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MA Go Digit General Insurance Ltd.

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

Name MANISH . Vehicle Registration No. GJ05LC7536

Address 22 NILAM NAGAR SOC PART 1 BH SHYAM Partner Name POLICYBAZAAR INSURANCE BROKERS
DHAM CHOWK PUNA, SIMADA ROAD PRIVATE LIMITED
SURAT Gujarat 394211,Surat-395010 1170700
Partner Code
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Mobile xxxxxxxxx5109 Partner Mobile No. --
Email [email protected] Partner Email --

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Aadhar No.

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128.5

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YOUR POLICY DETAILS

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Policy No. D159331355 / 04082024 Policy Issue Date Invoice No. IA142659749
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From 05-Aug-2024 14:07:19

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M Period of Policy Policy Term 1 Year

FH To 04-Aug-2025 23:59:59
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IGS
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Pri From --
Invoice 04-Aug-2024
Period of Policy for PA Owner Driver
FH To Date
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D1 YOUR VEHICLE DETAILS

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RTO location Surat,GUJARAT Make HONDA Model/Vehicle

DREAM YUGA/ELEC ST
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Variant (Sub-
Engine No. JC58ET3178739 Chassis No. ME4JC586MDT147356 Type)
DRUM BRAKE AWS
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Body Type Motor Cycle Fuel Type Petrol Year of Regn 2014
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Seating
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Capacity Cubic Capacity 110 CC Year of Mfg. 2013

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FASTag Financier
Odometer
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ENDORSEMENT
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Invoice Number Invoice Date Net Premium Igst Cgst Sgst Utgst Cess Gross Premium
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IA142659749 2024-08-04 714.00 128.52 0.00 0.00 0.00 0.00 842.52

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LIABILITY PREMIUM (`)

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

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PA cover for 2 unamed passengers each 0 (`) -- PA cover for Paid Driver 0 (`) --
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-- Legal Liability to Paid Driver (`) --

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Legal Liability to Employees (`)

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Net Premium (`) 714.00

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IGST @ 18% = (`128.52) 128.52

Final Premium (`) 842.52

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Go Digit General Insurance Ltd, GST Reg No 09AACCO4128Q1ZY , PAN No:- AACCO4128Q, HSN: 997134/General Insurance Services, GSTIN Address :Noida
N Business Center,5th Floor, Halwaiyas Commerce house, Habibullah Estate, 11 M.G Marg, Hazratganj,Lucknow,Uttar Pradesh,PIN-226001. 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

OTHER DETAILS

Previous Insurer Go Digit General Insurance Limited Previous Policy No. D108454335
Previous Policy 12-Jul-2024
IMT - Endorsements -- Expiry Date

GSTIN/UIN No. Unregistered State Code 24

Receipt No. RA176474361 Receipt Date 04-Aug-2024
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

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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

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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

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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

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person satisfies the requirements of Rule 3 of the Central Motor Vehicles Rules, 1989 and any subsequent amendment as applicable. Limits of

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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

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Vehicles Act, 1988 and any subsequent amendment as applicable. 2) Under Section II - 1 (ii) of the policy: Damage to Third Party Property - (`

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100000) 3) P.A. Cover for Owner Driver under Section III (CSI) -(`)(per annum).

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PA Owner Driver Declaration:The Policy has been issued without Compulsory Personal Accident Cover to Owner Driver on the basis of

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your declaration that you do not hold a valid Driving License on or before the date of commencement of this Policy / already have an

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alternate Personal Accident insurance cover of Rs. 15 Lakhs

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Important Note: Please inform the Company in case of change on account of addition of CNG/PNG kit.

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PUC Declaration:The Policy has been issued subject to valid Pollution Under Control (PUC) Certificate disclosed by you as an insured on or before
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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
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Chapter X and Chapter XI of MV act, 1988 and any subsequent amendment as applicable. Any violation will forfeit all benefits and coverages
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under the Policy. The insured is not indemnified if the vehicle is used or driven otherwise than in accordance with this Schedule. Any payment
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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
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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
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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 .
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]
Authorized Signatory
Bike, Health & Travel Insurance Online .
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Printed, Signed, and Executed at Bengaluru

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 ,
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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.

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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 09AACCO4128Q1ZY , PAN No:- AACCO4128Q, HSN: 997134/General Insurance Services, GSTIN Address :Noida
N Business Center,5th Floor, Halwaiyas Commerce house, Habibullah Estate, 11 M.G Marg, Hazratganj,Lucknow,Uttar Pradesh,PIN-226001. 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