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Reliance General Insurance Co. Ltd.


1st floor, Commerce House 2
Shastri Nagar, Bank More
Dhanbad
JHARKHAND
DHANBAD-826001(GSTIN-20AABCR6747B1ZU)

Endorsement Details
Policy no. 990291923750194971 Policy Period 05 Dec 2019 5:47PM To 04
Dec 2020 11:59PM
Endorsement No. REL990291923750194971/01 Period of Endorsement 09 Dec 2019 12:38PM To 04
Dec 2020 11:59PM
TP Policy Period. 05 Dec 2019 5:47PM To 04 TP Period of Endorsement. 09 Dec 2019 12:38PM To 04
Dec 2024 11:59PM Dec 2024 11:59PM
Endorsement Request Date 09 Dec 2019 12:38PM Endorsement Done By 63120-KUMAR AUTOMOBILES
Chassis Number MD634CE48K2H13214 Engine Number CE4HK2813140

Name MD ANWAR HUSAIN


Address VILL:-KHAKHIPIPAR,P.O:-BALIYA
P.S:-BIRNI,DIST:-GIRIDIH
Model-Variant TVS APACHE RTR 160 ABS 2V
Status Approved
Remarks Approved
Endorsement Type Proposer Detail

Endorsement For Old Value New Value

Proposer Type Individual Individual


Proposer Name MD ANWAR HUSSAIN MD ANWAR HUSAIN
Nominee Gender F M

Payment Calculation
Other
S.No. Items IDV Premium Add-On Total
Charge/TP
1 Vehicle/Body
2 Trailer
3 Electrical Accessories
4 Non Electrical Accessories
5 CNG/LPG
6 Geographical Area Extension
7 NCB 0 0

8 Ownership Transfer
9 PA Cover 0 0

10 IMT23
11 IMT34
12 OverTurn
13 NilDep

Authorized Signatory
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