HDFC ERGO General Insurance Company Limited

Certificate of Insurance cum Policy Schedule 2316101489276600000

Motor Insurance - Miscellaneous Carrying Comprehensive

2316101489276600000

2 N Vehicle Details Policy Details

MR RUBIN JANU Registration No. HR-77-B-6368 Policy No. 2316 1014 8927 6600 000
Communication Address: RTO BERI Period of From 23 Jul, 2025 23:28 hrs
VILLAGE INAYATPUR Gulawad Palwal Palwal FARIDABAD Maximum License Insurance To 22 Jul, 2026 Midnight
1
HARYANA 121107 Tel : 99XXXXXXX3 carrying capacity
GVW 1 Issuance Date 23/07/2025
Body Type OPEN Invoice No. 101489276600000
Mfg Year 2018 Customer Id 101244593284
Private/Public Carrier
EIA No. Not provided
Payment Details : TC2507000080 , Bank Name:Bizdirect
Email ID : [email protected]

Make Model - Variant Engine No Chassis No

INTERNATIONAL DI 35 3100FLU83C715329F18 AZJDG722799S3
Insured's Declared Value (IDV) (`)
Vehicle Chassis Vehicle Body Electrical Accessories Non Electrical Accessories CNG/LPG Kit Trailer Total IDV
323,000 0 0 0 0 0 323,000
Trailer Chassis No
Bundled cover Liability only Cover
From Date & Time 23/07/2025 To Date & Time 22/07/2026 From Date & Time 23/07/2025 To Date & Time 22/07/2026
Premium Details (`)
Own Damage Premium(a) Liability Premium(b)
Basic Own Damage 1413 Basic Third Party Liability 7267
Total Basic Premium 1413 Net Liability Premium (b) 7267
Add : Cover for Lamps, Tyres, Mudguards, Bumpers (IMT-23) 212 Total Package Premium (a+b) 8892
Total - Add 212 Integrated Tax 18% 1601
Total Tax 1601
Net Own Damage Premium (a) 1625 Total Premium 10493
Geographical Area India Compulsory Deductible (IMT-21) 2,000
Previous Policy No. 3434355343 Valid 15/08/2022 to 14/08/2023 of Liberty Videocon General Insurance Company Limited NCB 0%
If declaration found incorrect, benefits under the present policy in respect of own damage section will stand forfeited.
Compulsory PA cover for owner driver has not been provided to the insured basis his/her declaration of not holding an effective driving license Or having Alternate PA / Stand alone CPA policy with minimum sum
insured of Rs 15 Lakhs.
Leased Agreement (IMT-6)/Hypothecated (IMT-7) with
LIMITATIONS AS TO USE:The Policy covers use of the vehicle only under a permit within the meaning of the Motor Vehicle Act 1988 or such a carriage falling under Sub-Section (3) of Section 66 of the Motor
Vehicle’s Act 1988. The Policy does not cover use of the vehicle for a ) Organized racing b ) Speed Testing. Persons or Class 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 when not used for the transport of goods at the time of the accident and that such a person satisfies the requirements of Rule 3 of the Central Motor Vehicles Rules, 1989. Limits of Liability 1.
Under Section II-1 (i) of the policy - Death of or bodily injury - Such amount as is necessary to meet the requirements of the Motor Vehicles Act, 1988. 2. Under Section II - 1(ii) of the policy -Damage to Third Party
Property - ` 750000 3. P. A. Cover under Section III for Owner - Driver (CSI) : ` NA Terms, Conditions and Exclusions: As per the Indian Motor Tariff. A personal copy of the same is available free of cost on
request & the same is also available at our website. A personal copy of the same is available free of cost on request & the same is also available at our website.
Insured is carrying on or engaged in the business or occupation of and no other for the purposes of this insurance
I / We hereby certify that the policy to which the certificate relates as well as the certificate of insurance are issued in accordance with the provision of chapter X, XI of M. V.Act 1988.The stamp duty of Rs. 0.5/-
paid vide Order No:(LOA/ENF-1/CSD/64/2024-25/ Validity Period Dt. 15/10/2024 to Dt. 31/12/2028, OW No. 4742 Dt 04/10/2024 GRN NO. MH007778466202425M,Dt. 10/09/2024, SBI Bank & DEFACE No.
0005045616202425,Dt. 03/10/2024) a s prescribed by Government of Maharashtra Notification No. Mudrank 2017/C.R.97/M-1, Dt.09/01/2018. IMPORTANT NOTICE: The Insured is not indemnified if the vehicle is
used o r driven otherwise than in accordance with this Schedule. Any payment made b y the Company b y reason of wider terms appearing in the Certificate in order to comply with the Motor Vehicle Act, 1988
i s recoverable from the Insured. See the clause headed 'AVOIDANCE OF CERTAIN TERMS AND RIGHT OF RECOVERY'. Disclaimer: The Policy shall be void from inception if the premium cheque is not
realized. In the event of misrepresentation, fraud o r non-disclosure of material fact, the Company reserves the right to cancel the Policy. Please note that the insured vehicle was pre-inspected and a report was
prepared accordingly. The existing damages to the vehicle a s mentioned in the report shall not be paid b y the Company. The policy i s issued basis the information provided by you, which is available with the
company. In case of discrepancy or non recording of relevant information in the policy, the insured is requested to bring the same to the notice of the company within 15 days .
“Please note that your communication address i s treated a s the address for underwriting purposes, which i s generally address where you would be currently and temporarily residing, and is different from your
permanent address. Details alongwith the proof for your permanent address i s provided either from reference of C-KYC Registry and/or on Aadhaar. Any submission for change in address is treated as change in
communication address. Please go to the self-help page or your nearest branch if case you intend to change the ‘permanent address’ provided.”
GST for this invoice i s not payable under reverse charge basis. 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
Goods & Services Tax Registration No: 04AABCL5045N1ZG SAC Code 997134
Branch :1st fl, sco 124-125, sector 8 c, madhya marg chandigarh

