SCHEDULE CUM CERTIFICATE PRIVATE CAR
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INSURANCE POLICY-PACKAGE
Policy / Certificate No : POPMCAR00100642323
Package
Alternate Policy No :
Customer ID :
Policy Servicing Branch :
Name : Mr UPENDER SINGH Intermediary Name : Policybazaar Insurance Brokers Pvt Ltd
Intermediary Code : 0081454
Address : VPO MUKANDPUR BAHADURGARH ,
,Jhajjar Jhajjar, Intermediary Contact No : null
Haryana
124507 Period of Insurance OD : From:18/03/2024 00:00:00
To:17/03/2025 23:59:59
Period of Insurance TP : From:18/03/2024 00:00:00
: To:17/03/2025 23:59:59
Contact No 9588533166
Period of Insurance PA : From:18/03/2024 00:00:00
Email Id Owner Driver To:17/03/2025 23:59:59
: [email protected]
Dear Mr.UPENDER SINGH, UPEN
PO
Insure PMC
Welcome to the SBI General Family. With
PMC
SBI General's Private Car Insurance Policy - Package, you can be in control & enjoy the journey no matter
what roadblocks life throws at you.
ABOUT YOUR POLICY
Policy/ Policy Issue Period of
certificate no Date Insurance OD
From:18/03/2024 00:00:00
POPMCAR00100642323 16/03/2024 To:17/03/2025 23:59:59
Period of Period of Insurance Policy
Insurance TP PA Cover to Owner Driver Geographical Area
Type
From:18/03/2024 00:00:00 From:18/03/2024 00:00:00 Package India
To:17/03/2025 23:59:59 To:17/03/2025 23:59:59
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 | Private Car Insurance Policy - Package | Call (Toll Free) :1800 22 1111 , 1800 102 1111 | Visit: www.sbigeneral.in
3419.1
0.0 0.0
877680 0.0 0.0
ABOUT YOUR VEHICLE
Vehicle Make Registration Manufacturing Cubic Capacity /
Model & Variant Number Year Kilo Watt
Kia Motors,Seltos - Diesel 1493
& 1.5 HTK+ HR13Q1117 2020
Engine & Chassis Seating RTO
Fuel Number Capacity Location
D4FALM983847 & 5 Bahadurgarh
Diesel MZBEP813MLN097167
ABOUT VEHICLE INSURED DECLARED VALUE (IDV)
Your Vehicle IDV
Vehicle Non Electrical Accessory Electrical Accessory CNG/LPG Total IDV
877680.00 0.00 0.00 0.00 877680.00
COVERAGE DETAILS
Your Policy provides protection such as :
Own Damage Third Party
Protection to Car Protection towards Third Party Liability
Damage due to external means Death or Injury to any Third Party
Fire due to self ignition or explosion or lightning PA Cover to Owner Driver (if opted)
Theft, Burglary of accessories Damage to Third Party Property
Damage due to man made or natural calamities Optional Personal Accident cover to Passengers
WE COVER YOU FOR
Own Damage Premium Third Party Premium
Own Damage Basic 8402.03 Third Party Baisc
3416.00
Voluntary Deductible 0 Premium
No Claim Bonus % 0% Legal Liability to
50.00
Consumable 2194.20 Driver
Depreciation Reimbursement 4607.82 PA to Owner Driver 325.00
TOTAL OWN DAMAGE TOTAL TP
15204.05 3791.00
PREMIUM PREMIUM
TOTAL PREMIUM 18995.05
GST 3419.10
FINAL PREMIUM 22414.00
Sum Insured / Number of
ADD ON DETAILS Persons / Kilo meter/ No of Opted (Yes/No)
Admissable
SBI General Insurance Company Limited | Private Car Insurance Policy - Package | Call (Toll Free) :1800 22 1111 , 1800 102 1111 | Visit: www.sbigeneral.in
Depreciation Reimbursement Yes
Protection of NCB Yes
Cover for Consumables Yes
Consolidated Stamp Duty ₹ 0.5 paid towards Insurance Policy Stamps vide Order No.PB89987371 Dated: 16/03/2024 00:00:00 of General
Stamp Office, Mumbai
WHAT YOUR POLICY DOES NOT COVER
Depreciation, Wear & Tear, Non Accidental damage Driving under influence of
Mechanical or Electrical Breakdown to Tyre & Tubes intoxicating Liquor/Drugs
Liability arising out of Driving outside purview of
Accident outside India Limitation of use or Vehicle
unless opted for Contractual Liability
driven for purpose not allowed
HOW TO FILE YOUR CLAIMS WITHOUT ANY STRESS
FOR FOR NON-
NETWORK NETWORK
GARAGE GARAGE
Take your car to a Avail the ease Reimburse your expenses Fill in the claim form and
network garage* of our post-repair incase of a submit necessary
cashless facility non-network garage documents at the nearest
