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Endorsement: Tata Aig General Insurance Company LTD

This document is an endorsement for a two-wheeler insurance policy (Policy Number: 3782000519) issued to Mrs. Megha Khatun, effective from July 3, 2025, to July 2, 2030. The endorsement includes a name change from 'MEGHA' to 'MEGHLA' and confirms the endorsement is approved with all other policy terms remaining unchanged. The endorsement is subject to premium payment realization.

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36 views1 page

Endorsement: Tata Aig General Insurance Company LTD

This document is an endorsement for a two-wheeler insurance policy (Policy Number: 3782000519) issued to Mrs. Megha Khatun, effective from July 3, 2025, to July 2, 2030. The endorsement includes a name change from 'MEGHA' to 'MEGHLA' and confirms the endorsement is approved with all other policy terms remaining unchanged. The endorsement is subject to premium payment realization.

Uploaded by

BBT Gamers
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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TATA AIG GENERAL INSURANCE COMPANY LTD

GSTIN:
TOLL-FREE: 1800 266 7780

ENDORSEMENT
Policy Details

Policy Number Product Name Period Of Insurance Policy Issued On


3782000519 Two Wheeler 03/07/2025 18:19:53 To 02/07/2030 23:59:59 03/07/2025

Insured Name(Age) Insured Aadhaar Number GSTIN Number Endorsement Number


Mrs. MEGHA KHATUN (19) - - HIB83793094

Insured Address Period Of Insurance (OD Tenure) Period Of Insurance (TP Tenure)
KAMARI, FULPUR, RANITALA, MURSHIDABAD From: 03/07/2025 18:19:53 03/07/2025 18:19:53 To
To: 02/07/2026 23:59:59 02/07/2030 23:59:59

Vehicle Details

Make Model Variant Cubic Capacity Color


TVS TVS NTORQ 125 RACE XP BSVI NTORQ125 RACE XP-OBDIIA 125 CC
DISC RED+BLK -

Seating Capacity Body Type Registration Date RTO Registration Number


2 03/07/2025 WB-57 New

Fuel Type Chassis Number Elec.Accessories Non-Elec.Accessories CNG


PETROL MD626BK32S2B12683 0 0 0

Carrier Type CNG/LPG Kit Engine Number Manufacturing Year Vehicle IDV
No AK3BS2315939 2025 96512

GVW Hypothecation/Lease/HP*
0 HYPOTHECATION

MISP Name MISP Code MISP Email Id MISP Mob. No. DP Name DP Code

BERHAMPORE MOTOR CYCLE HIB/TVS/14518 [email protected] 9647417013 PAPAY SARKAR HIB_0038


LLP

For & On Behalf of


TATA AIG GENERAL INSURANCE COMPANY LTD

Authorized Signatory

PACKAGE POLICY - ENDORSEMENT SCHEDULE

Attached to and forming part of Policy Number: 3782000519 Endorsement No: HIB83793094

MISP Code: HIB/TVS/14518 MISP Name: BERHAMPORE MOTOR CYCLE LLP

Type Of Endorsement - Nil Endorsement Request Date: 04/07/2025 18:13:11

Period Of Endorsement : 04/07/2025 18:18:42 To 02/07/2030 23:59:59 Endorsement Effective From: 04/07/2025 18:18:42

Endorsement Status: Approved

Name VALUE CHANGE

In accordance with your intimation, we here by confirm the inclusion of following details in our Policy record.

Details Existing New


Name Salutation : Mrs. First Name : MEGHA Middle Salutation : Mrs. First Name : MEGHLA Middle
Name : 0 Last Name : KHATUN Name : 0 Last Name : KHATUN

This endorsement forms part of the captioned policy with all other terms, exceptions, conditions and limitations of the policy remaining unaltered.

Endorsement is subject to realization of premium / Payment.

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