For Claim/Policy related queries Please Contact us at 022 6158 2020 / 022 6234 6234 or Visit Help Section on www.hdfcergo.com for policy copy/tax certificate/make changes/register and track claims.

HDFC ERGO General Insurance Company Limited. IRDAI Reg No.146 UIN: IRDAN125RP0013V01202122. Policy Issuing/ Customer Happiness Center: D 301, 3rd Floor,
CIN : U66030MH2007PLC177117. Registered & Corporate Office: HDFC ERGO General Insurance Eastern Business District (Magnet Mall), LBS Marg, Bhandup (West), Mumbai - 400 078.
Company Limited – 6th Floor, Leela Business Park, Andheri-Kurla Road, Andheri (East), Mumbai – 400 059. Customer Service No : 022 6158 2020 / 022 6234 6234 | www.hdfcergo.com
HDFC ERGO General Insurance Company Limited
Certificate of Insurance cum Policy Schedule 2316101489276600000

Motor Insurance - Miscellaneous Carrying Comprehensive

2316101489276600000

CSC Name : CSC E GOVERNANCE SERVICES INDIA LIMITED For HDFC ERGO General Insurance Company Ltd
CSC Code : 201764376894 Contact No : 91-9911144445 VLE ID : 774423410018 VLE Name :
Parveen csc
License Code:-
SP Name:-
SP Contact No:- 91-9911144445 Duly Constituted Attorney

Scan the code for Instant Policy Info, Register/Track Claim, Renewal and Modifications in policy.

"For detailed policy terms and conditions please visit our website https://www.hdfcergo.com/download/policy-wordings "

HDFC ERGO General Insurance Company Limited. IRDAI Reg No.146 UIN: IRDAN125RP0013V01202122. Policy Issuing/ Customer Happiness Center: D 301, 3rd Floor,
CIN : U66030MH2007PLC177117. Registered & Corporate Office: HDFC ERGO General Insurance Eastern Business District (Magnet Mall), LBS Marg, Bhandup (West), Mumbai - 400 078.
Company Limited – 6th Floor, Leela Business Park, Andheri-Kurla Road, Andheri (East), Mumbai – 400 059. Customer Service No : 022 6158 2020 / 022 6234 6234 | www.hdfcergo.com
HDFC ERGO General Insurance Company Limited
2316101489276600000

Motor Insurance - Proposal Form cum Transcript Letter For Miscellaneous Carrying
Comprehensive

