20203

Go Digit General Insurance Ltd. Schedule/Receipt

Digit Two-Wheeler Stand-alone Own Damage Policy
UIN No.: IRDAN158RP0003V01201920
Name PAWAN THAKUR Vehicle Registration No. BR06DH4218
Address Partner Name: KIRAN KUMARI .
Bengaluru,Bengaluru-843109
Partner Code: 1142430
Mobile xxxxxxxxx6972 Partner Mobile No. 7360001271
N Email nxxxxxxxxxxxxx1@[Link] Partner Email jsharma2@[Link]
PAN (POSP) DLXPK5342G
Aadhar No. --

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20203 YOUR POLICY DETAILS

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Policy No. D140674534KK / 23082024 Policy Issue Date 23-Aug-2024

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Period of Policy for Own Damage Cover and Add On(s) if From 23-Aug-2024 11:31:24

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Opted To 22-Aug-2025 23:59:59

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NCB % (Current Policy) 20 % Invoice No. IA160599692

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Digit Two-Wheeler Stand- Additional --

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Coverages Opted alone Own Damage Policy Excess
125 (`)

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PO Voluntary Deductible Compulsory
(`) -- Deductible (`) 100

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YOUR VEHICLE DETAILS
Motor
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RTO Location Muzaffarpur,BIHAR Vehicle IDV (`)
8- 80000
POS
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Seating Capacity 2 Non-Electrical Accessories IDV (`) 0
IU
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Make HONDA Electrical Accessories IDV (`) 0

Model/Vehicle Variant (Sub-
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SP 125/OBD2 DRUM BSVI CNG/LPG Kit IDV (`)

Type) 0
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Fuel Type Petrol Trailer IDV (`) 0

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Year of Regn/Year of Mfg. 2023/-- Total IDV (`) 80000.00

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Engine No. JC94ED0055778

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Chassis No. ME4JC943FPD003774

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PB Cubic Capacity 125 CC

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Odometer (KM) 0 FASTag Number

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Financier Details CANARA BANK

OWN DAMAGE PREMIUM [A] (`)

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Own Damage Premium (`) 858.11 1072.64

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Add-Ons Premium (`) 214.53 0.00

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800 NCB Discount Amount (`) -214.53

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Total OD Premium 858.11

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Net Premium (`) 1078.11

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CGST @ 9% = (`97.03) + SGST/UTGST @ 9% = (`97.03) 194.06

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Final Premium (`) 1272.17

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ENDORSEMENT
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Invoice Number Invoice Date Net Premium Igst Cgst Sgst Utgst Cess Gross Premium
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IA128540641 2024-08-23 1078.11 0.00 97.03 97.03 0.00 0.00 1272.17

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IA160599692 2025-01-02 0.00 0.00 0.00 0.00 0.00 0.00 0.00

Go Digit General Insurance Ltd. Address: Atlantis, 95, 4th B Cross Road, Koramangala Industrial Layout, 5th Block, Bengaluru, Karnataka 560095. IRDAI Reg
No. 158 CIN U66010PN2016PLC167410, GST Reg. No.: 10AACCO4128Q1ZF HSN: 997134/General Insurance Services, GSTIN Address: Muzaffarpur
Business Centre,Parashar Suzuki, 1st Floor, Near L S College, Speaker Chowk, Muzaffarpur,Muzzafarpur,Bihar,PIN-842001
 OTHER DETAILS
Previous Own Damage Go Digit General Insurance Limited
Insurer
Previous Own Damage Previous Own Damage
Policy No. D107212372 Policy Expiry Date 25-Jun-2024

Details of Existing Damages

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IMT – Endorsements IMT-22,IMT-7

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GSTIN/UIN No Unregistered State Code 10

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Receipt Receipt Date 23-Aug-2024
Premium Payment Details --

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Other Endorsements

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THIRD PARTY LIABILITY DETAILS
Insurer Go Digit General Insurance Limited

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Policy No. D107212372

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From 26-Jun-2023
Period of Policy for Third Party Liability Cover To 25-Jun-2028

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Note: This policy does not cover claims relating to third party liabilities and/or personal accident to the owner/driver of the vehicle.

