THE NEW INDIA ASSURANCE CO. LTD.

(Wholly owned by the Govt. of India)

The New India Assurance Co.Ltd.

DARYAGANJ (323202)
Tel. No.: 23267736//
Email: /nia.323202@newindia.co.in/

TWO WHEELER Package Policy

Policy Number: 32320231150100003989
Vehicle: BAJAJ/DISCOVER

Period of Cover
From: 08/12/2015
To: 07/12/2016

Insured Details
MR. KUNDAN KUMAR .
To: NR SYNDICATE BANK,BIJWASAN, ,NEW DELHI ,DELHI, 110061

For Insurance Renewals contact

RAJU AGGARWAL
Tel. No.: 9810158923 / /
Email: /

For Claims contact our Claims Hub

Core -1, 10th Floor, Scope Minar, Laxminagar District Centre, Delhi 110092.
Tel. No.: 01122404108
Email:

IRDA Registration Number 190

Policy No. : 32320231150100003989Document generated by QR_RENEWAL at 05/12/2015 00:04:50 Hours.

Regd. & Head Office: New India Assurance Bldg., 87 M.G. Road, Fort, Mumbai - 400 001. TOLL FREE No. 1 800 209 1415.
Page No. 1

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THE NEW INDIA ASSURANCE CO. LTD.

(Wholly owned by the Govt. of India)

IRDA Registration Number: 190

Policy No. : 32320231150100003989Document generated by QR_RENEWAL at 05/12/2015 00:04:50 Hours.

Regd. & Head Office: New India Assurance Bldg., 87 M.G. Road, Fort, Mumbai - 400 001. TOLL FREE No. 1 800 209 1415.
Page No. 2

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THE NEW INDIA ASSURANCE CO. LTD.

(Wholly owned by the Govt. of India)

POLICY SCHEDULE CUM CERTIFICATE OF INSURANCE

Two Wheeler Package Policy

Insured's Name:
Customer ID:

Insured's Details
MR. KUNDAN KUMAR .
PO24643334

Insureds Address:
Prev. Policy no.
Email:
Phone Number :

Address

NR SYNDICATE BANK,BIJWASAN,,
NEW DELHI ,DELHI, 110061
32320231140100005351
kundankumarvaishali@gmail.com
/ / 9013286394

Issuing office
DARYAGANJ (323202),
Daryaganj DAB, 23/4767, Pratap Street, Ansari Road,
D.Ganj, , , ,
DELHI , 110002.

Phone no
Fax no.
Email

23267736
NA / NA
nia.323202@newindia.co.in

Claim
Contact

DRO II (320001)

Registration no.

Policy Details
32320231150100003989
08/12/2015 12:00:01 AM to 07/12/2016
11:59:59 PM
DL-7S-BS-5905

Make/Model:
Receipt no.
Fax Number :

BAJAJ/DISCOVER
10000089151100093716 - 28/11/15
NA / NA

Policy number:
Period of cover:

New India Contact

Agent / Corp. Agent
/ Broker / Banc
Assurance/ Referral
Code - Name
Phone no
Fax no.
Email
Development officer
level Name/Code
Claim Contact
Detail

Mr. Raju Aggarwal (NIA1D11085511)

9810158923 / /
/
/
DIRECT BUSINESS - (1D7842764)
Core -1, 10th Floor, Scope Minar, Laxminagar
District Centre, Delhi 110092.,,;01122404108//

Policy Details
Year of manufacture:
Chassis no./Engine no.:

Geographical Area / Zone:

Name of the Financier:

India/A

Type of fuel:
Type of body:
Seating capacity including
Driver:
Automobile Association
membership:
Cover Note No/Cover Note Issue
Date:

Petrol
Metal
2

Cubic capacity ( cc):

Variant:
Colour:

none

Name of registration authority:

Vehicle
39582

Trailer
0

2013
MD2A52BZ2DPG41867/JEZPDG7
1095
125
DISCOVER 125T DISC
Red

Non-Elec Acc
0

IDV (in `)
Electrical Acc
0

Bi-fuel kit
0

Total Value
39582

Schedule of Premium
Own Damage

Liability
Basic TP Cover
Compulsory PA cover for Owner
Driver

Basic OD Cover

NCB(25%)
OD Premium in `

305

TP Premium in `

588

Policy No. : 32320231150100003989Document generated by QR_RENEWAL at 05/12/2015 00:04:50 Hours.

Regd. & Head Office: New India Assurance Bldg., 87 M.G. Road, Fort, Mumbai - 400 001. TOLL FREE No. 1 800 209 1415.
For redressal of your grievance, if any,you may approach any one of the following offices- 1. Policy issuing office 2. Regional office 3. Head office.In case, you are not satisfied with
our own grievance redressal mechanism; you may also approach Insurance Ombudsman. For details of our office addresses and addresses of office of Insurance Ombudsman, please
visit our website http://newindia.co.in.
Page No. 1

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THE NEW INDIA ASSURANCE CO. LTD.

