Iffco Tokio General Insurance Company Limited

IRDAI Regn. No. 106. CIN - U74899DL2000PLC107621

CERTIFICATE CUM POLICY SCHEDULE

ORIGINAL FOR RECIPIENT / DUPLICATE FOR SUPPLIER
TAX INVOICE/CERTIFICATE CUM POLICY SCHEDULE
(FORM 51 OF THE CENTRAL MOTOR VEHICLES RULES, 1989)

Policy Type & UIN Annual Liability only policy & IRDAN106P0005V01200001 Proposal No & Date R0003440099 / 08-Jul-2025 15:54
Policy No 15090360 Period of Insurance 11-JUL-2025 00:00 to 10-JUL-2026 23:59
Policy Issued On 08-Jul-2025 15:54 Vehicle Identification No. MA3EWDE1S00551288
Insured Name Mr. RAMESH DATTA BALWAD Geographical Area India
Invoice No R0003440099 GST No & State NA | Maharashtra
APBHATANGLI, .. TQ&DISTLATUR, TQ&DISTLATUR, ,
Insured Address Accounting Code of Service 997134
MAHARASHTRA-413512
Insured State & Code Maharashtra - 27 Place of Supply Maharashtra GSTIN of Customer GSTUNREGISTERED
MOTOR VEHICLE DETAILS
Make Maruti Suzuki Seating Capacity 5
Model - Variant WagonR New Vxi Type of Body | Color Hatchback | SUPERIOR WHITE
Registration No MH26AK0317 Fuel Type Petrol
Year of Manufacture 2013 RTO Location NANDED | MH-26
Engine - Chassis No 4512685 - MA3EWDE1S00551288 Zone B
Cubic Capacity 998 FASTag ID
Insured Declared Value(₹)
Vehicle ₹ 0 Non Electrical Accessories ₹ 0 Electrical Accessories ₹ 0 CNG/LPG Kit ₹ 0 Total IDV ₹ 0
Schedule of Premium(Amount in ₹)
OWN DAMAGE SECTION (A) LIABILITY SECTION (B)
Basic Premium ₹0 Basic Third Party Liability ₹ 2094
Third Party Liability for Bi-fuel Kit ₹ 60
Compulsory PA Cover Premium [1 Year ],(Sum Insured 15 lakhs) ₹ 325
P.A Cover to Unnamed Passengers 5 Person of Rs100000 each (IMT-16) ₹ 250
Legal Liability (WC) to Driver (IMT-28) ₹ 50
Net Liability Premium (B) ₹ 2779
Total Premium (B) ₹ 2779
CGST @9% ₹ 250.11
SGST @9% ₹ 250.11
Gross Premium Paid ₹ 3279
Point of Sale - AUTOMOTIVE MANUFACTURERS LTD.
Notes:-
1. Policy Issuance is subject to realisation of premium.
2. Consolidate stamp duty paid to State Exchequer.
3. Policy is subject to a compulsory Deductible of Rs. 1000 (IMT-22)
4. Voluntary excess Rs. 0
5. Subject to Endorsements IMT 16,28
Nominee Details
Nominee Name: [Link] RAMESH BALWAD Age: 34 Relation: Wife
Financier Details
Financier Type: Not Financed Financier Name: N/A Financier Branch: N/A
Payment Details
Payment Mode: Electronic Payment Cheque No/Transaction No: 113842238265 Bank Name: ELECTRONIC PAYMENT Amount: 3279
Limitations as to use:- Stage carriage/ Contract Carriage/ Goods Carriage/ Private Service vehicle - The policy covers use 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: a) Organised racing b) Speed [Link] Service Vehicle and Non-Transport Vehicle - The policy covers
use for any purpose other than: a) hire or reward b)organised racing, or c) speed testing.
Driver:- Stage carriage/ Contract Carriage/ Private Service vehicle - Any person including 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 when not used for the transport of passengers at the time of accident and that such a person
satisfies the requirements of Rule 3 of the Central Motor Vehicles Rules, 1989.
Limits of Liability:- Under Section II-1 (i) of the policy - Death of or bodily injury - Such amount as is necessary to meet the requirements of theMotor Vehicles Act , 1988. Under Section II - 1(ii) of the policy -Damage
to Third Party Property - Rs 750000. P.A. Cover for Owner - Driver under section IV (CSI) - Rs 1500000
IMPORTANT NOTICE:- 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 the
Certificate in order to comply with the Motor Vehicle Act, 1988 is recoverable from the Insured. See the clause headed """AVOIDANCE OF CERTAIN TERMS AND RIGHT OF RECOVERY""". For Legal
interpretation, English version will hold good.
For information on ombudsman you may visit website : [Link] I / We hereby certify that the Policy to which the certificate relates as well as this certificate of insurance are issued
in accordance with the provision of Chapter X and Chapter XI of M.V. Act, 1988.
Goods Carriage:- 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 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.
Non Transport Vehicles:- Any person including 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