*Service at 1500 + Network Garages SBI General Branch
In the event of loss and / or damage arising out of the use of the insured vehicle giving rise to a probable claim being filed by a Third Party towards
bodily injury / death / property damage, please inform the Company at 1800 22 1111 or SMS ‘CLAIM’ to 561612 or email your details on
[email protected]
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
POPMCAR00100642323 to Download SBI General Mobile App
1800-102-1111 www.sbigeneral.in
561612 on Playstore or Appstore
SBI General Insurance Company Limited | Private Car Insurance Policy - Package | Call (Toll Free) :1800 22 1111 , 1800 102 1111 | Visit: www.sbigeneral.in
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 [email protected]
2 If the resolution you received does not meet your expectations, please email your
concerns to Head - Customer Care at [email protected]
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 - [email protected]
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 : www.igms.irdai.gov.in
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
https://www.sbigeneral.in/portal/buy-online/quick-assist/Locate 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
to the insured or held in trust or in the custody or control of the insured up to the limits
OF LIABILITY
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
SBI General Insurance Company Limited | Private Car Insurance Policy - Package | Call (Toll Free) :1800 22 1111 , 1800 102 1111 | Visit: www.sbigeneral.in
TERMS AND CONDITIONS
(i) Compulsory Deductible ₹ 1000 /-
DEDUCTIBLE (ii) Voluntary Deductible ₹ 0 /-
(iii) Additional Compulsory Deductible ₹
SPECIAL Warranted all damages existing prior to inception of risk are excluded from the scope
CONDITIONS of Policy.
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.
The Insured is entitled for a No Claim Bonus (NCB) on the Own Damage section of the Policy, if no claim is
made or is pending during the preceding year(s), as follows:
NO CLAIM The preceding year - 20%; Preceding two consecutive years - 25%; Preceding three
consecutive years - 35%; Preceding four consecutive years - 45%; Preceding five
BONUS consecutive years - 50%.
The No Claim Bonus will only be allowed provided the Policy is renewed within 90 days ofthe expiry date of
the previous Policy.
IMPORTANT DETAILS
PREVIOUS POLICY DETAILS
Expiring OD Policy Details Expiring TP Policy Details
Previous Insurer United India Insurance Co. Ltd Insurer Name United India Insurance Co. Ltd
Previous Policy Expiring Policy
34020131230160009237 34020131230160009237
Number Number
Period of Policy Start
From 18/03/2023 to 17/03/2024 Midnight 18/03/2023
Insurance Date
Previous Policy Policy End
Comprehensive 17/03/2024
Type Date
Financier Details Nominee Details Roadside Assistance POSP Details
Name : Policybazaar Insurance
Brokers Pvt Ltd
Code :
0081454
, KARAN SINGH,28,Son NA
Contact :
Details null
:
Landline Nos +91-124-4218302
SBI General Insurance Company Limited | Private Car Insurance Policy - Package | Call (Toll Free) :1800 22 1111 , 1800 102 1111 | Visit: www.sbigeneral.in
PREMIUM RECEIPT
This is to confirm and certify that we have received premium(s) from the below named Policy Holder
Policy Number POPMCAR00100642323
Policy Holder Name Mr UPENDER SINGH
Intermediary Name Policybazaar Insurance Brokers Pvt Ltd
Receipt Number PB89987371
Product Name Private Car Insurance Policy -Package
Receipt Date 16/03/2024
Policy Start Date 18/03/2024
Policy End Date 17/03/2025
Premium Paid by Mr UPENDER SINGH
*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: 2024.03.16
13:35:37 IST
Authorized Signatory
For SBI General Insurance Company Limited
GST INVOICE : You may download GST invoice from www sbigeneral.in\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 (https://www.sbigeneral.in/portal /downloads/Private Car Insurance Policy) carefully.
