SCHEDULE CUM CERTIFICATE PRIVATE CAR
INSURANCE POLICY-PACKAGE
Policy / Certificate No : 0000000024350809-03
Package
Alternate Policy
Policy No : PBMC000000083505
Customer ID : 0000000044930964
QR code for mobile download app:
Policy Servicing Branch : HO
Name : Ms Ambika Devi Intermediary Name : PolicyBazaar Insurance Brokers Pvt Ltd
Intermediary Code : 0065359
Address : Mcd Homeopathic Dispensary Tri lok Puri 26 Block
Opp Ig M a rket Mayur Vihar 1 Delhi Delhi, Intermediary Contact No :
Opp Ig M a rket Mayur Vihar 1 Delhi Delhi,Delhi East
Delhi, Period of Insurance OD : From:22/09/2024 00:00
Delhi To:21/09/2025 Midnight
110091
Period of Insurance TP : From:22/09/2024 00:00
: To:21/09/2025 Midnight
Contact No +91-9160109572
Period of Insurance PA : From:22/09/2024 00:00
Email Id Owner Driver To:21/09/2025 Midnight
: [email protected]
Dear Ms.Ambika Devi, Ambi
00
Ebao
Welcome to the SBI0000 PMC
General Family. With
Priv
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:22/09/2024 00:00
To:21/09/2025 Midnight
0000000024350809-03 04/09/2024
Period of Period of Insurance Policy
Insurance TP PA Cover to Owner Driver Geographical Area
Type
From:22/09/2024 00:00 From:22/09/2024 00:00 Package India
To:21/09/2025 Midnight To:21/09/2025 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 | Private Car Insurance Policy - Package | Call (Toll Free) :1800 22 1111 , 1800 102 1111 | Visit: www.sbigeneral.in
691.92
0 0
53902 0 0
ABOUT YOUR VEHICLE
Vehicle Make Registration Manufacturing Cubic Capacity /
Model & Variant Number Year Kilo Watt
Maruti Suzuki,Swift & 1.2 1197
Lxi BS IV DL 07 CK 9389 2011
Engine & Chassis Seating RTO
Fuel Number Capacity Location
K12MN4081485 & 5 Surajmal Vihar
Petrol MA3EKKD1S00681830
ABOUT VEHICLE INSURED DECLARED VALUE (IDV)
Your Vehicle IDV
Vehicle Non Electrical Accessory Electrical Accessory CNG/LPG Total IDV
53902.00 0.00 0.00 0.00 53902.00
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 902.67 Third Party Baisc
3416.00
No Claim Bonus % 50.0% Premium
TOTAL OWN DAMAGE TOTAL TP
428.00 3416.00
PREMIUM PREMIUM
TOTAL PREMIUM 3844.00
GST 0.00
FINAL PREMIUM 4536.00
Sum Insured / Number of
ADD ON DETAILS Persons / Kilo meter/ No of Opted (Yes/No)
Admissable
Consolidated Stamp Duty ₹ 0.5 paid towards Insurance Policy Stamps vide Order No.LOA/ENF-2/CSD/61/2024/(Validity Period
Dt.20/07/2024 to Dt.19/07/2026)/2783 Date:- 05/07/2024 Dated: 2024-09-04 15:00:02.4 of General Stamp Office, Mumbai
SBI General Insurance Company Limited | Private Car Insurance Policy - Package | Call (Toll Free) :1800 22 1111 , 1800 102 1111 | Visit: www.sbigeneral.in
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
0000000024350809-03 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
If you are dissatisfied with the resolution provided, you may write to
[email protected] We will look into the matter and decide the same
1 expeditiously within 14 days from the date of receipt of your complaint.