(Wholly owned by the Govt. of India)

Net Premium in `:
Service Tax in `:
Total Payable in `:

893
130
1023

Limitations as to use
The Policy covers use of the vehicle for any purpose other
than: a)Hire or Reward b)Carriage of goods (other than
samples or personal luggage) c)Organized racing d)Pace
making e)Speed testing f) Reliability Trials g)Any purpose in
connection with Motor Trade

Limits of Liability
Limit of the amount the Company's Liability Under Section II
1(i) in respect of any one accident: as per the Motor Vehicles
Act, 1988. Limit of the amount of the Company's Liability
Under Section II 1(ii) in respect of any one claim or series of
claims arising out of one event: Up to ` 1,00,000
For individual covers (OD) in`:
39582
Imposed excess in `:
0
Voluntary excess in `:
0
Compulsory excess in `:
100

Persons or classes of persons entitled to drive

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 requirement of Rule 3 of the Central Motor Vehicles
Rules, 1989.
PA cover for Owner Driver
Name of Nominee
Age of Nominee
Relationship with the
Name of the Appointee Relationship to the
Insured
(if Nominee is a minor) Nominee
MR. CHANDAN KUMAR
28
BROTHER
NA
NA
PA cover for named persons
Name
CSI Opted(`)
Nominee
Relationship
none
0
NA
NA
In witness where of this policy has been signed at Mumbai on this 05/12/2015
WARRANTED THAT IN CASE OF DISHONOUR OF THE PREMIUM CHEQUE, THIS DOCUMENT STANDS AUTOMATICALLY
CANCELLED ABINITIO
This policy is subject to the Terms, conditions and exceptions applicable to Package/Liability policy attached/available on the
web site http://newindia.co.in; IMT Endorsement Number(s) printed herewith attached 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 Motor Vehicles Act,
1988 is recoverable from the insured: see clause headed "AVOIDANCE OF CERTAIN TERMS AND RIGHTS OF RECOVERY". It is
clarified that in case the declaration regarding the ncb or other previous policy details made by the insured, is found to be
incorrect, all the benefits (including claim) under section-1 of this policy, will stand forfeited.
I/We hereby certify that the policy to which this Certificate
For and on behalf of The New India Assurance Company
relates as well as this Certificate of Insurance are issued in
Limited
accordance with the provisions of Chapter X and XI of M.V.
Act, 1988.NIA S.T.REGN No: AAACN4165CST178.
Date of Issue: 05/12/2015

(Mr. Satyanarayan Mohapatra)

[ Sr. D.M]
Duly Constituted Attorney(s)
FAIRDEAL AUTOMOBILES
* This is an electronically generated document, requires no
signature

IRDA Registration Number: 190

Policy No. : 32320231150100003989Document generated by QR_RENEWAL at 05/12/2015 00:04:50 Hours.

Regd. & Head Office: New India Assurance Bldg., 87 M.G. Road, Fort, Mumbai - 400 001. TOLL FREE No. 1 800 209 1415.
For redressal of your grievance, if any,you may approach any one of the following offices- 1. Policy issuing office 2. Regional office 3. Head office.In case, you are not satisfied with
our own grievance redressal mechanism; you may also approach Insurance Ombudsman. For details of our office addresses and addresses of office of Insurance Ombudsman, please
visit our website http://newindia.co.in.
Page No. 2

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THE NEW INDIA ASSURANCE CO. LTD.

(Wholly owned by the Govt. of India)

Policy No. : 32320231150100003989Document generated by QR_RENEWAL at 05/12/2015 00:04:50 Hours.

Regd. & Head Office: New India Assurance Bldg., 87 M.G. Road, Fort, Mumbai - 400 001. TOLL FREE No. 1 800 209 1415.
For redressal of your grievance, if any,you may approach any one of the following offices- 1. Policy issuing office 2. Regional office 3. Head office.In case, you are not satisfied with
our own grievance redressal mechanism; you may also approach Insurance Ombudsman. For details of our office addresses and addresses of office of Insurance Ombudsman, please
visit our website http://newindia.co.in.
Page No. 3

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THE NEW INDIA ASSURANCE CO. LTD.

(Wholly owned by the Govt. of India)

COLLECTION RECEIPT CUM ADJUSTMENT VOUCHER

Issuing Office
Address

: DARYAGANJ (323202)
: Daryaganj DAB, 23/4767, Pratap Street, Ansari Road, D.Ganj,
,110002
NEW DELHI

Phone
Email
Fax

: 23267736
: nia.323202@newindia.co.in
:

Collection Number
Collection Date
Business Source Code

: 10000089151100093716
: 28/11/2015
: 1D7842764

Received with thanks from MR. KUNDAN KUMAR ..

