The Oriental Insurance Co. Ltd.
Servicing Office of Insurer : Divisional Office Shree Krishna Plaza, 100 Ft. Road Shobhagpura,
Udaipur, Rajasthan (State Code:08) -313011, PH-0294-2980013 Website :
www.orientalinsurance.org.in
PAN : AAACT0627R . GSTIN: 08AAACT0627R3ZX Insurer's IRDA Registration Number: 556
Tollfree Helpline : 1800-11-8485 Email: [email protected] CIN :
U66010DL1947GO1007158
STANDALONE OWN DAMAGE POLICY – PRIVATE CAR (UIN-IRDAN556RP0001V01201920) CUM RECEIPT
OD Policy No. : 242596/31/2026/TMP/32319 Policy Issued On : 23-JUN-2025 (18:17)
Insured Name : MR. JAGDEEP KUMAR
Own Damage Period : 30-JUN-2025(00:00) To 29-JUN-2026(Midnight) Motor Liability Period : 30-JUN-2024(00:00) To 29-JUN-2027(Midnight)
Motor Liability Policy No : 80000031240950038937 (NIA)
Proposal No. & Date : PPVBU22604858, 23-JUN-2025
Insured Add. : S/O LAMBER DASS, DHANOWALI JALANDHAR , Previous Insurer : NIA
JALANDHAR , PUNJAB (State Code:03) -144010 Previous Policy No. : 80000031240950038937 30-JUN-2024 To 29-JUN-
2025
BROKER DETAILS
IRDA Lic. No. 375 CIN No. U50300MH1997PLC149349
Broker Category Composite Broker Validity 13-MAY-23 To 12-MAY-26
Name & Add. : TATA MOTORS INSURANCE BROKING AND ADVISORY SERVICES LTD, 1ST FLOOR, AFL HOUSE, LOK BHARTI COMPLEX, MAROL MAROSHI
ROAD, ANDHERI (EAST), MUMBAI - 400 059
Make Model Variant Cubic Capacity Manufacturing Year Seating capacity
NEXON CREATIVE + S
TATA MOTORS TATA NEXON 1199 2024 5
AMT 1.2
Body Type Registration No. RTO Invoice Date Engine/Motor No. Chassis No.
MAT627465RAF2394
SUV PB 08 FL 2353 JALANDHAR 30-JUN-2024 REVTRN21FVXK74694
0
Non-Elec.
Vehicle IDV CNG/LPG Kit Elec. Accessories Total IDV
Accessories
1,039,992 0 0 0 1,039,992
PAYMENT DETAILS
Premium Paid : 12969 Cheque No. : 113819286070 Cheque Date: 23-JUN-2025
Bank Name : NON CUG HDFC CCAVENUE Bank City :
For & On Behalf of The Oriental Insurance Co. Ltd.
Dealer Code : TATA KOSMO - 300039000
Authorized Signatory
In case of any claim or assistance required please contact our help line at 1800 209 0060 and you may also reach us at [email protected]
The Oriental Insurance Co. Ltd.
Servicing Office of Insurer : Divisional Office Shree Krishna Plaza, 100 Ft. Road Shobhagpura,
Udaipur, Rajasthan (State Code:08) -313011, PH-0294-2980013 Website :
www.orientalinsurance.org.in
PAN : AAACT0627R . GSTIN: 08AAACT0627R3ZX Insurer's IRDA Registration Number: 556
Tollfree Helpline : 1800-11-8485 Email: [email protected] CIN :
U66010DL1947GO1007158
STANDALONE OWN DAMAGE POLICY – PRIVATE CAR (UIN-IRDAN556RP0001V01201920) CUM RECEIPT
OD Policy No. : 242596/31/2026/TMP/32319 Policy Issued On : 23-JUN-2025 (18:17)
Insured Name : MR. JAGDEEP KUMAR
Own Damage Period : 30-JUN-2025(00:00) To 29-JUN-2026(Midnight) Motor Liability Period : 30-JUN-2024(00:00) To 29-JUN-2027(Midnight)
Motor Liability Policy No : 80000031240950038937 (NIA)
SCHEDULE OF PREMIUM (AMOUNT IN RS.)
Own Damage Premium (A)
Basic Premium Deductibles
Vehicle 4,979 Voluntary Deductibles (0) (IMT-22A) 0
Non-Elec. Accessories 0 Anti Theft Device (IMT-10) 125
Elec. Accessories (IMT-24) 0 AA Membership (IMT-8) 0
CNG/LPG Kit (IMT-25) 0 No Claim Bonus (0%) 0
Sub Total (Basic Premium) 4,979 Handicapped Discount (0%) 0
Geographical Area Extension (IMT-1) 0 Sub Total (Deductibles) 125
IMT 23 Premium 0
Add On Coverages (Refer Note 5) 6136
Sub Total-Addition 11,115 Net Own Damage Premium (A) 10,990
Note: .Warning that in case of dishonour of the premium cheque, this document stands
automatically cancelled 'ab-initio
Total Premium (A) 10990
> Consolidated stamp duty paid to state exchequer.
> The policy is subject to compulsory deductible of Rs.1000 (IMT-22) IGST (18%) 1979
> The insurance company will display terms & conditions on its website
www.orientalinsurance.org.in which can
be accessed by you online.
>Addon Opted: Nil Depreciation .,
*Subject to IMT Endt. Nos.& Memorandum:7,22,10 Gross Premium Paid 12969
EX-SHOWROOM PRICE : 1299990
Addon Unique Identification Number (UIN) Details Add On Premium
Nil Depreciation 6136
Hypothecation Details: PUNJAB NATIONAL BANK - PNB BANK - JALANDHAR
MISP Name: TATA KOSMO, MISP PAN No: AADCK7910P, MISP Code: TMIBASL/MISP/AADCK7910P
SAC:997134, Description of Service :Motor Vehicle Insurance Services, Place of Supply :PUNJAB(State Code:03), Receipt No/Invoice No:TMP26032319
For & On Behalf of The Oriental Insurance Co. Ltd.
