The Oriental Insurance Company Limited Uoeston NOIDA Reason Signing P MOTOR INSURANCE CERTIFICATE CUM POLICY SCHEDULE PRIVATE CAR PACKAGE POLICY - ZONE B {oad Side Assistance included in this policy - Toll free No, 16003091209 ‘Conditions Appl Pelicy No 21120015172028454960, Prev olicyNe : PBW/000000206847, CoverNoteNo :- Cover Note Ot Insured's Code; 178010448 Issue Office Code» 211200 Insurea's Name: MR. DEWANAND TIWARY TIWARY (GSTIN: Issue Offce Name: 80 PADAM SGH RD KAROL BAGH OUI 9) (GSTIN: O7AAACTOBaTRIZI) Aasress 122 PUSHPANJLI NAGAR PHASE 3NEAR Address 18720, WEA, FIRST FLOOR NEAR SHASTRI AVADHPURI COLON’ PARK, YAGRA ADAM SINGH ROAD, KAROL BAGH AGRA NEW DELHI UTTAR PRADESH 282010 NEW DELHI DELHI 110005 Tol Fax mal 1 18rets20126 Tel/FaxlEmail : — 011-41052060, 41082080, 0851779656 / DEWANANDTIWARY1871@[Link] 011-41052050/ 211200@[Link] LeadiBroakin No: 10 Local Servicing Office Code : 211200 ‘Local Servicing Office Details : 0 2 NEW DELHI,16/20, WEA, FIRST FLOOR,NEAR SHASTRI PARK,PADAM SINGH ROAD, KAROL BAGH NEW DELHI, ,011-41052050, 41062050, [AgenvBroker Details [Link] JAgentBroker |Lco000000660 M/S POLICYBAZAAR INSURANCE BROKERS PRIVATE LIMITED lAddress Plot No. 119, Sector-44, Gurgaon,, Gurgaon, Haryana, 12200,Tol - 1800-258. 5970,GURGAON,HARYANA,122002, ret ax email: _1800-258.597011800-258-59701/ Period of Insurance - FROM 00:00 ON 08/02/2024 TO MIDNIGHT OF 07/0212025 Collection No& DL; 32008471823-9010112024 GST INVOICE NO-0722439567502_UIN:0 Gross Premium 4.508 ost ait Stamp Duty 5 Tol: 5317 Goographical 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 Type Of Fuel Capacity Mant. (including Driver) ToT en aTa0 TIBISEE WARUTECIAZ VXI OTHERS Tas WT Ranchi masexuorsoozsst PETROL itations as to use: 1 The Policy covers use of the vehicle for any purpose ather than a) Hire or Reward b). Carriage of goods (other than samples or personal luggage) ¢) Organized racing d) Pace making e) Speed testng 1) Reliability Trials) Use connection wih Motor Trade DriverAny person including the insured, Provided that a person driving hols an effective diving cense atte time ofthe accident and is not lsquslfed from holing or obiaining such a Iicense. Provided also that the person holding an effective Leamers license may also crive Ihe ‘vehicle and that such a person satis the requirements of Rule 3 of the Cental Motor Vehicles Rules, 1989, Limit of Liabitity:Undor Section l(t) in respect of any one accident: as per Motor Vehicles Act, 1988, Under Section ili) in respect of any one claim or series of claims arising out of one vent is Rs. 750000 P.A. Cover under Section Il for Registered Owner Cum Driver (CSI) Rs. o “This insurance excludes all pre-existing damagesThe Oriental Insurance Company Limited Sais in. ge so st esto’ gna ‘Attached to and forming part of policy number __211200/31/2024/454960 18851779656, 851779656,211200@[Link] Insured's Declared Value Forthe VenIETS For Trallers Non Electrical Erected Value of ONG Total Vale ‘Accessories Accessories Pe Kit Dias a 7 a 271026 Nominee Details Nominee Name Age Relationship POONAM TIWARI 62 Husband! ‘SCHEDULE OF PREMIUM 'A. OWN DAMAGE 5. LIABILITY BASIC 0D COVER 9,082.00 | Basic TP CovER 3,416.00 MOTOR 00 BASIC - NEW 9,082.00 | asic TP TOTAL 3,416.00 BASIC OD TOTAL 9,082.00 | TP TOTAL 3,416.00 LESS ‘Discount 7,992.00 | TOTAL PREMIUM 4,506.00 op TOTAL 1,090.00 | stamp Duty 050 MOTOR TOTAL oD 1,090.00 | app 16st 11.00 TOTAL AMOUNT 5,317.00 Deductible under Section: Compulsory Deductible 1000, ‘Subject to IMT Endorsement Printed herenlatlached to: IMT:-22 Details of MT tdorsements aro also available on the Companyzs Web Porlal [Link] Hypothecation Agreement wit: CANARA BANK Hire Purchase/Lessor Agreement wit: Inthe event ofa claim under the polcy exceeding Rs. lac ora clam for refund of premium exceeding Rstlac,he insured will comply with the provisions ofthe AML policy ofthe Company. The AML policy's available inal our operating Oficos as wel as company/s wobsit. The insurance under this policy is subject to conditions, clauses, warranties, exclusions, IMTs and OIC endorsements mentioned her above which are available on Company's wabsite: www orlentalinsurance,orgin or on demand from the policy Issuing office Warranted that in ease of dishonour of premium chequo(s) te Company shallot be lable under te policy and the palicy shall be vid bint (rom inception}. Claim is not admissible f Driving License is found fake or isnot valid whether o not nthe knowledge ofthe insured lie hereby coriy that the poly to which the cetiicateroltes as well as ths cerifeat of insurance ae Issued In accordance withthe provision of Chapter X and Chapter X! of Motor Veiclas Act, 1986. In witness whereo! the undersigned being authorised by and on behalf of the company has/have herein tose hither hands at BO PADAM SGH RO KAROL BAGH DL (GSTIN: O7AAACTOS27RIZ1) on SO-JAN24, IMPORTANT NOTICE The Insured is not Indemnified ifthe vehicle i used or driven otherwise than in accordance with his Schedule. Any payment ‘made by the Company by reason of wider termi appearing in the Certfae in order to comply wih the MVAct, 1988 is Feeaverable from the Insired, See the Clause headed “AVOIDANCE OF CERTAIN TERMS AND RIGHTS OF RECOVERY"This Document is Digits Signed The Oriental Insurance Company Limited ipec sun Reason Sion PST for OIL, ‘Attached to and forming part of policy number __211200/31/2024/454960 Entered By POLICY BAZAR Examined By : POLICY BAZAR Digtaly Sines Policy Printed By: PRTL P By SOVAN-26 [Link] Authorised Signatory Policy Printed On tn case of any query regarding the Policy plaase cal Tol Fre No. 1800 258 5970 (Customer serves) & 1800 258 S81 (Claims), (CIN: Ues0190L.1947G01007158 Al the Amounts mantianed in this policy ae in Indian Rupees IRDA Regn, No, 856 - Now you can buy and renew selected palicies online at [Link] ang though other dal platforms including Whatsapp (Send "Hi" to @ 9550711200)