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Date:2014.10.07
S/O SH SAHAB SINGH , VILL KANHRI KHURD TEH JAGADHARI JAGADHRI TOWN , JAGADHRI - Hypothecated with : Mahindra And Mahindra Location :
135003 , HARYANA Financial Services
Limited
Contact details : 9991566564 Zone : Geographical Area : India
Email :
Particulars of vehicle Insured :
Registration No. & Make / Model Variant Engine No. / Chassis No. Type of Body Cubic Mfg. Year Seating Capacity Net Premium Rs. IDV (Insured's Declared
Place Capacity Value) Rs.
HR-45--9997 & TOYOTA / INNOVA 2.0 8580506 / 9624172 1998 OCT-2006 8 14087 400000
KARNAL V
(COMMERCIAL
VEHICLES ONLY)
Limitations As To Use : The Policy covers use 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.
Persons/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 requirements of Rule 3 of the Central
Motor Vehicles Rules, 1989
Limits of Liability : a. Under Section II-1(i) of the Policy-Death of or bodily injury to any person so far as it is necessary to meet the requirements of the Motor Vehicle Act, 1988. b. Under
Section II(1)(ii) of the Policy-Damage to property other than property belonging to the insured or held in trust or in the custody of control of the insured up to the limits specified Rs. 750000/-
PA Cover for owner-driver under Section-III CSI - Rs. 2,00,000/-
Deductible under Section-1: (i) Compulsory deductible Rs. 2000/- (ii) Additional compulsory deductible Rs. 0/-, (iii) Voluntary deductible Rs. /-
Schedule of Premium
Branch Issuance Office : SCO- 145 -146, 2nd Floor, Sector - 9 C, Madhya Marg , CHANDIGARH U.T.
Intermediary Code/Name : 13BRG050 / PROBUS INSURANCE BROKER LTD
Intermediary Contach No.: 9029013043
Dear RANBIR KUMAR
We thank you for placing your trust with Reliance General Insurance Company Limited
We are pleased to enclose Private Car Package Policy as Proposed by you
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(I) Details of Registered Owner/Insured
Name of the Insured RANBIR KUMAR State HARYANA
Address S/O SH SAHAB SINGH VILL KANHRI KHURD TEH City JAGADHRI
JAGADHARI JAGADHRI TOWN
Landline number -
Email Mobile number 9991566564
(II) Policy Details
Total Insured Declared Value (IDV) 400000 Total Premium amount 15828
Policy Start date 07/10/2014 Policy End date 06/10/2015
Hypothecation Type Mahindra And Mahindra Financial Services Limited Name of Financial Institution Mahindra And Mahindra Financial Services Limited
Address of Financial Institution Renewal/Rollover/New
(III) Vehicle Details
Make TOYOTA Manufacturing Month/Year OCT-2006
Model INNOVA Date of Purchase/Registration 07/10/2006
Variant 2.0 V RTO Location HARYANA-KARNAL (COMMERCIAL VEHICLES
ONLY)
Engine Number 8580506 Registration number HR-45--9997
Chassis Number 9624172 Seating Capacity Including Driver 8
Vehicle IDV 400000 Value of Electrical Accessories 0
Value of CNG/LPG KIT 0 Value of Non Electrical Accessories 0
(IV) Additonal Cover/s Opted
Electrical Accessories NO Legal Liability to Paid Driver YES
Non Electrical Accessories NO Personal Accident Cover for unnamed NO
Passengers
CNG/LPG Kit Attached NO Extension in Geographical Area NO
Is Vehicle used for Driving Tuitions NO Legal Liability to Employees NO
Fiber Glass Fuel Tank NO If Yes Extension in Geographical Area NO
Personal Accident Cover for Named NO Legal liability to Cleaner & conductor NO
Passengers
Legal liability to Non-Fare Passenger No Loading charged NO
(V) Add on Cover/s Opted
Nil Depreciation Cover NO Total Covers NO
(VI) Discounts Claimed
Anti Theft Device Discount NO Automobile Association Disc NO
Voluntary Deductible Discount NO Automobile Association Membership -
number/Name
Against this discount you have accepted an additional voluntary deductible of Rs 0 against each claim
Restrict TPPD Liability To 6000 NO
(VIl) PA to Owner Driver - Nominee Details
Authorized Signatory
For Reliance General Insurance Co ltd