GOODS CARRYING VEHICLE PACKAGE POLICY

CERTIFICATE OF INSURANCE AND POLICY SCHEDULE

As per provisions of Motor Vehicle Act 1988
CERTIFICATE CUM POLICY NUMBER: M00303802
Important: 1) The validity of this certificate of Insurance cum policy is subject to realization by the company of the premium cheque paid by the Insured.

INSURED NAME MR. MR PRAHLAD CHOUDHARY PHONE NO 9772077771 E-MAIL Manishtwr966@[Link]

POLICY/INVOICE ISSUED DATE 05/10/2024
GEOGRAPHICAL AREA INDIA
PROPOSER ADDRESS MUKHY ABADI GRAM SARNA CHOUD GRAM REGISTRATION DATE 20/11/2019
PANCHAYAT SARNA CHOUD KISHANPURA, RTO ZONE JAIPUR
JAIPUR, JAIPUR, RAJASTHAN, INDIA, 302012
CUSTOMER ID 1064387
NOMINEE NAME NA
RELATIONSHIP WITH PROPOSER NA
NOMINEE AGE NA
PERIOD OF INSURANCE 06/10/2024 00:00 To 05/10/2025 23:59 APPOINTEE / GUARDIAN NAME NA
FINANCIER DETAIL HDB FINANCIAL SERVICES LTD APPOINTEE / GUARDIAN NA
RELATIONSHIP
POLICY ISSUANCE OFFICE RAJASTHAN,JAIPUR EIA ACCOUNT NUMBER NA
PARTICULARS OF VEHICLE INSURED
REGISTRATION NUMBER RJ-14-GL-0833 MANUFACTURING YEAR / MONTH 2019 / 09
MAKE MAHINDRA & MAHINDRA MODEL / VARIANT BOLERO Pik-up 1.3T MS CBC
ENGINE NUMBER TBK4J55772 CHASSIS NUMBER MA1ZR2TBKK5J54504
CC/KW 2523 CARRYING CAPACITY 2
FUEL TYPE DIESEL GVW 2995
BODY TYPE PICKUP VAN
PREVIOUS YEAR POLICY DETAILS
PREVIOUS YEAR POLICY M00183101 PREVIOUS YEAR INSURER NAME RAHEJA QBE GENERAL
NUMBER INSURANCE CO. LTD.
INSURED'S DECLARED VALUE (Rs.)
VEHICLE IDV BODY IDV TRAILER IDV NON-ELECTRICAL ELECTRICAL OR CNG KIT LPG KIT TOTAL IDV
ACCESSORIES ELECTRONIC
ACCESSORIES
620000.00 0.00 0 0 0 0 0 620000.00
SCHEDULE OF PREMIUM (AMOUNT IN Rs.)
A. Own Damage B. Liability
Own Damage Premium 2309.00 Basic Third Party Liability 16049.00
CNG-Kit 0 Restricted TPPD (Limit: 6000) 0
LPG-Kit 0 CNG Kit-TP 0
Electrical or Electronic accessories 0 LPG Kit-TP 0
Non-Electrical Accessories 0 Geographical Extension (TP) 0
Geographical Area Extension (IMT-1) 0 Trailer-TP 0
Fibre Glass Fuel Tank 0 IMT34-TP 0
Lamp,Tyre Mudguards (IMT - 23) 346.00 Compulsory PA for owner driver 0
Trailer-OD 0 PA to Paid Driver ( Sum Insured:0, No of Drivers:0 ) 0
Imported Vehicle 0 LL To Paid Driver/Conductor(No of Persons : 2): 100.00
Driving Tuition-OD 0 Legal Liability Cleaner/Conductor/Coolies (No of 0
Persons:0)
IMT34-OD 0 Legal Liability To Fare Paying Passenger 0
Handicap 0 LL To Non-Fare Paying Passengers Including Employees 0
Use of Vehicle confined to Sites 0 LL To Non fare paying passenger Excluding Employees 0
LL to person employed under WCA (max 6) 0
LL to persons employed under WCA excluding paid driver 0
Own Damage Premium before NCB 2655.00
NCB (45%) -1195.00
Total Own Damage Premium: 1460.00 Total Liability Premium: 16149.00
TOTAL PACKAGE PREMIUM (A+B) 17609.00
NET PREMIUM 17609.00
OWN DAMAGE AND OTHER LIABILITY COVERS 1560.00 BASIC LIABILITY 16049.00
CGST(9%) 141 CGST(6%) 963
SGST(9%) 141 SGST(6%) 963
UGST(9%) 0 UGST(6%)
IGST(18%) 0 IGST(12%)
KERALA CESS(%) 0 KERALA CESS(%) 0
OWN DAMAGE AND OTHER LIABILITY COVERS 1842.00 TOTAL BASIC LIABILITY(INCLUDING GST) 17975.00
(INCLUDING GST)
TOTAL TAX PAYABLE 2208
TOTAL PREMIUM 19817
POLICY SUBJECT TO THE FOLLOWING IMT(S): 7,21,23,39
DEDUCTIBLE UNDER SECTION - I :(i) Compulsory deductible Rs 500/- for vehicle not exceeding GVW 7500 , Rs 1000/- for vehicle exceeding GVW 7500
but not exceeding 16500 GVW and Rs 1500/- for vehicle exceeding GVW 16500.
INTERMEDIARY CODE / NAME 1036122 / Policybazaar Insurance Brokers Pvt. Ltd.
INTERMEDIARY CONTACT NUMBER 9571119052
INTERMEDIARY EMAIL ID support@[Link]
LIMITS OF LIABILITY : (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. (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 of the insured up to the limits specified- (i) TPPD 7,50,000/-. (ii) PA cover for owner driver under section III CSI Rs 0/-.
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.