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Follow these rules like you follow the rules of the road.
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Geographical Area: India Limitation as to use The policy covers use of the vehicle for any purpose other than hire or reward, racing, pace making, reliability trial, speed testing and
use for any purpose in connection with the Motor Trade. Person or Class of persons entitled to drive: Any person including the insured 1) Provided that a person driving holds a valid
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& effective driving license at the time of the accident and is not disqualified from holding or obtaining such a license. 2) Provided also that the person holding a valid & effective
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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 and any subsequent amendment as
applicable. Limits of Liability: 1)Under Section I of the policy _IDV as shown in the schedule
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NCB Declaration: The premium has been charged and policy has been issued subject to NCB declared by you as an insured. In the event of NCB found wrongly declared at any point
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of time during policy period, all benefits and coverages under the Policy in respect of section I of the Policy will stand forfeited. If there is any disagreement, write to us within 7 days
from the date of issuance of policy or before the start date of period of insurance whichever is earlier. Cheque dishonor / Non-receipt of payment: If premium paid through Cheque, the
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policy is void ab-initio in case of dishonor of Cheque or non-receipt of payment. This policy is subject to the standard policy wordings, warranties and conditions applicable for this
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product in addition to coverages and exclusions specified in the motor vehicle tariff published by IRDAI. 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 Certificate in order to comply with the Motor Vehicle Act, 1988 is
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recoverable from the insured. See the Clause headed “AVOIDANCE OF CERTAIN TERMS AND RIGHT OF RECOVERY”. Pre-existing Damages: All types of pre-existing damages or
cost of repair of such damage will be excluded at the time of claim [Link] of Motor Vehicle Act: This policy is issued in accordance with the provision of Chapter X and
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Chapter XI of MV act, 1988 and any subsequent amendment as applicable. Any violation will forfeit all benefits and coverages under the Policy. Important Notice: The company may
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cancel the policy by sending 7 days notice in case of fraud, misrepresentation, non disclosure of material fact or non co-operation of the insured. This policy is subject to the standard
policy wordings, warranties and conditions applicable for this product in addition to Indian Motor Tariff. Break in Insurance: In case of a break-in, the company may conduct pre-
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inspection of the vehicle and in such a case, Own Damage cover (Section -I) of the policy would not commence unless the pre-inspection of the vehicle has been done and the
acceptance of risk is subject to evaluation of the vehicle inspection report. In case of any adverse findings in the report, the Company, at its discretion, may cancel the Policy as per the
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Motor Tariff. PUC Declaration: The Policy has been issued subject to valid Pollution Under Control (PUC) Certificate disclosed by you as an insured on or before the date of
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commencement of the Policy. Please inform the Company in case of change on account of the addition of CNG/PNG kit.
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Note: The policy is issued in utmost good faith, relying on the information shared by insured at the time of obtaining the policy. The terms and conditions detailed in this policy
schedule as well as the policy document sent by Digit shall prevail in case of any dispute.
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For & On Behalf of Go Digit General Insurance Ltd.

In case of claim or any other query, please contact our 24-hour Call
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Centre at 1800-258-5956 or email us at hello@[Link]

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or visit our website [Link].

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Praveen Bhat
Senior Vice President - Customer Experience
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[Link]@[Link]
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Authorized Signatory
Printed, Signed, and Executed at Bengaluru
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Consolidated Stamp Duty has been paid as per Letter of

Authorization No.67-B/04/2017-18 Date: 30th May 2017
issued by Department of Stamps and Registration ,
Bengaluru- 560009 - KARNATAKA.
Hey, our document is now digitally signed
Click here to view the certificate.
For instant resolution, you can ping us “Hi”
on WhatsApp at 702 606 1234
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Policy Schedule

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Digit Compulsory Personal Accident Policy Cover (Owner Driver)

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UIN: IRDAN158RP0038V02201819
Go Digit General Insurance Ltd
 A snapshot. The gist. The ‘forget everything else, just remember this’ part of your policy.
Customer Details Policy Details

Bengaluru,Bengaluru- Policy Number D140674534IU

Address
843109
23-Aug-2024

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Invoice Number IA160599692 Policy issue Date

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From 23-Aug-2024 11:31:24
GST State Code 10 Period of Policy

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To 22-Aug-2025 23:59:59

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Mobile No xxxxxxxxx6972 Email ID nxxxxxxxxxxxxx1@[Link]

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Partner Code and
*Financier Details CANARA BANK 1142430 KIRAN KUMARI .

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Name

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*Customer ID
Partner Contact and

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+917360001271 jsharma2@[Link]
Email ID
*GSTIN/UIN Number Unregistered

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Vehicle & Sum Insured Details

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Private /

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Vehicle Description Commercial i.e. Year of

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(Make/Model/Sub (GCV/PCV/Misc. registration/Ma Engine/Chassis
Sr. No. Type) Class D) nufacturing Fuel Type Registration No. No Sum Insured (INR)

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JC94ED005577
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1 HONDA / SP 125 Private 2023 / -- Petrol BR06DH4218 1500000.02

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ME4JC943FPD0

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03774

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Premium Details 8-
Total Premium (Rs.)
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Net Premium 220.00

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CGST+SGST rate and amount 39.60

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259.60
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Final Premium
220
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Geographical area Any accident within India shall be covered subject to Policy Terms and Conditions, unless specifically agreed and endorsed.
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Limitation as to Use
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The policy covers use of the vehicle only under a permit within the meaning of the Motor Vehicles Act 1988 or such a carriage
falling under sub-section (3) of Section 66 of the Motor Vehicles Act, 1988 The policy does not cover use for
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a. Hire or Reward
Private Car and b. Carriage of goods (other than samples or personal luggage)
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Private Two c. Organized racing

