https://

MA Go Digit General Insurance Ltd.

Schedule/Receipt
Digit Two-Wheeler Liability Only Policy
UIN No.: IRDAN158RP0003V01201718

Name GOWRI R Vehicle Registration No. TN39CY8943

Address 1/258 DHASAMPALAYAM SEMBIYANAL Quickinsure Insurance Brokers Private
Partner Name
POST AVINASHI TK,Tiruppur Tamil Limited
Nadu,METTUPALAYAM-641654 1000261
Partner Code
PB
Mobile xxxxxxxxx7273 Partner Mobile No. --
Email [email protected] Partner Email [email protected]
Aadhar No. For Claims, contact us at 1800-258-5956

YOUR POLICY DETAILS

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Policy No. D153740170 / 27062024 Policy Issue Date Invoice No. IA138584320

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From 28-Jun-2024 14:18:24
IGS Period of Policy Policy Term 1 Year

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To 27-Jun-2025 23:59:59

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PB From --
Invoice 27-Jun-2024
Period of Policy for PA Owner Driver

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To -- Date

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YOUR VEHICLE DETAILS

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RTO location Tiruppur,TAMIL NADU Make TVS Model/Vehicle

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JUPITER/CLASSIC DISC
Variant (Sub-

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MAK Engine No. EG4CJ1960295 Chassis No. MD626EG48J1C39137 Type)
BSIV

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G01
128.5

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Body Type Scooter Fuel Type Petrol Year of Regn 2018

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Seating
2

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Capacity Cubic Capacity 110 CC Year of Mfg. 2018
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Odometer
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Number Details
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ENDORSEMENT
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27

Invoice Number Invoice Date Net Premium Igst Cgst Sgst Utgst Cess Gross Premium
6-
-0

IA138584320 2024-06-27 714.00 128.52 0.00 0.00 0.00 0.00 842.52

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25

FH
IGS
20

LIABILITY PREMIUM (`)

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Basic Third-Party Liability (`) 714.00 PA cover for Owner-Driver (`) --
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-2

PA cover for 2 unamed passengers each 0 (`) -- PA cover for Paid Driver 0 (`) --
06

MAK Legal Liability to Employees (`) -- Legal Liability to Paid Driver (`) --
4-

Net Premium (`) 714.00

2

IGST @ 18% = (`128.52)

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128.52
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Final Premium (`) 842.52

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Previous Insurer -- Previous Policy No. --

43

Previous Policy
Te IMT - Endorsements -- --
89

Expiry Date
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CY

GSTIN/UIN No. Unregistered State Code 33

39

Receipt No. RA170518488 Receipt Date 27-Jun-2024

TN

Nominee Details --
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Other Detials --
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Geographical Area: Any liability incurred within India shall be covered subject to Policy Terms and Conditions, unless specifically agreed and
endorsed. Limitation as to use: The policy covers use of the vehicle for any purpose other than hire or reward, racing, pace making, reliability trial,
speed testing and use for any purpose in connection with the Motor Trade. Person or Class of persons entitled to drive: Any person including the
insured. 1) Provided that a person driving holds a valid effective driving license at the time of the accident and is not disqualified from holding or
http obtaining such a license. 2) Provided also that the person holding a valid effective Learner’s License may also drive the vehicle and that such a
person satisfies the requirements of Rule 3 of the Central Motor Vehicles Rules, 1989 and any subsequent amendment as applicable. 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 and any subsequent amendment as applicable. 2) Under Section II - 1 (ii) of the policy: Damage to Third Party Property - (`
100000) 3) P.A. Cover for Owner Driver under Section III (CSI) -(`)(per annum).

Go Digit General Insurance Ltd, GST Reg No 27AACCO4128Q1Z0 , PAN No:- AACCO4128Q, HSN: 997134/General Insurance Services, GSTIN Address :Pune
Business Centre,1st to 6th Flr, Ananta One, Pride Hotel Lne, Narveer Tanaji Wadi,Pune,Maharashtra,PIN-411005. Website : www.godigit.com.
Corporate office Address : Atlantis, 95, 4thB Cross Road, Koramangala Industrial Layout, 5thBlock, Bengaluru, Karnataka, PIN – 560095, IRDAI Reg No. 158,
CIN – U66010PN2016PLC167410
https://

MA Go Digit General Insurance Ltd.

Schedule/Receipt
Digit Two-Wheeler Liability Only Policy
UIN No.: IRDAN158RP0003V01201718

PA Owner Driver Declaration:The Policy has been issued without Compulsory Personal Accident Cover to Owner Driver on the basis of
your declaration that you do not hold a valid Driving License on or before the date of commencement of this Policy / already have an
alternate Personal Accident insurance cover of Rs. 15 Lakhs
Important Note: Please inform the Company in case of change on account of addition of CNG/PNG kit.

PUC Declaration: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 .Cheque dishonor / Non-receipt of payment premium paid through Cheque, the policy is void ab-initio in
case of dishonor of Cheque or non-receipt of payment. Violation of Motor Vehicle Act: This policy is issued in accordance with the provision of
Chapter X and Chapter XI of MV act, 1988 and any subsequent amendment as applicable. Any violation will forfeit all benefits and coverages
under the Policy. 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 Certificate in order to comply with the Motor Vehicle Act, 1988 is recoverable from
the insured. See the Clause headed (Avoidance Of Certain Terms And Right Of Recovery) in the policy. This policy is subject to the standard
policy wordings, warranties and conditions applicable for this product in addition to coverages and exclusions specified in the motor vehicle tariff
published by IRDAI. Policy would be void on the ground that it was obtained by non- disclosure of material fact or by a representation of fact

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Note: The policy is issued in utmost good faith, relying on the information shared by insured at the time of obtaining the policy. The terms and

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conditions detailed in this policy schedule as well as the policy document sent by Digit shall prevail in case of any dispute.

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For & On Behalf of Go Digit General Insurance Ltd.

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Wish to go through your detailed policy wordings,

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click here .

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In case of claim or any other query, please contact our 24-

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hour Call Centre at 1800-258-5956 or email us at Praveen Bhat

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Senior Vice President – Customer Experience
[email protected] or visit our website Digit Insurance: Car, [email protected]

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Authorized Signatory
Bike, Health & Travel Insurance Online . Printed, Signed, and Executed at Bengaluru

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Consolidated Stamp Duty has been paid as per Letter of
For instant resolution, you can ping us “Hi” on WhatsApp

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Authorization No.67-B/04/2017-18 Date: 30th May 2017
issued by Department of Stamps and Registration ,
at 702 606 1234 Bengaluru- 560009 - KARNATAKA.

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For Claims Notification and Procedure click here. Hey, our document is now digitally signed

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Click here to view the certificate.
w For instant resolution, you can ping us “Hi”
on WhatsApp at 702 606 1234
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Go Digit General Insurance Ltd, GST Reg No 27AACCO4128Q1Z0 , PAN No:- AACCO4128Q, HSN: 997134/General Insurance Services, GSTIN Address :Pune
Business Centre,1st to 6th Flr, Ananta One, Pride Hotel Lne, Narveer Tanaji Wadi,Pune,Maharashtra,PIN-411005. Website : www.godigit.com.
Corporate office Address : Atlantis, 95, 4thB Cross Road, Koramangala Industrial Layout, 5thBlock, Bengaluru, Karnataka, PIN – 560095, IRDAI Reg No. 158,
CIN – U66010PN2016PLC167410