For Senior Citizens: Senior Citizens can reach us at [email protected]; Toll
Free - 1800 22 1111 / 1800 102 1111 Monday to Saturday (8 am - 8 pm)
In case, you are not satisfied with the decision/resolution communicated by the above office,
or have not received any response within 14 days, you may send your Appeal addressed to the
Chairman of the Grievance Redressal Committee at : [email protected]. or contact at: 022-
42412070
2 Address: Grievance Redressal Officer, 9th Floor, A & B Wing, Fulcrum Building, Sahar Road,
Andheri (East), Mumbai 400 099
List of Grievance Redressal Officers at Branch:
https://content.sbigeneral.in/uploads/0449cac1bcd144bbb160d3f6b714fbbd.pdf/
In case, you are not satisfied with the decision/resolution communicated by the above office,
3 or have not received any response within 14 days, you may Register your complaint with IRDAI
on the below given link https://bimabharosa.irdai.gov.in/Home/Home
If your grievance remains unresolved from the date of filing your first complaint or is partially
resolved, you may approach the Insurance Ombudsman falling in your jurisdiction for Redressal
of your Grievance. The details of the Insurance Ombudsman can be accessed at
https://www.cioins.co.in/Ombudsman
4
If Your issue remains unresolved You may approach IRDAI by calling on the Toll-Free no. 155255
or You can register an online complaint on the website http://igms.irda.gov.in
For Insurance Ombudsman Offices, kindly visit our website
https://www.sbigeneral.in/portal/buy-online/quick-assist/Locate us/Ombudsman Office List
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
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 SBI General Insurance Company Ltd Insurer Name SBI General Insurance Company Ltd
Previous Policy Expiring Policy
0000000024350809-02 0000000024350809-02
Number Number
Period of From 22/09/2023 00:00 to 21/09/2024 Policy Start
22/09/2023
Insurance Midnight Date
Previous Policy Policy End
Comprehensive 21/09/2024
Type Date
Financier Details Nominee Details Roadside Assistance POSP Details
Name : PolicyBazaar Insurance
Brokers Pvt Ltd
Code :
0065359
, ,, NA
Contact :
Details
Package :
Landline Nos +1800-124-5723918
Declaration
As part of the Go Green initiative, we’ll be issuing this policy in digital mode on your registered mobile number and e-mail ID. We save a tree
when we issue an e-policy. A policy document sent electronically is as valid as a physical policy contract document. However, if you need a
physical copy of the policy document, please send SMS “PRINT <Policy Number>” to 561612 from your registered mobile number.
Ebao
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 0000000024350809-03
Policy Holder Name Ms Ambika Devi
Intermediary Name PolicyBazaar Insurance Brokers Pvt Ltd
Receipt Number 42745174
Product Name Private Car Insurance Policy -Package
Receipt Date 04/09/2024
Policy Start Date 22/09/2024
Policy End Date 21/09/2025
Premium Paid by Ms Ambika Devi
*Cheque dishonor - If premium paid through cheque, the policy is void ab-initio in case of dishonor of cheque.
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 Ms Ambika Devi
Mcd Homeopathic Dispensary Tri lok Puri 26 Block Opp Ig M a rket
Mayur Vihar 1 Delhi Delhi,
Proposer Address Opp Ig M a rket Mayur Vihar 1 Delhi Delhi,Delhi East Delhi,
Delhi
110091
Proposer Contact Number +91-9160109572
Proposer Email Address
[email protected]Policy 0000000024350809-03 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 DL 07 CK 9389
RTO Location Surajmal Vihar
Engine Number K12MN4081485
Chassis Number MA3EKKD1S00681830
First Purchase / Registration Date 01/07/2011
Year of Manufacture 2011
Vehicle Make Maruti Suzuki
Vehicle Model Swift
Vehicle Variant 1.2 Lxi BS IV
Cubic Capacity / Kilo Watt / Gross Vehicle Weight / Horsepower 1197
Fuel Petrol
Seating Capacity including Driver 5
Carrying Capacity excluding Driver 4
EXPIRING POLICY DETAILS
Details OD Policy Details TP Policy Details
Insurer Name SBI General Insurance Company Ltd SBI General Insurance Company Ltd
Policy Number 0000000024350809-02 0000000024350809-02
Policy Start Date 22/09/2023 22/09/2023
Policy End Date 21/09/2024 21/09/2024
No Claim Bonus % 50% NA
Claim Made No No
COVERAGE & TERMS PROPOSED
From:22/09/2024 00:00
Period of Insurance Own Damage
To:21/09/2025 Midnight
From:22/09/2024 00:00
Period of Insurance Third Party
To:21/09/2025 Midnight
From:22/09/2024 00:00
Period of Insurance PA cover to Owner Driver
To:21/09/2025 Midnight
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 700000350
0.0
0
0.0
0
53902
0 700000351
53902 0
0.0
000000002435
0 0
INSURED DECLARED VALUE (IDV)
Electronic Non-Electrical
Vehicle CNG / LPG Kit Body Value Trailer Total
Accessories Accessories
53902.00 0.00 0.00 0.00 NA 0.00 53902.00
ADDITIONAL COVERS
Voluntary Excess Opted No
PA Cover to Owner Driver of Rs. 15 Lakhs No
PA Cover to Unnamed Passenger / Pillion Rider No
4536
PA cover to Paid Driver No
0 Legal Liability to Paid Driver / Employees No 0,
Third Party Property Damage Restriction Limit Upto Rs.750000
Add on covers - Kindly refer Policy Schedule
U Hypothecation / Lease / Hire Purchaser Name ,
Policy premium including Tax 4536.00
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.
Digitally signed by
VISHWANATHAN
SUBRAMANIAN
Date: 2024.09.04
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