Vehicle Details Proposal details

Registration No. HR-77-B-6368 Proposal No. 2316101489276599800
RTO BERI Period of From 23 Jul, 2025 23:28 hrs
Maximum License Insurance To 22 Jul, 2026 Midnight
carrying capacity 1
2316101489276600000
(Including Driver)
MR RUBIN JANU Cubic 23/07/2025
1 Issuance Date
VILLAGE INAYATPUR Gulawad Palwal Palwal FARIDABAD Capacity/Watts
HARYANA 121107 Tel : 99XXXXXXX3 Body Type OPEN Invoice No. 101489276600000
Mfg Year 2018 Customer Id 101244593284
Private/Public Carrier PAN No CGRPR8049F
Payment Details : TC2507000080 , Bank Name:Bizdirect
Email ID : [email protected]
Make Model - Variant Engine No Chassis No
INTERNATIONAL DI 35 3100FLU83C715329F18 AZJDG722799S3
Insured's Declared Value (IDV) (`)
Vehicle Chassis Vehicle Body Electrical Accessories Non Electrical Accessories CNG/LPG Kit Trailer Total IDV
323,000 0 0 0 0 0 323,000
Trailer Chassis No
Premium Details (`)
Own Damage Premium(a) Liability Premium(b)
Basic Own Damage 1413 Basic Third Party Liability 7267
Total Basic Premium 1413 Net Liability Premium (b) 7267
Add : Cover for Lamps, Tyres, Mudguards, Bumpers (IMT-23) 212 Total Package Premium (a+b) 8892
Total - Add 212 Integrated Tax 18% 1601
Total Tax 1601
Net Own Damage Premium (a) 1625 Total Premium 10493
Geographical Area India Compulsory Deductible (IMT-21) 2,000
Previous Policy No. 3434355343 Valid 15/08/2022 to 14/08/2023 of Liberty Videocon General Insurance Company Limited NCB 0%
If declaration found incorrect, benefits under the present policy in respect of own damage section will stand forfeited.
Compulsory
Leased
CSC Name PA coverEfor
Agreement
: CSC owner driver has not
(IMT-6)/Hypothecated
GOVERNANCE been provided
(IMT-7)
SERVICES to theLIMITED
with
INDIA insured basis
CSChis/her
Code declaration of not holding
: 201764376894 an effective
Contact No driving license Or having
: 91-9911144445 VLEAlternate PA / Stand alone
ID : 774423410018 CPAName
VLE policy :with minimumcsc
Parveen sum

Anti rebate clause

Prohibition of Rebates (Section 41 of Insurance Act, 1938 as amended) : 1. No person shall allow o r 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 o r renewing or continuing a policy accept any rebate, except such rebate as may be allowed in accordance with the published prospectuses or tables of the insurer: provided that acceptance by an
insurance agent of commission in connection with a policy of life insurance taken out by himself on his own life shall not be deemed to be acceptance of a rebate of premium within the meaning of this sub-section if
at the time of such acceptance the insurance agent satisfies the prescribed conditions establishing that he is a bona fide insurance agent employed by the insurer.

2. Any person making default in complying with the provisions of this section shall be liable for a penalty which may extend to ten lakh rupees..

Terms and Conditions

I hereby declare that the Insured Person(s) listed in Proposal Form will abide to the following T&C:
1 ) I/We hereby declare that the statements made by me/us are true to the best of my / our knowledge and belief and I/we hereby agree that this declaration shall form the basis of the contract between me/us and
HDFC ERGO General Insurance Company Limited.
2) I/We also declare that, if any additions or alterations are carried out after the submission of this proposal form, then the same would be conveyed to the insurers immediately.
3) I understand that: My premium is derived on the basis of information filled by me, which includes my previous year policy details and No claim Bonus Discount %, if any.
HDFC ERGO General Insurance Company (Company) may verify my previous year policy details and may hold claim settlement process till the time confirmation is received from previous insurer
The Company shall have no liability under this insurance contract if it is found that any of my / our statement on particulars or declaration (other than NCB discount) in this proposal form
or other documents are incorrect and / or untrue / false.
I f any discrepancy found in the information provided for arriving at NCB discount %, Company shall communicated to me via e-mail &/ or letter for payment of the balance premium amount within 20 days from the
date of communication. If the balance amount is not paid by me within 20 days from the date of communication then Claim will be paid proportionately.
4) I/We also shall endeavor to procure the renewal notice and pass on the same to HDFC ERGO General Insurance immediately upon the receipt of such renewal notice.
5) Any person who, knowingly and with intent to defraud the Insurance Company or other persons, files a proposal for insurance containing any false information, or conceals for the purpose of misleading, information
concerning any fact material thereto, commits a fraudulent act which will render the policy voidable at the Company's sole discretion and result in a denial of insurance benefits.
GSTIN :- Motor(Comprehensive and TP):For policy issued in the name of corporate entity (proprietor, HUF, partnership, private company etc), GSTIN is printed on the policy, basis the details provided during policy
issuance. For any subsequent changes or addition (i.e. if GSTIN not entered at the time of policy issuance ) on policy schedule, changes shall be carried out through fresh policy issuance with prospective effect.
6) I understand the Proposal No. 2316101489276600000 is issued to me basis on above information.
7) It has been declared by you that you are not a Politically Exposed Person and the source of funds to purchase this policy are from salary/business income.
Transcript Declaration : In case disagreement or objection or any other changes with respect to information and contents mentioned herein above,please contact our toll free number and register your objections /
changes / disagreement to the content of this transcript or you may also send us email or written correspondence at the following details within a period of 15 days from date of your receipt of this transcript along.

