This Document is Digitally Signed
The Oriental Insurance Company Limited Signer: SUNITAGUPTA
Date: Tue, Mar 12, 2024 11:19:03 IST
Location: NOIDA
Reason: Signing Policy for OICL
MOTOR INSURANCE CERTIFICATE CUM POLICY SCHEDULE
STANDALONE OWN DAMAGE(OD)-PRIVATE CAR POLICY - ZONE B
UIN: IRDAN556RP0001V01201920
Road Side Assistance included in this policy - Toll free No.18003091209 *Conditions Apply
Policy No : 211200/31/2025/999 Prev Policy No : 211200/31/2024/8627
Cover Note No : - Cover Note Dt :
Insured's Code : 179924576 Issue Office Code : 211200
Insured's Name : ARPITA GHOSH (GSTIN: 0) Issue Office Name : BO PADAM SGH RD KAROL BAGH DLI
(GSTIN: 07AAACT0627R1Z1)
Address : 23/12 B M B Road, Behala, Parnasree Pally Address : 16/20, WEA, FIRST FLOOR,NEAR SHASTRI
PARK,
PADAM SINGH ROAD, KAROL BAGH
KOLKATA
NEW DELHI
WEST BENGAL 700060
NEW DELHI DELHI 110005
Tel /Fax /Email : / / 9836146263 / [email protected] Tel /Fax /Email : 011-41052050, 41062050, 8851779656 /
011-41052050 /
[email protected]
Lead\Breakin No : 0
Local Servicing Office Code : 211200
Local Servicing Office Details : DO 2 NEW DELHI,16/20, WEA, FIRST FLOOR,NEAR SHASTRI PARK,,PADAM SINGH ROAD,
KAROL BAGH,NEW DELHI,,,011-41052050, 41062050,
Agent/Broker Details
Dev.Off.Code :
Agent/Broker :: LC0000000660 M/S POLICYBAZAAR INSURANCE BROKERS PRIVATE LIMITED
Address : Plot No. 119, Sector-44, Gurgaon,, Gurgaon, Haryana, 12200,Tel - 1800-258-
5970,GURGAON,HARYANA,122002
Tel /Fax /Email : 1800-258-5970/1800-258-5970//
Period of Insurance : FROM 00:00 ON 22/04/2024 TO MIDNIGHT OF 21/04/2025
Collection No & Dt : 3 2005563822 - 12/03/2024 GST INVOICE NO :0722439725953 UIN :0
Gross Premium : 3,034 GST : 546 Stamp Duty : .5 Total : 3,580
Geographical Area : IND Area Extension :
Particulars of Insured Vehicle:
Registration Mark Engine No. & Type Of Body Cubic Year Of Seating Capacity
& Place Chassis No. Make - Model Capacity Manf. (including Driver)
WB 10 D 3183 B4DA417E143675 NISSAN-NISSAN OTHERS 999 2022 4 + 1
MAGNITE MT XE
RTO,West Bengal MDHFBADD0N3053
893
Limitations as to use: C.P.A Cover Owner Driver(CSI):Rs 0
1 The policy covers use of the vehicle for any purpose other than hire or reward ,tuition,organized racing,pace making,reliability
trial,speed testing,carriage of goods(other than samples or personal luggage) or use for any purpose in connection with Motor Trade.
Limit of Liability: As per policy terms/conditions
Place : NEW DELHI
Date : 12/03/2024
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This Document is Digitally Signed
The Oriental Insurance Company Limited Signer: SUNITAGUPTA
Date: Tue, Mar 12, 2024 11:19:03 IST
Location: NOIDA
Reason: Signing Policy for OICL
Attached to and forming part of policy number 211200/31/2025/999
8851779656,8851779656,[email protected]
Details of TP insurance
Name of Insurer & Address Policy No Period of Insurance
The Oriental Insurance Co. Ltd. 211200/31/2024/8627 22/04/2022 TO MIDNIGHT OF 21/04/2025
If the TP Insurance declaration provided above by the Insured is found incorrect/or the policy does not exist/ lapsed/Cancelled due to any
reason, then subject policy becomes Null and Void from the date TP coverage has ceased to exist.
*This insurance excludes any loss/liability arising out of Third Party or personal accident.
*This insurance excludes all pre-existing damages
Insured's Declared Value
For the Vehicle For Trailers Non Electrical Electrical Value of CNG Total Value
Accessories Accessories LPG Kit
4,43,617 0 0 0 4,43,617
SCHEDULE OF PREMIUM
BASIC OD COVER 13,482.00 TOTAL PREMIUM 3,034.00
BASIC OD TOTAL 13,482.00 ADD :IGST 546.00
LESS :Discount 9,437.00 STAMP DUTY 0.50
OD TOTAL 4,045.00 TOTAL AMOUNT 3,580.00
LESS :NO CLAIM BONUS-GR27 1,011.00
MOTOR TOTAL OD 3,034.00
Please note the coverage under this policy is restricted to Own Damage section only and no other liability in connection with the
vehicle
* NCB discount - 25 %
Deductibles under Section-I :
Subject to IMT Endorsement Printed herein/attached to : IMT-22 , IMT-20
Details of IMT Endorsements are also available on the Company¿s Web Portal www.orientalinsurance.org.in
Hypothecation Agreement with: STATE BANK OF INDIA
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 License 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 BO PADAM SGH RD
KAROL BAGH DLI (GSTIN: 07AAACT0627R1Z1) on 12-MAR-24
Place : NEW DELHI
Date : 12/03/2024
Page 2 of 3
This Document is Digitally Signed
The Oriental Insurance Company Limited Signer: SUNITAGUPTA
Date: Tue, Mar 12, 2024 11:19:03 IST
Location: NOIDA
Reason: Signing Policy for OICL
Attached to and forming part of policy number 211200/31/2025/999
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 : POLICY BAZAR
Examined By : POLICY BAZAR
Digitally Signed
Policy Printed By : PRTL IP : By
Policy Printed On : 12-MAR-24 11:20:52 Authorised Signatory
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
and through other digital platforms Whatsapp (Send "Hi" to 9560711200)
Place : NEW DELHI
Date : 12/03/2024
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