(Form 51 of The Central Motor Vehicle Rules, 1989) : Tenure Total IDV
(Form 51 of The Central Motor Vehicle Rules, 1989) : Tenure Total IDV
(Form 51 of The Central Motor Vehicle Rules, 1989) : Tenure Total IDV
UIN: IRDAN108RP0002V01201920
OD Policy No 0147471465
Policy Type Renew Proposal No. & Date P13786014, 07 Aug 2021
14 Aug 2021 12:00AM to 13 Aug 2022 11:59PM
Policy Issued On 07 Aug 2021 4:23PM Period of Own Damage Cover
Tenure 1 Year
Insured Name MR. LAXMI NARAYAN PATTANAIK Previous Policy No. 3410/00017109/000/00
FLAT NO- 5A, BLOCK- A, PARAS APARTMENT PUNDAG
Insured Add. ROAD ARGORA DORANDA RANCHI , RANCHI , Previous Insurer Cholamandalam MS General Insurance Co. Ltd.
JHARKHAND-834002
GSTIN: NA
PAN GSTIN: 20AABCT3518Q1ZA
Servicing Office of Insurer: 2nd Floor, MR Tower, Line Tank Road, Ranchi - 834001, RANCHI , JHARKHAND- State Code : 20
INSURED MOTOR VEHICLE DETAILS INSURED DECLARED VALUE (IDV) (in Rs.)
Make Royal Enfield Motors India Ltd. Vehicle IDV 153820
HIMALAYAN-
HIMALAYAN-HIMALAYAN BSVI -GRANITE
Model-Variant Non-Elec. Accessories 0
BLACK
Registration No.-RTO JH 01 DY 5818- RANCHI Elec. Accessories 0
Manufacturing Year-Body Type 2020-
BIKE Total IDV 153820
Engine No.-Chassis No. D4A5F1LG070255-
ME3D4A5F1LH069212 :
Cubic Capacity-Seating capacity 411 - 2
Hypothecation/Lease* No
Fuel Type-Invoice Date PETROL-
14 Aug 2020
Liability Policy
Liability Policy No. Liability Policy Insurance Comp. Liability Policy End Date
Start Date
Cholamandalam MS General
3410/00017109/000/00 14 Aug 2020 13 Aug 2025
Insurance Co. Ltd.
Schedule of Premium (Amount in Rs.)
Own Damage Premium (A)
Basic Premium Amount (Rs.) Discounts Amount (Rs.)
Vehicle 1277 Voluntary Deductibles (0) (IMT - 22A) 0
Electrical Accessories (IMT - 24) 0 Anti Theft Device (IMT - 10) 0
Non Electrical Accessories 0 AA Membership(IMT - 8) 0
Sub Total (Basic Premium) 1277 No Claim Bonus (20%) 256
Sub Total (Discounts) 256 Handicap Discount (IMT-12) 0
Add On Coverages (NIL DEP ) 1308
Geographical Area Extension (IMT - 1) 0
IMT 33 0
Sub Total Addition 2585
Net Own Damage Premium (A) 2329
SGST(9.00%) 210
CGST(9.00%) 210
Gross Premium Paid 2749
Note: 1.Policy issuance is subject to realization of cheque
2.Consolidated stamp duty paid to state exchequer
Driver's Clause: Any person including the insured: Provided that a person driving holds an effective driving license at the time of the accident and cois 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 and that such a person satisfies the requirements of Rule 3 of the Central Motor Vehicles Rules, 1989.
Disclaimer: The Compulsory Personal Accident cover has not been opted in this policy as the Owner driver has a separate existing Personal Accident cover against Death and Permanent Disability (Total and Partial) for Sum Insured
of at least Rs.15 lakhs.
I/we hereby certify that the policy to which this certificate relates as well as this certificate of insurance are issued in accordance with the provisions of Chapter X and Chapter XI of Motor Vehicle Act, 1988
SAC 997134 Description of Service : Motor Insurance
Place of Supply : JHARKHAND(State Code-20)
0147471465
For & On Behalf of
Tata AIG General Insurance Co. Ltd.
Dealer Code :
4713
Authorized Signatory
Broker Name & Add : Aditya Birla Insurance Brokers Limited , Regd. Office: Indian Rayon Compound, Veraval - 362 266. Corporate Office: One World Centre, Tower-1, 7th floor, Jupiter Mill Compound, 841, Senapati Bapat Marg,
Elphinstone Road, Mumbai 400 013. Tel. No.: +91 22 43568585. Fax: +91-22-4356 8511 License Number: 146 CIN: U99999GJ2001PLC062239
Broker Code : 10000001926
Receipt No. : 0147471465
Payment Mode : Online
For Renewal/Claims assistance - please contact Insurance.Co./Broker through : RAGHU RAM AUTOCARE at +91-(06516)571