HDFC ERGO General Insurance Company Limited. IRDAI Reg No.146 UIN: IRDAN125RP0013V01202122. Policy Issuing/ Customer Happiness Center: D 301, 3rd Floor,
CIN : U66030MH2007PLC177117. Registered & Corporate Office: HDFC ERGO General Insurance Eastern Business District (Magnet Mall), LBS Marg, Bhandup (West), Mumbai - 400 078.
Company Limited – 6th Floor, Leela Business Park, Andheri-Kurla Road, Andheri (East), Mumbai – 400 059. Customer Service No : 022 6158 2020 / 022 6234 6234 | www.hdfcergo.com
HDFC ERGO General Insurance Company Limited
2316101489276600000

CUSTOMER INFORMATION SHEET/KNOW YOUR POLICY

This document provides only key information about your policy. Please refer to the policy document for detailed terms and
conditions.

Policy
S.No Title Description (Please refer to applicable Policy Clause Number in next column) Clause
Number
1 Product Name Motor Insurance - Miscellaneous Carrying Comprehensive
Unique Identification
2 Number (UIN) allotted by UIN NO: IRDAN125RP0013V01202122
IRDAI
Section I-
3 Structure Section I: indemnity basis Sum
Insured –
Insured’s
Section II: Legal liability as per M.V act, Workmen compensation act
Declared
Value
(Idv)
4 Interests Insured Motor Vehicle
Sum Insured / Motor Refer
5 Insured Declared Value Section I: 1413 policy
Scope schedule

Section II: Third party Property damage: 7267 Third party liability: As per Motor
Vehicle Act

6 Policy Coverage Covers the Private Cars against:

Section I: Loss of or Damage to the Vehicle Insured
The Company will indemnify the insured against loss or damage to the vehicle
insured hereunder and/or its accessories whilst thereon
i. by fire explosion self ignition or lightning; Section I:
ii. by burglary housebreaking or theft; Loss of or
iii. by riot and strike; Damage
iv. by earthquake (fire and shock damage); to the
v. by flood typhoon hurricane storm tempest inundation cyclone hailstorm frost; Vehicle
vi. by accidental external means; Insured
vii. by malicious act;
viii. by terrorist activity;
ix. whilst in transit by road rail inland- waterway lift elevator or air;
x. by landslide rockslide.
Lability to
Section II: Lability to Third Parties Third
Parties
Company will indemnify the insured in the event of an accident caused by or
arising out of the use of the insured vehicle against all sums which the insured
shall become legally liable to pay in respect of
i) death of or bodily injury to any person including occupants carried in the insured
vehicle (provided such occupants are not carried for hire or reward) but except so
far as it is necessary to meet the requirements of Motor Vehicles Act, the Company
shall not be liable where such death or injury arises out of and in the course of the
employment of such person by the insured,
ii) damage to property other than property belonging to the insured or held in trust
or in the custody or control of the insured.

HDFC ERGO General Insurance Company Limited. IRDAI Reg No.146 UIN: IRDAN125RP0013V01202122. Policy Issuing/ Customer Happiness Center: D 301, 3rd Floor,
CIN : U66030MH2007PLC177117. Registered & Corporate Office: HDFC ERGO General Insurance Eastern Business District (Magnet Mall), LBS Marg, Bhandup (West), Mumbai - 400 078.
Company Limited – 6th Floor, Leela Business Park, Andheri-Kurla Road, Andheri (East), Mumbai – 400 059. Customer Service No : 022 6158 2020 / 022 6234 6234 | www.hdfcergo.com
HDFC ERGO General Insurance Company Limited
2316101489276600000