Package
SBI General Insurance Company Limited | Private Car Insurance Policy - Package | Call (Toll Free) :1800 22 1111 , 1800 102 1111 | Visit: www.sbigeneral.in
Package
5
PROPOSAL DETAILS
Proposal Transcript For Private Car Insurance Policy - Package
Proposer Name Mr UPENDER SINGH
VPO MUKANDPUR BAHADURGARH ,
,Jhajjar Jhajjar,
Proposer Address
Haryana
124507
Proposer Contact Number 9588533166
Proposer Email Address
[email protected]Policy POPMCAR00100642323 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 HR13Q1117
RTO Location Bahadurgarh
Engine Number D4FALM983847
Chassis Number MZBEP813MLN097167
First Purchase / Registration Date 01/07/2020
Year of Manufacture 2020
Vehicle Make Kia Motors
Vehicle Model Seltos - Diesel
Vehicle Variant 1.5 HTK+
Cubic Capacity / Kilo Watt / Gross Vehicle Weight / Horsepower 1493
Fuel Diesel
Seating Capacity including Driver 5
Carrying Capacity excluding Driver 4
EXPIRING POLICY DETAILS
Details OD Policy Details TP Policy Details
Insurer Name United India Insurance Co. Ltd United India Insurance Co. Ltd
Policy Number 34020131230160009237 34020131230160009237
Policy Start Date 18/03/2023 18/03/2023
Policy End Date 17/03/2024 17/03/2024
Policy Type Comprehensive NA
No Claim Bonus % NA
Claim Made No No
COVERAGE & TERMS PROPOSED
From:18/03/2024 00:00:00
Period of Insurance Own Damage
To:17/03/2025 23:59:59
From:18/03/2024 00:00:00
Period of Insurance Third Party
To:17/03/2025 23:59:59
From:18/03/2024 00:00:00
Period of Insurance PA cover to Owner Driver
To:17/03/2025 23:59:59
SBI General Insurance Company Limited | Private Car Insurance Policy - Package | Call (Toll Free) :1800 22 1111 , 1800 102 1111 | Visit: www.sbigeneral.in
0.0 0.0
0.0 325
0.0
B00015 0.00.0
0.0
877680
0.0
0 877680 B00013 0.0
0.0
POPMCAR0010
0.0 50
INSURED DECLARED VALUE (IDV)
Electronic Non-Electrical
Vehicle CNG / LPG Kit Body Value Trailer Total
Accessories Accessories
877680.00 0.00 0.00 0.00 NA 0.00 877680.00
ADDITIONAL COVERS
Voluntary Excess Opted Yes 0
PA Cover to Owner Driver of Rs. 15 Lakhs Yes
PA Cover to Unnamed Passenger / Pillion Rider No
22414
PA cover to Paid Driver No
1 Legal Liability to Paid Driver / Employees Yes 1,0
Third Party Property Damage Restriction Limit 750000
0 Add on covers - Kindly refer Policy Schedule
Hypothecation / Lease / Hire Purchaser Name ,
7
Policy premium including Tax 22414.00
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: IRDAN144RP0005V03201112 |SBI Logo
displayed belongs to State Bank of India and used by SBI General Insurance Co. Ltd. under license.
SBI General Insurance Company Limited | Private Car Insurance Policy - Package | Call (Toll Free) :1800 22 1111 , 1800 102 1111 | Visit: www.sbigeneral.in
