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    Motorised-Two Wheelers Package Policy - Zone B Motor Insurance Certificate Cum Policy Schedule

    Uploaded by

    Rathesh
    This document is a motor insurance certificate and policy schedule for a Yamaha Cygnus motorcycle. It provides details of the insured, insurance period, premium paid, and covered vehicle. The policy covers liability and own damage, with limitations on vehicle use and drivers.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd

    Motorised-Two Wheelers Package Policy - Zone B Motor Insurance Certificate Cum Policy Schedule

    Uploaded by

    Rathesh
    62 views2 pages
    This document is a motor insurance certificate and policy schedule for a Yamaha Cygnus motorcycle. It provides details of the insured, insurance period, premium paid, and covered vehicle. The policy covers liability and own damage, with limitations on vehicle use and drivers.

    Original Title

    1152

    Copyright

    © © All Rights Reserved

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    This document is a motor insurance certificate and policy schedule for a Yamaha Cygnus motorcycle. It provides details of the insured, insurance period, premium paid, and covered vehicle. The policy covers liability and own damage, with limitations on vehicle use and drivers.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    62 views2 pages

    Motorised-Two Wheelers Package Policy - Zone B Motor Insurance Certificate Cum Policy Schedule

    Uploaded by

    Rathesh
    This document is a motor insurance certificate and policy schedule for a Yamaha Cygnus motorcycle. It provides details of the insured, insurance period, premium paid, and covered vehicle. The policy covers liability and own damage, with limitations on vehicle use and drivers.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    of 2

    This Document is Digitally Signed

    Signer: MILAP CHAND


    Date: Wed, Jan 12, 2022 16:19:45 IST
    Location: NOIDA
    Reason: Signing Policy for OICL
    MOTOR INSURANCE CERTIFICATE CUM POLICY SCHEDULE
    MOTORISED-TWO WHEELERS PACKAGE POLICY - ZONE B
    Policy No : 480995/31/2022/1152 Prev Policy No : 480995/31/2021/1363

    Cover Note No : - Cover Note Dt :


    Insured's Code : 103014476 Issue Office Code : 480995
    Insured's Name : Mr. ANISH RAMACHANDRAN . (GSTIN: 0) Issue Office Name : BC PAZHUKAL (GSTIN:
    33AAACT0627R3Z4)
    Address : 4/4/2/2A, ELLUVILAI Address : Opp State Bank of India, Kannumamoodu
    PARAKUNNU, VANNIYOOR PALUKAL
    KANYAKUMARI
    KANYAKUMARI TAMIL NADU 629163
    KANYAKUMARI TAMIL NADU 629170

    Tel /Fax /Email : NA / / 9487371787 / [email protected] Tel /Fax /Email : 04651-236718 / 9446550029 / /
    [email protected]
    Lead/Breakin No : /
    Agent/Broker Details
    Dev.Off.Code : NA0000009802 OFFICE DIRECT - PAZHUGAL
    Agent/Broker : BA0000144739 JIJU DHAS
    Address : 3/357
    JIJIVILLA,,PARAKUNNU,VANNIYOOR.POST,KANYAKUMARI.DIST,KANYAKUMA
    RI,TAMIL NADU,629163
    Tel /Fax /Email : //9487371787//NA
    Period of Insurance : FROM 00:00 ON 12/01/2022 TO MIDNIGHT OF 11/01/2023

    Collection No & Dt : CC 1039401177 - 12/01/2022 GST INVOICE NO :3320571922 UIN :0

    Gross Premium : 1,387 GST : 250 Stamp Duty : .5 Total : 1,637

    Geographical Area : INDIA Area Extension :

    Particulars of Insured Vehicle:

    Registration Mark Engine No. & Year Of Type Of Body Seating Capacity Cubic
    & Place Chassis No. Manufacture (including Driver) Capacity
    Make - Model Type Of Fuel

    TN 75 AJ 0379 E3Y3E0586037 - YAMAHA-YAMAHA CYGNUS 2018 SOLO 1+1 113


    ME1SED1BAJ005 RAY
    RTO MARTHANDAM7497 PETROL

    Limitations as to use:
    The Policy covers use only under a permit within the meaning of the Motor Vehicles Act 1988 or such a carriage falling under Sub-
    section 3 of Section 66 of the Motor Vehicles Act 1988.
    1 Use only for social, domestic and pleasure purposes and for the insured's business or profession. The Policy does not cover use for
    hire or reward, tuition, racing, pace making, reliability trial, speed testing, carriage of goods(other than samples or personal luggage)
    in connection with any trade or business or use for any purpose in connection with Motor Trade