The amount received/Adjusted is towards Policy No.
A/C Description
32320231150100003989
Bank-100000

Amount`
1023.00

A/C Code
9100.100000

Sub A/C Code

BA00013647-100000-9100

Total = ` 1023.00
Your Payment/Adjustment Details are as under Mode
Amount ` Cheque
Cheque
No.
Date
EPG
Credit
Advice

1023.00

ESBI41 N.A.
4061
7594

Drawee Bank

Drawee
Branch

N.A.

N.A.

Reference No.

3232021510009164

Scroll/BG/
APD
Balance
N.A.

Total = ` 1023.00
Utilization details of the Collected Amount :
Premium
Service Tax
893.00
130.00
Sl no.
Agency Code
1
NIA1D11085511

Stamp Duty
0.00

Excess Amount
0
Department Code
31

Agency Name
RAJU AGGARWAL

For The New India Assurance Company Limited

Revenue Stamp
__________
|
|
|
|
|
|
|
|
|__________|
Date of Issue: 05/12/2015

(Mr. Satyanarayan Mohapatra)

[ Sr. D.M]

FAIRDEAL AUTOMOBILES

Cashier's Initial

Authorized Signatory

NIA S.T.REGN No: AAACN4165CST178.

Policy No. : 32320231150100003989Document generated by QR_RENEWAL at 05/12/2015 00:04:50 Hours.

Regd. & Head Office: New India Assurance Bldg., 87 M.G. Road, Fort, Mumbai - 400 001. TOLL FREE No. 1 800 209 1415.
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THE NEW INDIA ASSURANCE CO. LTD.

(Wholly owned by the Govt. of India)

Note 1.Please quote the Policy Number, Collection Number and date in all future correspondence. .
2.NIA shall not be liable for any claim arising out of sales made during the period between the due date and date of
payment of the installment if the premium paid has been exhausted by turnover declarations/if there is insufficient
premium balance.

IRDA Registration Number: 190

Policy No. : 32320231150100003989Document generated by QR_RENEWAL at 05/12/2015 00:04:50 Hours.

Regd. & Head Office: New India Assurance Bldg., 87 M.G. Road, Fort, Mumbai - 400 001. TOLL FREE No. 1 800 209 1415.
Page No. 2

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THE NEW INDIA ASSURANCE CO. LTD.

(Wholly owned by the Govt. of India)

IMT.22. COMPULSORY DEDUCTIBLE

(Applicable to Private Cars, three wheelers rated as private cars, all motorized two wheelers, taxis, private car type vehicle plying for
public/private hire, private type taxi let out on private hire)
Notwithstanding anything to the contrary contained in the policy it is hereby understood and agreed that the insured shall
bear under Section 1 of the policy in respect of each and every event (including event giving rise to a total loss/constructive
total loss) the first ` 100 (or any less expenditure which may be incurred) of any expenditure for which provision has been
made under this policy and/or of any expenditure by the insurer in the exercise of his discretion under Condition no 3 of this
policy.
If the expenditure incurred by the insurer shall include any amount for which the insured is responsible hereunder such
amount shall be repaid by the insured to the insurer forthwith.
For the purpose of this Endorsement the expression "event" shall mean an event or series of events arising out of one cause
in connection with the vehicle insured in respect of which indemnity is provided under this policy.
Subject otherwise to the terms conditions limitations and exceptions of this Policy.

IMT 22A. VOLUNTARY DEDUCTIBLE (For private cars/motorized two wheelers other than for hire or reward)
It is by declared and agreed that the insured having opted a voluntary deductible of ` a reduction in premium of ` under
Section 1 of the policy is hereby allowed.
In consideration of the above, it is hereby understood and agreed that the insured shall bear under Section 1 of the policy in
respect of each and every event (including event giving rise to a total loss/constructive total loss) the first `100 (or any less
expenditure which may be incurred) of any expenditure for which provision has been made under this policy and/or of any
expenditure by the insurer in the exercise of his discretion under Condition no 3 of this policy .
If the expenditure incurred by the insurer shall include any amount for which the insured is responsible hereunder such
amount shall be repaid by the insured to the insurer forthwith.
For the purpose of this Endorsement the expression "event" shall mean an event or series of events arising out of one cause
in connection with the vehicle insured in respect of which indemnity is provided under this policy.
Subject otherwise to the terms conditions limitations and exceptions of this Policy.

IRDA Registration Number: 190

Policy No. : 32320231150100003989Document generated by QR_RENEWAL at 05/12/2015 00:04:50 Hours.

Regd. & Head Office: New India Assurance Bldg., 87 M.G. Road, Fort, Mumbai - 400 001. TOLL FREE No. 1 800 209 1415.
Page No. 1

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