THE NEW INDIA ASSURANCE CO. LTD.
(Government of India Undertaking)
POLICY SCHEDULE CUM CERTIFICATE OF INSURANCE
Commercial Vehicle Package Policy
UIN Number - IRDAN190RP0044V01100001
Policy Number :54020531240100000604
POLICY ISSUING OFFICE: BUSINESS CHANNEL/CPSC User: CLAIM CONTACT:
SAKCHI BRANCH (540205), NAME: DIRECT BUSINESS - (2D10673688) Jamshedpur Non Suit Claim Hub (549002)
SAKCHI BRANCH , IMA BUILDING,DAMODAR Mr. Harvinder Singh . - (NIA2D10669348), ADDRESS: JAMSHEDPUR NON-SUIT CLAIMS HUB,
ROAD SAKCHI. JAMSHEDPUR. , , PHONE NUMBER: / / 9334156394 KAMANI CENTRE, BISTUPUR, JAMSHEDPUR , , ,
JHARKHAND , 831001. LAND/FAX NUMBER:/ JHARKHAND , 831001.
PHONE NUMBER:06572230167 / EMAIL:
[email protected] / PHONE NUMBER: 123456 /
06572230529
[email protected] MOBILE NUMBER:
FAX NUMBER:NA / NA Email:
[email protected] Email:
[email protected] INSURED DETAILS
Insured's Name DAVINDAR SINGH Customer ID PO67293172 (PAN No
:GCBPS7270F)
Insured's Address H.NO-22, SUNDAR VIHAR COLONY KURUD BHILAI Contact Number / / XXXXXX5920
CHHATTISGARH,,A/P- 12/10, KRISHNA ROAD BAGAN
AREA SIDHGORA,,
JAMSHEDPUR ,JHARKHAND, 831009
Email
GSTIN NA
POLICY DETAILS
Period of cover 09/06/2024 12:00:01 AM to 08/06/2025 11:59:59 PM Receipt Number 10000089240600205375 -
06/06/24
Previous Insurer THE NEW INDIA ASSURANCE COMPANY LTD. Previous Policy Number 54020531230100000767
VEHICLE DETAILS
Geographical Area / Zone: India/C Year of manufacture: 2011
Type of Commercial A - Goods Carrying Sub Type: Other than 3 wheeler -
Vehicles: Public Carrier
Name of the Financier: Chassis no./Engine no.: MAT457054B7A03556/497
TC92AYY802909
Type of fuel: Diesel Cubic capacity ( cc): 0
Type of body: Open Gross Vehicle Weight 13500
(GVW):
Make/Model: TATA MOTOR/LPT1109 Registration no. CG-07-CA-2306
Seating capacity including 2 Variant: LPT 1109
Driver:
Automobile Association Colour: WHITE
membership:
Cover Note No/Cover / Name of registration Durg
Note Issue Date: authority:
FASTag ID:
INSURED DECLARED VALUE (Rs)
Vehicle Trailer Non-Elec Acc Electrical Acc Bi-fuel kit Total Value
280000 0 0 0 0 280000
SCHEDULE OF PREMIUM
Own Damage Liability
Basic OD Premium 700 Basic TP Premium 35313
(-)Calculated NCB Discount(20%) 140.03 (+)LL to paid driver conductor cleaner employed for
oprn 100
Calculated OD Premium 561 Calculated TP Premium 35413
Policy No. : 54020531240100000604Document generated by AG_HARVIND at 2024/06/06 12:58:14.
Regd. & Head Office: New India Assurance Bldg., 87 M.G. Road, Fort, Mumbai - 400 001. TOLL FREE No. 1 800 209 1415.
Give your valuable feedback on https://www.newindia.co.in/portal/policyFeedbackGen.
For redressal of your grievance, if any,you may approach any one of the following offices- 1. Policy issuing office 2. Regional office 3. Head office.In case, you are not satisfied with our own grievance redressal mechanism; you may also
approach Insurance Ombudsman. For details of our office addresses and addresses of office of Insurance Ombudsman, please visit our website http://newindia.co.in.
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THE NEW INDIA ASSURANCE CO. LTD.