    Driver: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 and that such a person satisfies the requirements of Rule 3 of the Central Motor Vehicles Rules, 1989.
    Limit of Liability:Under Section II-I(i) in respect of any one accident: as per Motor Vehicles Act, 1988.
    Under Section II-I(ii) in respect of any one claim or series of claims arising out of one event is Rs. 100000
    P.A. Cover under Section III for Registered Owner Cum Driver (CSI) : Rs. 1500000
    *This Insurance excludes all pre-existing damages

    Insured's Declared Value

    Non Electrical Electrical


    For the Vehicle For the Side Car Accessories Accessories Value of LPG/CNG Total Value

    40,613 0 0 0 0 40,613

    Place : KANYAKUMARI
    Date : 12/01/2022
    Page 1 of 2
    This Document is Digitally Signed

    Signer: MILAP CHAND


    Date: Wed, Jan 12, 2022 16:19:45 IST
    Location: NOIDA
    Reason: Signing Policy for OICL
    Attached to and forming part of policy number 480995/31/2022/1152

    SCHEDULE OF PREMIUM

    A. OWN DAMAGE B. LIABILITY

    BASIC OD COVER 680.67 BASIC TP COVER 752.00


    MOTOR OD BASIC - NEW 272.67 BASIC TP TOTAL 752.00
    LESS :UNDERWRITER DISCOUNT 204.00 ADD :PA FOR OWNER DRIVER-GR36A 360.00
    BASIC OD TOTAL 476.67 ADD :PA-UN-NAMED-GR36B2 70.00
    OD TOTAL 273.00 TP TOTAL 1,182.00
    LESS :NO CLAIM BONUS-GR27 68.17 TOTAL PREMIUM 1,387.00
    MOTOR TOTAL OD 205.00 ADD :CGST 125.00
    LESS :HEAD OFFICE DISCOUNT 204.00 ADD :SGST 125.00
    STAMP DUTY 0.50
    TOTAL AMOUNT 1,637.00

    * NCB discount - 25 %

    Deductibles under Section-I : COMPULSORY DEDUCTIBLE Rs.100

    Subject to IMT Endorsement Printed herein/attached to : IMT-22 , IMT-28 , IMT-16

    Details of IMT Endorsements are also available on the Company¿s Web Portal www.orientalinsurance.org.in

    Hypothecation Agreement with: -

    Hire Purchase/Lessor Agreement with: -

    In the event of a claim under the policy exceeding Rs.1lac or a claim for refund of premium exceeding Rs1lac,the insured will comply with
    the provisions of the AML policy of the Company.The AML policy is available in all our operating Offices as well as company's website.
    The insurance under this policy is subject to conditions, clauses, warranties, exclusions, IMTs and OIC endorsements mentioned
    herein above which are available on Company's website: www.orientalinsurance.org.in or on demand from the policy issuing office
    Warranted that in case of dishonour of premium cheque(s) the Company shall not be liable under the policy and the policy shall be void
    abinitio (from inception).
    Claim is not admissible if Driving Licence is found fake or is not valid whether or not in the knowledge of the insured.
    I/We hereby certify that the policy to which the certificate relates as well as this certificate of insurance are issued in accordance with the
    provision of Chapter X and Chapter XI of Motor Vehicles Act, 1988.
    In witness whereof the undersigned being authorised by and on behalf of the company has/have herein to set his/their hands at
    KANYAKUMARI on 12-JAN-22
    IMPORTANT NOTICE
    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 the Certificate in order to comply with the MVAct, 1988 is
    recoverable from the Insured. See the Clause headed "AVOIDANCE OF CERTAIN TERMS AND RIGHTS OF RECOVERY".

    Entered By : M.ELANGOVAN For and on behalf of


    The Oriental Insurance Company Limited
    Examined By : S.T. SHANMUGA RAJA

    Policy Printed By : 942367 IP :


    MILAP CHAND
    Policy Printed On : 12-JAN-22 16:15:32 General Manager
    Authorised Signatory

    This is an electronically generated document (Policy Schedule). The Policy document duly stamped will be sent by post.
    In case of any query regarding the Policy please call Toll Free No. 1800 11 8485 and 011 33208485.
    CIN: U66010DL1947GOI007158 All the Amounts mentioned in this policy are in Indian Rupees
    IRDA Regn. No. 556 - Now you can buy and renew selected policies online at www.orientalinsurance.org.in

    Place : KANYAKUMARI
    Date : 12/01/2022
    Page 2 of 2

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