7 Add-on Cover Refer

policy
schedule
8 Loss Participation Workshop Generates the invoice basis the assessment given by the surveyor.
- For Cashless Settlement, Insured pays his share of liability to the Workshop which
includes - Compulsary deductible (As per the policy schedule) and Voluntary
deductible (IMT22A), if opted as per the chosen slab and takes delivery of the
vehicle.
- For Reimbursement Settlement, Insured pays the entire invoice amount to
Garage Workshop, HDFC ERGO will reimburse its share of liability minus the
Compulsary and voluntary deductible(if applicable) to Insured's account.
General
9 Exclusions The Company shall not be liable under this Policy in respect of: Exception
s
Section I:
1. any accidental loss or damage and/or liability caused sustained or incurred
outside the geographical area;
2. any claim arising out of any contractual liability;
any liability of whatsoever nature directly or indirectly caused by or contributed to by
or arising from ionising radiations or contamination by radioactivity from any nuclear
fuel or from any nuclear waste from the combustion of nuclear fuel. For the purpose
of this exception combustion shall include any self-sustaining process of nuclear
fission
3. any accidental loss or damage or liability directly or indirectly caused by or
contributed to by or arising from nuclear weapons material.
4. any accidental loss damage and/or liability directly or indirectly or proximately or
remotely occasioned by contributed to by or traceable to or arising out of or in
connection with war, invasion, the act of foreign enemies, hostilities or war like
operations (whether before or after declaration of war) civil war, mutiny rebellion,
military or usurped power or by any direct or indirect consequence of any of the said
occurrences and in the event of any claim hereunder the insured shall prove that the
accidental loss damage and/or liability arose independently of and was in no way
connected with or occasioned by or contributed to by or traceable to any of the said
occurrences or any consequences thereof and in default of such proof, the Company
shall not be liable to make any payment in respect of such a claim.
Section II:
1.any accidental loss damage and/or liability caused sustained or incurred whilst the
vehicle insured herein is TP
a. being used otherwise than in accordance with the ‘Limitations as to Use’ or
b. being driven by or is for the purpose of being driven by him/her in the charge of
any person other than a Driver as stated in the Drivers Clause
As per policy schedule Refer
Special Conditions and
10 policy
Warranties (if any)
schedule

HDFC ERGO General Insurance Company Limited. IRDAI Reg No.146 UIN: IRDAN125RP0013V01202122. Policy Issuing/ Customer Happiness Center: D 301, 3rd Floor,
CIN : U66030MH2007PLC177117. Registered & Corporate Office: HDFC ERGO General Insurance Eastern Business District (Magnet Mall), LBS Marg, Bhandup (West), Mumbai - 400 078.
Company Limited – 6th Floor, Leela Business Park, Andheri-Kurla Road, Andheri (East), Mumbai – 400 059. Customer Service No : 022 6158 2020 / 022 6234 6234 | www.hdfcergo.com
HDFC ERGO General Insurance Company Limited
2316101489276600000

11 Admissibility of Claim Following are the key parameters leading to admissibility or denial of claims:
-Loss will be admissible only if occured from insured perils mentioned in policy
wordings.
- Report the Loss to Insurance Company without any delay.
- Duty of care & loss minimization post accident.
- Avoid willful Negligence and self-damage to insured vehicle.
- Ensure vehicle is in best running condition
- Drive the vehicle responsibly
- Not to use the vehicle for any other purposes other than what is the vehicle is
registered for.
- Take additonal coverage before planning to take vehicle outside the defined
geographical areas.
Include a sample claim calculation process for retail products
1. Assessed amount by the surveyor is billed in the final invoice.
2. Surveyor processes the bill and calculates the amount payable by Inurance
Company (Sample Calculation Sheet)
3. Parts in bills are categorized as per replacement, repair, labour and paint and
applicable depreciation as per the Indian Motor Tariff is applied.(Parts Depreciation
Sheet)
4. Deductibles as per the policy are deducted from the summary and policy
benefit(Zero Depreciation, Consumables, Return to Invoice, etc) is added and final
Insurance Company payable is calculated.
GENERAL EXCEPTIONS (Applicable to all sections of the Policy) The Company
shall not be liable under this Policy in respect of
1. any accidental loss or damage and/or liability caused sustained or incurred
outside the geographical area;
2. any claim arising out of any contractual liability;
3. any accidental loss damage and/or liability caused sustained or incurred whilst the
vehicle insured herein is a. being used otherwise than in accordance with the ‘
Limitations as to Use’ or b. being driven by or is for the purpose of being driven by
him/her in the charge of any person other than a Driver as stated in the Driver's
Clause
4. i. any accidental loss or damage to any property whatsoever or any loss or
expense whatsoever resulting or arising there from or any consequential loss.
ii. any liability of whatsoever nature directly or indirectly caused by or contributed
to by or arising from ionising radiations or contamination by radioactivity from any
nuclear fuel or from any nuclear waste from the combustion of nuclear fuel. For the
purpose of this exception combustion shall include any self-sustaining process of
nuclear fission
6. any accidental loss damage and/or liability directly or indirectly or proximately or
remotely occasioned by contributed to by or traceable to or arising out of or in
connection with war, invasion, the act of foreign enemies, hostilities or war like
operations (whether before or after declaration of war) civil war, mutiny rebellion,
military or usurped power or by any direct or indirect consequence of any of the said
occurrences and in the event of any claim hereunder the insured shall prove that the
accidental loss damage and/or liability arose independently of and was in no way
connected with or occasioned by or contributed to by or traceable to any of the said
occurrences or any consequences thereof and in default of such proof, the Company
shall not be liable to make any payment in respect of such a claim.
12 Policy Servicing - Claim 1.Turnaround time for claim settlement including escalation matrix] Input
Intimation and from
Processing Claims
Team