(Government of India Undertaking)
Total OD Premium (Rs) 561 Total TP Premium (Rs) 35413
Net Premium (Rs) 35,974
GST (Rs) 4,356
Total Payable (Rs) 40,330
Total Payable in Rs(in words): RUPEES FORTY THOUSAND THREE HUNDRED THIRTY ONLY
GSTIN(Issuing Office) 20AAACN4165C2Z4
SAC 997134 (Motor vehicle insurance services)
Limitation as to use:The Policy covers use only under a permit within the meaning of the Motor Vehicles Act, 1988 or such a carriage falling
under Sub-section 3 of Section 66 of the Motor Vehicles Act, 1988.The Policy does not cover use FOR a)Organised racing b) Pace Making c)
Reliability Trials d) Speed Testing
Limits of Liability:Limit of the amount the Company's Liability Under Section II 1(i) in respect of any one accident: as per the Motor Vehicles
Act, 1988. Limit of the amount of the Company's Liability Under Section II 1(ii) in respect of any one claim or series of claims arising out of one
event: Up to Rs. 7,50,000
For individual covers (OD) in RS:280000 Compulsory excess in Rs:1000
Imposed excess in Rs:0 Voluntary excess in Rs:0
Persons or classes of persons entitled to drive:Any person including the insured provided that a 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 and that such a person satisfies the requirement of Rule 3 of the Central Motor Vehicles
Rules, 1989.
PA cover for Owner Driver
Name of Nominee Age of Nominee Relationship with the Name of the Appointee (if Relationship to the
Insured Nominee is a minor) Nominee
none 0 none none none
PA cover for named persons
Name CSI Opted(Rs.) Nominee Relationship
NA NA NA NA
Premium and GST Details
Rate of Tax Amount in INR
Premium Rs661
SGST 9 59
CGST 9 59
IGST 0 0
Premium Rs35313
SGST 6 2119
CGST 6 2119
IGST 0 0
In witness where of this policy has been signed at SAKCHI BRANCH on this 06/06/2024
WARRANTED THAT IN CASE OF DISHONOUR OF THE PREMIUM CHEQUE, THIS DOCUMENT STANDS AUTOMATICALLY CANCELLED ABINITIO
This policy is subject to the Terms, conditions and exceptions applicable to Package/Liability policy attached/available on the web site
http://newindia.co.in; IMT Endorsement Number(s) printed herewith attached 21,40.
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 Vehicles Act, 1988 is recoverable from the
insured: see clause headed "AVOIDANCE OF CERTAIN TERMS AND RIGHTS OF RECOVERY". It is clarified that in case the declaration regarding
the ncb or other previous policy details made by the insured, is found to be incorrect, all the benefits (including claim) under section-1 of this
policy, will stand forfeited.
Anti Money Laundering Clause: In the event of a claim under the policy exceeding Rs 1lakh or a claim for refund of premium exceeding Rs 1
lakh, the insured will comply with the provisions of AML policy of the company. The AML policy is available in all our operating offices as
well as Company website.
I/We hereby certify that the policy to which this Certificate For and on behalf of The New India Assurance Company Limited
Policy No. : 54020531240100000604Document generated by AG_HARVIND at 2024/06/06 12:58:14.
Regd. & Head Office: New India Assurance Bldg., 87 M.G. Road, Fort, Mumbai - 400 001. TOLL FREE No. 1 800 209 1415.
Give your valuable feedback on https://www.newindia.co.in/portal/policyFeedbackGen.
For redressal of your grievance, if any,you may approach any one of the following offices- 1. Policy issuing office 2. Regional office 3. Head office.In case, you are not satisfied with our own grievance redressal mechanism; you may also
approach Insurance Ombudsman. For details of our office addresses and addresses of office of Insurance Ombudsman, please visit our website http://newindia.co.in.
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THE NEW INDIA ASSURANCE CO. LTD.
(Government of India Undertaking)
relates as well as this Certificate of Insurance are issued in
accordance with the provisions of Chapter X and XI of M.V. Act,
1988.
Date of Issue: 06/06/2024
(Mr. SAGAR .)
[Sr. Branch Manager]
Duly Constituted Attorney(s)
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.
Tax Invoice No : 54020524E0000922
IRDA Registration Number: 190
NIA PAN NUMBER: AAACN4165C
Policy No. : 54020531240100000604Document generated by AG_HARVIND at 2024/06/06 12:58:14.
Regd. & Head Office: New India Assurance Bldg., 87 M.G. Road, Fort, Mumbai - 400 001. TOLL FREE No. 1 800 209 1415.
Give your valuable feedback on https://www.newindia.co.in/portal/policyFeedbackGen.
For redressal of your grievance, if any,you may approach any one of the following offices- 1. Policy issuing office 2. Regional office 3. Head office.In case, you are not satisfied with our own grievance redressal mechanism; you may also
approach Insurance Ombudsman. For details of our office addresses and addresses of office of Insurance Ombudsman, please visit our website http://newindia.co.in.
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