DRIVER’S CLAUSE: Any person including the Insured provided that a person driving holds a valid 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 a valid 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.
DISCLAIMER:Insured is not eligible for compulsory PA cover for the Owner Driver in the policyas the same has not been opted for the reasons allowed as per
motor tariff and / or guidelines issued by IRDAI vide circular reference number IRDAI / NL / CIR / MOTP / 200 / 12 / 2018, dated 11 / 12 / 2018 and
subsequentclarification issued [Link] case you have missed it, please opt for compulsory PA cover by the payment ofadditional premium as [Link]
of insurance company shall commence from the date of receipt of such additional premium
For RAHEJA QBE GENERAL INSURANCE COMPANY LIMITED

IMPORTANT : In case of payment by cheque, in the event of dishonor of cheque for any reason whatsoever, insurance cover provided under this
document automatically stands cancelled from inception
We hereby certify that the Policy to which this Certificate relates as well as this Certificate of Insurance is issued in accordance with the provisions of Chapter X and
Chapter XI of the Motor Vehicle Act 1988
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 the
insured. See the clause headed “AVOIDANCE OF CERTAIN TERMS AND RIGHT OF RECOVERY”. For legal interpretation, English version will hold good.

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 per the following table.
% of Discount on Own Damage Premium
Period of Insurance % of NCB on OD Premium
The Preceding Year 20%
Preceding Two Consecutive Years 25%
Preceding Three Consecutive Years 35%
Preceding Four Consecutive Years 45%
Preceding Five Consecutive Years 50%

"It is hereby declared and agreed that all pre-existing damages to the vehicle having occurred prior to the commencement of cover are excluded from
the scope of the policy".
The policy wording with detailed terms, conditions and exclusions are available on our website [Link]
Statutory Provisions:
"As per Section 146 of the Motor Vehicle Act, 1988 it is Mandatory to have your vehicle insured against third party risk.
I/We hereby certify that the Policy to which the certificate relates as well as this certificate of insurance are issued in accordance with the provision of
Chapter X and Chapter XI of M.V. Act, 1988.
*Except as provided in GR 27 Rule (g) of IMT i.e. Sale of Vehicle, No NCB will be allowed, when a policy is not renewed within 90 days of the expiry.
Note: In the event of dishonor of cheque, this policy document automatically stands cancelled from inception irrespective of whether a separate
communication is sent or not. The policy has been issued based on the information provided by you and the policy is not valid if any of the information
provided is incorrect, subject otherwise to the terms, conditions and exclusions of the Commercial Vehicle Package Policy Schedule. In witness
whereof this Policy has been signed at Mumbai on policy start date in lieu of Proposal/Cover note No. as mentioned in the policy.
Updating Registration Number of vehicles within 15 days of policy inception is MANDATORY as per IRDA. Kindly provide the same to your Agent/Our
Call centre/Policy issuing Branch (Applicable for policies issued without Registration No of vehicles).
It is warranted that the insured named herein/owner of the vehicle holds valid Pollution Under Control (PUC) Certificate and/or valid/fitness certificate as
applicable on the date of commencement of the policy and undertakes to maintain and renew a valid and effective PUC and/or fitness certificate, as
applicable during the subsistence of the Policy.
Note: Kindly acknowledge the receipt of this policy. In case you find any variations against your proposal or any discrepancy in the policy, kindly
contact us immediately. In the unfortunate event of a claim, please call quoting your Policy [Link] Toll Free No : 1800 102 7723 (9 am to 8 pm, Monday to
Saturday) and register your claim immediately within 7days from the date of loss. You can also reach us at customercare@[Link].
Stamp Duty of Rs.0.50/- is paid as provided under Article 47(B) of Indian Stamp Act, 1899 and included in Consolidated Stamp Duty Paid to the
Government of Maharashtra Treasury vide Order of [Link] Of Stamps, Mumbai at General Stamp Office, Fort, Mumbai - 400001., vide this Order
No. ENF-1/LOA/CSD/21/2023/4849 Validity Period Dt. 29/11/2023 To Dt.31/03/2025
I/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, we are not required to prepare an invoice in terms of the provisions of the said sub-rule.

UIN : IRDAN141RP0008V02200910
Name of Product/Add-on Product UIN

Raheja QBE General Insurance Company Limited, IRDAI Registration Number – 141.
Fulcrum, 501 & 502, A wing, 5th Floor, International Airport Project Road,
Sahar, Andheri East, Mumbai - 400059.
Telephone : +91 22 4231 3888 Facismile : +91 224231 3777
Invoice No:M00303802 Date:05/10/2024 Branch GST:08AADCR7145R1ZN
Place of Supply:RAJASTHAN,JAIPUR Description of Service: Motor Insurance Service
GST:Service Code : 997134 CIN :U66030MH2007PLC173129 Client GSTN :
Trade logo displayed belongs to R Raheja Investments Pvt. Ltd.& QBE Insurance Group Ltd. and used by Raheja QBE General Insurance Company
Limited under License.
TOLL FREE NUMBER: 1800 - 102 - 7723
(9 am to 8 pm, Monday to Saturday)