HDFC ERGO General Insurance Company Limited. IRDAI Reg No.146 UIN: IRDAN125RP0013V01202122. Policy Issuing/ Customer Happiness Center: D 301, 3rd Floor,
CIN : U66030MH2007PLC177117. Registered & Corporate Office: HDFC ERGO General Insurance Eastern Business District (Magnet Mall), LBS Marg, Bhandup (West), Mumbai - 400 078.
Company Limited – 6th Floor, Leela Business Park, Andheri-Kurla Road, Andheri (East), Mumbai – 400 059. Customer Service No : 022 6158 2020 / 022 6234 6234 | www.hdfcergo.com
HDFC ERGO General Insurance Company Limited
2316101489276600000

As per PPHI guidelines on our website

https://www.hdfcergo.com/docs/default-source/policies/pphi-policy.pdf
2. a) Surveyor appointment- 72 hours
Pendency letters- 7 days
Interim survey report- 15 days
Final survey report- 30 days
Additional survey report- 15 days
Settlement post survey report- 30 days
b) Customer Escalation Matrix
Level 1 In case the Complainant has not received a response or is not satisfied with
the response / resolution given / offered, then the Customer can write to: The
Complaints & Grievance Cell HDFC ERGO General Insurance Company Limited
D-301, 3rd Floor, Eastern Business District (Magnet Mall), LBS Marg, Bhandup
(West), Mumbai – 400078, Maharashtra e-mail: [email protected]
• Level 2 In case the Complainant has not received a response or is not satisfied with
the response / resolution given / offered by the C&G cell, then the Customer can
write to the Chief Grievance Officer of the Company at the following address The
Chief Grievance Officer HDFC ERGO General Insurance Company Limited D-301,
3rd Floor, Eastern Business District (Magnet Mall), LBS Marg, Bhandup (West),
Mumbai – 400078, Maharashtra e-mail: [email protected]
• Level 3 Office of The Insurance Ombudsman
Grievanc
Grievance Redressal and If You have a grievance about any matter relating to the Policy, or Our decision on e
13
Policyholders Protection any matter, or the claim, You can address Your grievance as follows: Redress
al
1. Our Grievance Redressal Officer
If you have a grievance that you wish us to redress, you may contact us with the
details of your grievance through:
• Call Centre - 022 6158 2020 / 022 6234 6234
• Emails – [email protected]
• Contact Details for Senior Citizens: 022 6158 2026 | Email ID:
[email protected] Designated Grievance Officer in each branch.
• Company Website – www.hdfcergo.com
• Courier - Any of our Branch office or corporate office
You may also approach the Complaint & Grievance (C&G) Redressal Cell at any
of our branches with the details of your grievance during our working hours from
Monday to Friday.
If you are not satisfied with our redressal of your grievance through one of the
above methods, you may contact our Head of Customer Service at
The Complaint & Grievance Redressal Cell , HDFC ERGO General Insurance
The Company Ltd.
D-301,3rd Floor, Eastern Business District (Magnet Mall), LBS Marg, Bhandup
(West), Mumbai – 400078, Maharashtra
In case you are not satisfied with the response / resolution given / offered by the
C&G cell, then you can write to the Chief Grievance Officer of the Company at
the following address
To the Chief Grievance Officer
HDFC ERGO General Insurance The Company Limited
D-301, 3rd Floor, Eastern Business District (Magnet Mall), LBS Marg, Bhandup
(West), Mumbai - 400078, Maharashtra
e-mail: [email protected]
HDFC ERGO General Insurance The Company Limited

