Policy Number : P0022000100/4102/717015
Development House, 24 Park Street , Kolkata -700016
([Link])
IRDA REG NO. 149 DATED 22nd MAY,2012
CIN: U66000WB2009PLC136327
In case of any query, assistance or claims, please contact us at 1800-266-3202
UIN:IRDAN149RP0002V02201213
Date : 21/11/2024
To,
PRAKASH
AMINJIKARAI CHENNAI
TAMILNADU - 600029
Mobile No: 9092167897
Agent/ Intermediary Name and Code: POLICYBAZAAR INSURANCE BROKERS PRIVATE LIMTED BRC0000434
Sub: Ri sk Assumpti on Letter
Dear Sir /Madam,
Thank you for cho o si ng Magma-HDI General I nsurance Comp any Li mi ted as your p referred General I nsurance Co mpany. Pl ease fi nd
encl osed Pol i cy No. . P002 200 01 00/ 41 02/ 71 70 15 , w hi ch has b een i ssued b ased on the d etai l s furni shed to us as b el o w:
Insured & Vehicle Details
Name of Insured PRAKASH
Peri od of Insurance 21/11/2024 TO 20/11/2025
Vehi cl e Make/Model BAJAI PULSAR 150 CC BS 6
RTO AMBATTUR
Vehi cl e Regi strati on No. TN13A D2792
Vehi cl e Regi strati on Date 09/02/2024
Engi ne No. DHX CRK07911
Chassi s No. MD2A 11CX 6RCK13735
Previous Policy Details
Previ ous Pol i cy No. N/A
Previ o us Pol i cy Peri od N/A
Previ ous Year NCB% N/A
Previ o us I nsurer Name N/A
Previ ous Pol i cy Type N/A
The information provided above is based on the information received from you and accordingly, the proposal has been processed.
Coverage of risk is subject to realisation of the full premium post which, insurance coverage under the policy would commence. In case the
premium is not received by us due to cheque dishonour or any other reason, the insurance cover shall be void ab-initio.
If you require any changes in the certificate of insurance cum policy schedule, you are requested to inform us by either writing to us at
customercare@[Link] or calling our toll free helpline on 1800-266-3202. Absence of any communication from you in this regard within
a period of 20 days of date of this letter, would mean that the issued policy is in order and as per your [Link] Risk Assumption Letter is
to be read in conjunction with the policy and shall be considered as null and void without the same.
Thanking You,
Regards
For Magma HDI General Insurance Co Ltd.
Authorised Signatory
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Policy Number : P0022000100/4102/717015
Development House, 24 Park Street , Kolkata -700016
In case of any query, assistance or claims, please contact us at 1800-266-3202
UIN:IRDAN149RP0002V02201213
TWO WHEELER PACKAGE POLICY
CERTIFICATE OF INSURANCE CUM SCHEDULE
Policy Servicing Office : Navin's Presidium, 7A, B Wing,3rd Floor, New No 17-19 Old No 103, Nelson Manickam Road,Aminjikarai,Chennai 600029
Policy No P0022000100/4102/717015 Period Of 00:00 Hrs of 21/11/2024
Insured PRAKASH Insurance To Midnight of 20/11/2025
Address AMINJIKARI CHENNAI TIRUVALLUR Agent No. : BRC0000434
TAMILNADU Agent Contact : 1800-258-5970
600029 PG/IR No.
Contact Number 9092167897
Email Address dhineshraja028@[Link]
GST Number Unregistered
INSURED MOTOR VEHICLE DETAILS AND PREMIUM COMPUTATION
Registration No. & Year of
Engine No. Chassis No. Make/Model/Type of Body CUBIC CAPACITY SEATING CAPACITY
RTA Location Manufacture
TN13AD2792/
2024 DHXCRK07911 MD2A11CX6RCK13735 BAJAJI PULSAR 150 CC BS6 150 2
TN 13
IDV (INSURED'S DECLARED VALUE)
IDV of Vehicle ₹ Non Electrical Accessories ₹ Electrical/electronic Accessories ₹ Bi-Fuel kit(LPG/CNG) ₹ Other accessories ₹ Total Value ₹
14638 0 0 0 0 14638
OWN DAMAGE(A) ₹ LIABILITY(B) ₹
Basic - OD 52 Basic - TP 752
Non Electrical Acessories 0 PA Owner Driver -SI Rs.0.00 0
Electrical or Electronic Accessories 0 Sub Total 752
Sub Total 52 Add:
Add Driving Tution TP 0
Zero Dep - OD 0 Geographical Extension TP 0
Sub-Total Addition 0 Sub-Total Addition 0
Less Less:
No claim bonus 0 % 0 TPPD Discount 0
Sub-Total Deductions 0 Sub-Total Deductions 0
Total Own Damage Premium(A) 52
Total Liability Premium(B) 752
Premium Computation
Total Package Premium(A+B) 804
IGST @ 18% 145.00
CGST @ 9% 0.00
SGST @ 9% 0.00
Total 949
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)Use in connection with Motor Trade
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
Driver
[Link] also that the person holding an effective Learner's license may also drive the vehicle and that such a person satisfies the requirements of
Clause :
Rule 3 of the Central Motor Vehicles Rules, 1989.
LIMITS OF LIABILITY
Damage to Third Party
Excess in respect of each and every Property Rs. 100000/-
Under Under In respect of any one Under Under
claim under Sec I of motor policy in respect of any one PA Owner – Driver as per
Section Section accident -- As per Motor Section Section
Compulsory : Rs. 100/- Voluntary : Rs. claim or series of claims premium computation table
I II-I (i) Vehicle Act II-I (ii) III:
0/- Imposed : Rs. 0/- Total : Rs. 100/- arising out of one
event.
Subject to I.M.T Endorsement Nos. IMT 7,IMT 15,IMT 16,IMT 22,IMT 28
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Policy Number : P0022000100/4102/717015
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