Beruflich Dokumente
Kultur Dokumente
A. Proposer details
B.Vehicle Details
Registration
Month / Vehicle Vehicle Vehicle Fuel Type Cubic Ca- Year of Man- Seating Capa-
Number Year of Make Model Sub Type pacity ufacture city
Regn
BR02N4976 JAN-2012 HYUNDAI EON MAGNA PETROL 814 2011 5
(O)
Engine Num- Chassis Num- Vehicle IDV Electrical Non-Electrical Ac- CNG/LPG Unit Total IDV (in Rs.)
ber ber (in Rs.) IDV (in Rs.) cessories IDV (in (Extra fitted)
Rs.) IDV (in Rs.)
G3HABM0203 MALA351AL 0 0 0 0 0
38 BM029260K
C. Coverage opted
Bajaj Allianz General Insurance Company Ltd.
GE Plaza, Airport Road, Yerwada, Pune - 411006(India)
CERTIFICATE CUM POLICY SCHEDULE
Policy issuing office and Correspondence address for communication by policyholder for claim, service request, notice, summons,
etc; Bajaj Finserv Building, 1st Floor, Behind Weikfield IT-Park, Viman Nagar, Pune-411014 Phone No :1800-209-0144
Policy Number OG-19-9906-1805-00041658 Product Private Car - Liability Only Policy
Period Of Insurance From: 25-Feb-2019 Policy issued on 23-Feb-2019 -
To: 24-Feb-2020 Midnight Cover Note No /
Application No Scrutiny No 107644991
Insured Name PARWEZ ALAM Zone B
Insured Address ALI GANG ROAD NO 6, CORNER GAYA BI-
HAR, ,, - 823001
Customer ID 137718755 Premium Payer ID 137718755
Transaction Id
Policy Status ISSUED
GSTIN / UIN NA STATE CODE / NAME 10 - Bihar
Invoice No. 112413154/1
Registration Make SubType Model CC Mfg year Seat Cap Vehicle/Trailer Engine Number
No. Chassis No
BR02N4976 HYUNDAI MAGNA (O) EON 814 2011 5 MALA351ALBM029 G3HABM020338
260K
Vehicle IDV Elec Acc Non Elec Acc Trailer Trailer Reg No CNG/LPG Unit Total Sum Insured
0 0 0 0 0
SCHEDULE OF PREMIUM
OWN DAMAGE LIABILITY
Total Own Damage Premium: Basic Third Party Liability 1850
Total Liability Premium: 1850
Additional loading @ 0% 0
In case of any claim, please contact our 24 Hour Call centre at 1800-22-5858, 1800-102-5858 (Toll Free) / 91-020-30305858
(chargeable, add area code before this number in case of mobile call) or email us at 'Bagichelp@bajajallianz.co.in'.
107644991/-/10047139/9906/-
This is a one page Policy Document [without enclosing the Terms and Conditions (T&C) of the Policy] issued by the Company, pursuant to the authorization of Insured to display the T&C of the Policy on its website (www.bajajallianz.com) that enables access by the In-
sured. The T&C of the Policy are available on the Company's website and can be accessed by the Insured.
Kindly contact our nearest / local office(s) for No Claim Bonus Confirmations.
Authorized Signatory
Printed , Signed and Executed at Pune
Consolidated Stamp Duty of Rs.0.5/- paid towards Insurance Stamps vide Challan No.
Regd. Office : GE Plaza, Airport Road, Yerawada,Pune - 411006 (India),A Company incorporated under Indian Companies Act, 1956 and licensed by Insurance Regulatory
and Development Authority of India [IRDA] vide Reg No.113, Corporate Identification Number U66010PN2000PLC015329.BAGIC GST No : 27AABCB5730G1ZX | Princip-
al Location : GE Plaza, Airport Road, Yerwada, Pune - 411006 PH:66026666 | Services Accounting Code : 997134 - Motor vehicle insurance services. No reverse charge
is payable on these services. - Latest Schedule - 23-Feb-2019 12:20:02 PM (Web)
MH010399115201819M Defaced No. 0005908060201819 Order No. CSD/306/2019/226/19 order dated
18-Jan-2019 defaced dated 17-JAN-19 timing 11:19:37 of General Stamp Office,Mumbai,India.
Generated by Silent_Printing
Regd. Office : GE Plaza, Airport Road, Yerawada,Pune - 411006 (India),A Company incorporated under Indian Companies Act, 1956 and licensed by Insurance Regulatory
and Development Authority of India [IRDA] vide Reg No.113, Corporate Identification Number U66010PN2000PLC015329.BAGIC GST No : 27AABCB5730G1ZX | Princip-
al Location : GE Plaza, Airport Road, Yerwada, Pune - 411006 PH:66026666 | Services Accounting Code : 997134 - Motor vehicle insurance services. No reverse charge
is payable on these services. - Latest Schedule - 23-Feb-2019 12:20:02 PM (Web)
Bajaj Allianz General Insurance Company Ltd.
Bajaj Finserv Building, 1st Floor, Behind Weikfield IT-Park, Viman Nagar, Pune - 411014
Contact No:Contact No: 1800-209-0144
RECEIPT
Authorised Signatory