HDFC ERGO General Insurance Company Limited. IRDAI Reg No.146 UIN: IRDAN125RP0013V01202122. Policy Issuing/ Customer Happiness Center: D 301, 3rd Floor,
CIN : U66030MH2007PLC177117. Registered & Corporate Office: HDFC ERGO General Insurance Eastern Business District (Magnet Mall), LBS Marg, Bhandup (West), Mumbai - 400 078.
Company Limited – 6th Floor, Leela Business Park, Andheri-Kurla Road, Andheri (East), Mumbai – 400 059. Customer Service No : 022 6158 2020 / 022 6234 6234 | www.hdfcergo.com
HDFC ERGO General Insurance Company Limited
2316101489276600000

Grievance may also be lodged at IRDAI Integrated Grievance Management

System- https://bimabharosa.irdai.gov.in
You may also approach the nearest Insurance Ombudsman for resolution, if your
grievance is not redressed by the Company. The contact details of Ombudsman
offices are below if your grievance pertains to:
• Insurance claim that has been rejected or dispute of a claim on legal
construction of the policy
• Delay in settlement of claim
• Dispute with regard to premium
• Non-receipt of your insurance document
You may also refer Our website www.hdfcergo.com
www.hdfcergo.com/customer-care/grievances.html for detailed grievance
redressal procedure.
Obligations of the • To disclose all information correctly sought by the insurer at time of filling the
14
Policyholder proposal form
• In case of any change / modification / addition to the already declared information
the same shall be brought to the notice of the Insurer immediately
• Disclosure of material information may affect the claim settlement.

Declaration by the Policyholder;

I have read the above and confirm having noted the details.

Place:
Date:
(Signature of the Policyholder)

Note:
i. Insurer shall provide web-link where the product related documents including the Customer Information sheet are available on the w
ii. In case of any conflict, the terms and conditions mentioned in the policy document shall prevail.
iii. Insurer to take confirmation of the Policyholder regarding receiving of the Customer Information Sheet.

HDFC ERGO General Insurance Company Limited. IRDAI Reg No.146 UIN: IRDAN125RP0013V01202122. Policy Issuing/ Customer Happiness Center: D 301, 3rd Floor,
CIN : U66030MH2007PLC177117. Registered & Corporate Office: HDFC ERGO General Insurance Eastern Business District (Magnet Mall), LBS Marg, Bhandup (West), Mumbai - 400 078.
Company Limited – 6th Floor, Leela Business Park, Andheri-Kurla Road, Andheri (East), Mumbai – 400 059. Customer Service No : 022 6158 2020 / 022 6234 6234 | www.hdfcergo.com
HDFC ERGO General Insurance Company Limited

Frequently Asked Question’s (FAQ’s) - Motor Insurance

WHAT ARE THE MAJOR COVERS UNDER THE POLICY? HOW DO I FILE A CLAIM?
Loss or Damage to the Insured Vehicle caused due to: For Accidental Damage to Insured Vehicle (Own Damage Claims):
a. Fire, explosion, self ignition or lightning. ¡ Mobile App: Simply download HDFC ERGO Mobile App - Insurance Portfolio Organizer
b Burglary, housebreaking or theft from Play Store. Link your policy by providing few simple details and register a claim.
c All act of God perils like earthquake, flood, cyclone etc ¡ Call Toll Free 1800 2700 700 (Accessible from India only) and provide your policy
d Accidental external means, terrorism, riot and strike number for reference and register a claim
Liability to Third Parties:
Provides cover for any legal liability arising out of the use of the vehicle for Please keep the following details handy while intimating a claim
a Accidental death / injury to any third party a. Policy Number
b Any damage to property owned by third party b. Registration Details / RC Copy
Personal Accident Cover: c. Drivers details at the time of accident including driving License Number
The policy provides for a mandatory Personal Accident cover for owner driver and optional d. FIR on a case to case basis
cover for passengers covering accidental death and permanent total disability e. Repair estimate