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2 Wheelers d. Pace making

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e. Speed testing
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f. Reliability Trials
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g. Any purpose in connection with Motor Trade

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The policy covers use of the vehicle only under a permit within the meaning of the Motor Vehicles Act 1988 or such a carriage
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falling under sub-section (3) of Section 66 of the Motor Vehicles Act, 1988 The policy does not cover use for
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a. Organized racing
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IU I Commercial Vehicle b. Pace Making

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c. Reliability Trials
d. Speed Testing
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e. Use whilst drawing a trailer except the towing (other than for reward) of any one disabled Mechanically propelled vehicle.
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Driver: Person or Class of Persons entitled to Drive

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Any person including the insured

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Private Car and 1) Provided that a person driving holds an effective driving license at the time of the accident and is not disqualified from holding or
Private Two obtaining such a license.
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Wheelers 2) Provided also that the person holding an effective Learner’s license may also drive the vehicle and that such a person satisfies
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the requirements of Rule 3 of the Central Motor Vehicles Rules and any subsequent amendment as applicable
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7 Stage Carriage / Any person including insured: Provided that a person driving holds an effective driving license at the time of the accident and is not
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Contract carriage / disqualified from holding or obtaining such a license. Provided also that the person holding an effective Learner’s license may also
Private Service drive the vehicle when not used for the transport of passengers at the time of accident and that such a person satisfies the
Vehicle requirements of Rule 3 of the Central Motor Vehicles Rules, 1989.

Any person including insured: Any person including insured: Provided that a person driving hold 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
Goods Carriage
effective Learner’s license may also drive the vehicle when not used for the transport of goods at the time of the accident and that
such a person satisfies the requirements of Rule 3 of the Central Motor Vehicles Rules, 1989.

Any person including insured: Provided that a person driving holds an effective driving license at the time of the accident and is not
Non-Transport
disqualified from holding or obtaining such a license. Provided also that the person holding an effective Learner’s license may also
vehicles
drive the vehicle and that such a person satisfies the requirements of Rule 3 of the Central Motor Vehicles Rules, 1989
 Nominee Details S O YOGENDRA THAKUR . 01-Jan-1985 Father

*IMT -
IMT-22,IMT-7
Endorsements

*Other
Endorsements

Receipt No Cheque No / NEFT Details

*Premium Payment

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Details 23-Aug-2024
Date Date

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Important Notice

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1. *Cheque dishonor / Non-receipt of payment: If premium paid through Cheque, the policy is void ab-initio in case of dishonor of

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Cheque or non-receipt of payment.

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2. Violation of Motor Vehicle Act: This policy is issued in accordance with the provision of Chapter X and Chapter XI of MV act, 1988

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and any subsequent amendment as applicable. Any violation will forfeit all benefits and coverages under the Policy.

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* Indicates optional fields

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For & On Behalf of Go Digit General Insurance Ltd. Consolidated stamp Duty paid

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vide Receipt No: dated 23082024

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GST Reg. No.:

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Authorized Signatory

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Printed, Signed and Executed at Bangalore

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Consolidated Stamp Duty has been paid as per Letter of

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Authorization No.67-B/04/2017-18 Date: 30th May 2017

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issued by Department of Stamps and Registration ,

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Bengaluru- 560009 - KARNATAKA. 8-
Hey, our document is now digitally signed
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Click here to view the certificate.

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In case of any claim, please contact our 24-Hour Call Centre at 1800 103 4448 or email us at
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hello@[Link]
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INSURANCE ACT 1938 SECTION 41- Prohibition of Rebates: No person shall allow or offer to allow either directly or indirectly, as an
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inducement to any person to take out or renew or continue an insurance in respect of any kind of risk relating to lives or property in India,
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any rebate of the whole or part of the commission payable or any rebate of the premium shown on the policy, nor shall any person
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taking out or renewing a policy accept any rebate, except such rebate as may be allowed in accordance with the published prospectus
or tables of the insurer. ANY PERSON MAKING FAULT IN COMPLYING WITH THE PROVISIONS OF THIS SECTION SHALL BE
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PUNISHABLE WITH FINE WHICH MAY EXTEND TO TEN LAKHS RUPEES.

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Go Digit General Insurance Ltd, A Company incorporated under Indian Companies Act, 2013 and licensed by Insurance Regulatory and
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Development Authority of India [IRDAI] vide Reg No. 158, Corporate Identification Number U66010PN2016PLC167410, Reg. Address
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Atlantis, 95, 4th B Cross Road, Koramangala Industrial Layout, 5th Block, Bengaluru 560095. Website: [Link]
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