Proposal Transcript For Act Only Insurance Policy - Private Car
Proposer Name RAMESH KT
HNO,6 57 AKAKI
Bangalore Bangalore,
Proposer Address
Karnataka
560063
Proposer Contact Number +91-8095854069
Proposer Email Address RAJSHASHANK884@[Link]
Policy POPMCAR00100298479 is issued based on the correct information given by you. In case any information is incorrect or require changes
we request you to revert within a period of 15 days from receipt of this document failing which it will be deemed that you are agreeing to
correctness of the information mentioned in this document.
Details as shared by you with us is as below.
YOUR VEHICLE DETAILS
Registration Number KA04MW5367
RTO Location Yeshwanthpur
Engine Number 60555
Chassis Number 04327
First Purchase / Registration Date 90/96/1560
Year of Manufacture 2019
Vehicle Make Maruti Suzuki
Vehicle Model Alto
Vehicle Variant 800 LXI (O)
Cubic Capacity / Kilo Watt / Gross Vehicle Weight / Horsepower 796
Fuel Petrol
Seating Capacity including Driver 5
Carrying Capacity excluding Driver 4
EXPIRING POLICY DETAILS
Details OD Policy Details TP Policy Details
Insurer Name NA Tata AIG General Insurance Co. Ltd
Policy Number NA weur82wh
Policy Start Date NA 23/06/2022
Policy End Date NA 22/06/2023
Policy Type NA NA
No Claim Bonus % NA NA
Claim Made No No
5
COVERAGE & TERMS OPTED
From: NA
Period of Insurance Own Damage
To: NA
From:21/09/2023 11:22
Period of Insurance Third Party
To:20/09/2024 Midnight
From:21/09/2023 11:22
Period of Insurance PA cover to Owner Driver
To:20/09/2024 Midnight
SBI General Insurance Company Limited | Act Only Insurance Policy - Private Car | Call (Toll Free) :1800 22 1111 , 1800 102 1111 |Visit:[Link]
0 0.0
0.0 700000946
POPMCAR0010 700000947
0 0.0
ADDITIONAL COVERS
PA Cover to Owner Driver of Rs. 15 Lakhs No
PA Cover to Unnamed Passenger / Pillion Rider No
PA cover to Paid Driver No
Legal Liability to Paid Driver / Employees No ,
Third Party Property Damage Restriction Limit Upto Rs.750000
Add on covers - Kindly refer Policy Schedule
Hypothecation / Lease / Hire Purchaser Name ,
Policy premium including Tax 2471.00
Valid PUC certificate will be carried in vehicle Yes
PA Cover to owner Driver has been opted out by you in the Policy based on your declaration that you are holding an alternate insurance policy.
You will share the copy of same if required by the Company.
I/We agree to receive policy document on registered mobile number / email address as given in this document.
No person shall allow or offer to allow either directly or indirectly, as an inducement to any person to take out or renew or continue an insurance
in respect of any kind of risk relating to lives or property in India, any rebate of the whole or part of the commission payable or any rebate of the
premium shown on the policy, nor shall any person taking out or renewing a policy accept any rebate, except such rebate as may be allowed in
accordance with the published prospectus or tables of the insurer. ANY PERSON IN BREACH OF COMPLYING WITH THE PROVISIONS OF THIS
SECTION SHALL BE PUNISHABLE WITH FINE WHICH MAY EXTEND TO RUPEES TEN LAKH.
I/We confirm that premium is paid from bonafide sources of income.
Disclaimer : Corporate & Registered Office: Fulcrum Building, 9th Floor, A & B Wing, Sahar Road, Andheri (East), Mumbai - 400099. | For SBI General
Insurance Company Limited IRDAI Reg. No. 144 dated 15/12/2009 | CIN: U66000MH2009PLC190546 | UIN: IRDAN144RP0006V02201819 | SBI Logo
displayed belongs to State Bank of India and used by SBI General Insurance Co. Ltd. under license.
SBI General Insurance Company Limited | Act Only Insurance Policy - Private Car | Call (Toll Free) :1800 22 1111 , 1800 102 1111 |Visit:[Link]