WHAT ARE THE MAJOR EXCLUSIONS OF THE POLICY? WHAT IS THE CLAIM PROCESS?
a. General aging, wear & tear, mechanical or electrical breakdown, failure, depreciation, 1. If your vehicle can be driven, take it to the nearest dealer / garage.
any consequential loss 2. Get a repair estimate, fill up the claim form and attach a copy of the registration
b. Damage by a person driving without a valid license certificate and driving license of the person driving at the time of the accident.
c. Damage by a person driving under the influence of liquor or drugs 3. If the garage is within our network, you could avail of cashless claim facility. Pay for non
d. Loss/damage attributable to war, mutiny, nuclear risks accident related repairs, depreciation and deductible. We would settle the rest.
e. Damage to tyres and tubes, unless damaged during an accident 4. If the garage is outside our network, you would have to get the claim reimbursed
f. Usage on hire & reward (applicable for all classes except public commercial vehicles) subsequently.
g. Loss or damage to bonnet side parts, mudguard, bumpers, lamps, tyres, tubes,
headlights, paint work (applicable for all commercial vehicles; unless opted CLAIMS DOCUMENTS -
additionally) FOR ACCIDENTAL DAMAGE TO INSURED VEHICLE
h. Loss or damage resulting from overturning arising out of operation as a tool (applicable a. Duly filled and signed claim form & satisfaction voucher
for mobile cranes, drilling rigs, mobile plants, navvies, shovels, grabs, rippers unless b. Registration Certificate (RC)
opted for additionally) c. Driving license of the person driving at the time of the accident
i. Loss of or damage to accessories by burglary housebreaking or theft unless the vehicle d. Policy Copy, original repair estimate, repair invoice
is stolen at the same time (applicable to all commercial vehicles & two wheelers) e. Payment receipt for non-cashless claims
f. Original repair invoice for cashless claims
TRANSFER OF INSURANCE (INCASE VEHICLE IS SOLD) g. AML documents for amount more than `1 lakh (PAN card, 2 passport size photo,
To place your request for Transfer of Insurance, visit Customer Support section on our residence proof)
website www.hdfcergo.com. h. Form 35 & original NOC from financer incase of total loss where payment is made to
insured
i. A copy of police FIR/panchnama is required for TP injury / death / property damage
WHAT CHANGES CAN BE DONE IN MY POLICY ENDORSEMENT
j. Sale deed / Delivery note / Form 29 and 30 / transferred RC Copy in 'Used Car' cases
To place your request for any ''Changes in Policy', visit Customer Support section on our
website www.hdfcergo.com. Additional documents required for commercial vehicles:
a. Spot survey b. Load challan c. Fitness certificate d. Route permit
CLAIMS DOCUMENTS: IN CASE OF LOSS DUE TO THEFT
WHAT IS NCB?
a. Duly filled and signed claim form & discharge voucher ( after loss settlement )
b. Original Registration Certificate (RC) NO CLAIM BONUS (NCB):
c. Original Policy Copy NCB is provided for every claim free year basis the slab as provided by Tariff.
d. Copy of FIR lodged at the nearest police station How can I get No Claim Bonus Reserving Letter?
e. All original keys & vehicle invoice copy NCB Reserving letter can be provided only on Sale of vehicle evidenced by transferred RC
f. No trace report confirming that the stolen vehicle is not traceable copy OR Sale Deed and Form 29 & 30. The OD section of the policy needs to be transferred
g. Original NOC from financer incase of hypothecation / HPA to the new owner or cancelled.
h. Intimation to RTO for theft of vehicle HOW DO I RENEW MY POLICY?
i. Duly signed RTO transfer papers (Form 26, 28,29,30,35)
j. RC extract with stolen remark from the concerned RTO after the loss a. Visit www.hdfcergo.com to renew c. Visit our nearest branch / your agent
k. AML documents for amount more than 1 lac (PAN card, 2 passport size photo, residence instantly online
proof) d. Send a copy of the renewal notice along
l. Deed of subrogation cum indemnity on judicial stamp paper b. SMS "RENEW <POLICY NO> " to 9999 with premium cheque to our branch
700700 office /Corporate office
Disclaimer: Where it is brought to the notice of the Company, that vehicle insured
HOW TO CONTACT US?
which is not a new vehicle but shown as a new vehicle with a malafide intention,
claims for total loss of such vehicle would not be admissible, if there is a gap of more Visit Customer Support section on our website www.hdfcergo.com and avail host of
than 10 days from date of invoice of vehicle and the proposal date. services online which is easy, instant & convenient

Convenience at your fingertips

On the Customer Support section of our website, you can:
Ver.Feb18

Get Policy Copy/ Make Changes Track Claim Update Contact

` 80D Tax Certificate on Policy Status Details
This document is a summary of the benefits offered. The information mentioned above is illustrative and not exhaustive. Information must be read in conjunction with the policy wordings.
In case of any conflict between this document and the policy wordings, the terms and conditions mentioned in the policy wordings shall prevail.