Dealer Code : TATA KOSMO - 300039000
Authorized Signatory
In case of any claim or assistance required please contact our help line at 1800 209 0060 and you may also reach us at [email protected]
The Oriental Insurance Co. Ltd.
Servicing Office of Insurer : Divisional Office Shree Krishna Plaza, 100 Ft. Road Shobhagpura,
Udaipur, Rajasthan (State Code:08) -313011, PH-0294-2980013 Website :
www.orientalinsurance.org.in
PAN : AAACT0627R . GSTIN: 08AAACT0627R3ZX Insurer's IRDA Registration Number: 556
Tollfree Helpline : 1800-11-8485 Email: [email protected] CIN :
U66010DL1947GO1007158
STANDALONE OWN DAMAGE POLICY – PRIVATE CAR (UIN-IRDAN556RP0001V01201920) CUM RECEIPT
OD Policy No. : 242596/31/2026/TMP/32319 Policy Issued On : 23-JUN-2025 (18:17)
Insured Name : MR. JAGDEEP KUMAR
Own Damage Period : 30-JUN-2025(00:00) To 29-JUN-2026(Midnight) Motor Liability Period : 30-JUN-2024(00:00) To 29-JUN-2027(Midnight)
Motor Liability Policy No : 80000031240950038937 (NIA)
The policy covers use of the vehicle for any purpose other than (1) Hire or Reward (2) Carriage of
LIMITATIONS AS TO
goods (other than samples or personal luggage) (3) Organized racing (4) Pace making (5) Speed
USE testing (6) Reliability trials (7) Any purpose in connection with motor trade.
Any person including the insured: Provided that the person driving holds an effective driving license
at the time of the accident and is not disqualified from holding or obtaining such license. Provided
DRIVER’S CLAUSE also that the person holding an effective learners license may also drive the vehicle & that such a
person satisfies the requirements of Rule 3 of the Central Motor Vehicle Rules, 1989.
The insured is entitled for a No Claim Bonus (NCB) on the own damage section of the policy, if no
claim is
made or pending during the preceding year(s)-20%, preceding two consecutive years-25%, preceding
NCB Clause three consecutive
years-35%, preceding four consecutive years-45%, preceding five consecutive years-50% of NCB on
OD Premium. NCB is
allowed provided the policy is renewed within 90 days of the expiry date of the previous policy.
Own Damage Cover is subject to a valid Third Party Policy.
Own Damage Cover This policy covers damages to vehicle only and not the Third Party losses. Third Party cover is ta
ken by the customer in
Clause previous policy, details of which are as per the customer declaration only. Customer needs to ens
ure that there is a valid TP
The insured is not indemnified if the vehicle is used or driven otherwise than in accordance with the
schedule. Any payment made by the company by reasons of wider terms appearing in the certificate
IMPORTANT NOTICE in order to comply with the Motor Vehicle Act, 1988 is recoverable from the insured. See the clause
headed “AVOIDANCE OF CERTAIN TERMS & RIGHT OF RECOVERY”. For legal interpretation English
version will hold good.
This Schedule, the attached Policy and Endorsements mentioned herein above shall read together
and word or expression to which a specific meaning has been attached in any part of this policy or of
the Schedule shall bear the same meaning wherever it may appear. Any
amendments/modifications/alterations made on this system generated policy document is not valid
NOTE and Company shall not be liable for any liability whatsoever arising from such changes. Any changes
required to be made in the policy once issued would be valid and effective, only after written request
is made to the Company and Company accepts the requested amendments/modifications/alterations
and records the same through separate endorsement to be issued by the company.
In Witness whereoff this policy has been signed at JALANDHAR on 23-JUN-2025 18:17
The Oriental Insurance Co. Ltd.
Servicing Office of Insurer : Divisional Office Shree Krishna Plaza, 100 Ft. Road Shobhagpura,
Udaipur, Rajasthan (State Code:08) -313011, PH-0294-2980013 Website :
www.orientalinsurance.org.in
PAN : AAACT0627R . GSTIN: 08AAACT0627R3ZX Insurer's IRDA Registration Number: 556
Tollfree Helpline : 1800-11-8485 Email: [email protected] CIN :
U66010DL1947GO1007158
STANDALONE OWN DAMAGE POLICY – PRIVATE CAR (UIN-IRDAN556RP0001V01201920) CUM RECEIPT
OD Policy No. : 242596/31/2026/TMP/32319 Policy Issued On : 23-JUN-2025 (18:17)
Insured Name : MR. JAGDEEP KUMAR
Own Damage Period : 30-JUN-2025(00:00) To 29-JUN-2026(Midnight) Motor Liability Period : 30-JUN-2024(00:00) To 29-JUN-2027(Midnight)
Motor Liability Policy No : 80000031240950038937 (NIA)
PRIVATE CAR PACKAGE POLICY: ADD ON COVERS
NIL DEP
Notwithstanding anything to the contrary contained in the policy, and provided additional premium has been paid, it is hereby understood
and agreed that in the event of a Partial Loss claim for damages to the vehicle insured under the policy where liability is admitted, the
insurer will indemnify the insured the full value of Expenses incurred for replacement of damaged parts of insured vehicle without
Application of depreciation there on Subject otherwise to the terms , conditions and exceptions of the policy
Note - Only 2 claims can be availed under Nil Depreciation