We hereby declare that though our aggregate turnover in any preceding financial year from 2017-18 onwards
is more than the aggregate turnover notified under sub-rule (4) of rule 48, we are not required to prepare an For IFFCO TOKIO GENERAL INSURANCE
invoice in terms of the provisions of the said sub-rule. COMPANY LIMITED

Authorised Signatory

Policy Issuing Office :Bhagirathi Complex Opposite Indraprastha Towers Durga Chowk Akola Maharashtra 444001
GSTIN: 27AAACI7573H1ZC, CIN No: . State Name: Maharashtra
This Policy is sourced and serviced by Maruti Suzuki Insurance Broking Private Limited
Direct Broker (General) IRDAI License No. 428, valid till 01 February 2027, Mail ID: support@[Link], Contact: 33774477 (Prefix 011/022/033/044)
For Policy Terms and Conditions Log on to : [Link], [Link]
 Original Certificate of Insurance must be carried in your Car
Carry the Original certificate of insurance with the vehicle at all times - this is mandatory and is an evidence of compliance with Motor Vehicle
Act 1988.

Want to change anything in your policy?

Visit your nearest Dealership or get in touch with Maruti Suzuki Insurance Broking at their dedicated customer support - DIAL 3377 4477 (pre-
fix 011 / 022 / 033 / 044) to update your contact details, address, any change in the vehicle ownership, CNG / LPG fitment status, accesso-
ries addition/deletion etc.

Is your policy falling due for Renewal?

To renew your policy you may: 1) Visit [Link] 2) Visit Nearest Dealership 3) Call us at 011 3377 4477 4) SMS
RENEW to 9215292152.

What to do if your four wheeler meets with an accident?

Simply inform Maruti Suzuki Insurance Broking at 3377 4477 (prefix 011 /022 / 033 / 044) or Visit [Link] to locate
nearest Dealership. They will assist you with your claim intimation to us and will also help you with other formalities. In case you intend to
make a claim on your policy, please ensure that the claim is intimated to Maruti Suzuki Insurance Broking within 24 hours of accident or on
the next working day.

What should you do if there is a third party injury/death and/ or third party property damage?
Lodge an FIR with the nearest Police station and obtain a copy. Provide a photocopy of your insurance policy to the affected third party. It is not
necessary to compensate the affected third party on the spot. Inform Maruti Suzuki Insurance Broking at 3377 4477 (prefix 011 /022 / 033 /
044) for further assistance.

Is your Vehicle Stolen?

Lodge an FIR at the nearest Police Station and obtain a copy of the FIR. Inform Maruti Suzuki Insurance Broking at 3377 4477 (prefix 011/022 /
033 / 044). Maruti Suzuki Insurance Broking will guide you for proper filing of your claim towards a quick settlement.

Total Loss Claim?

As a convention, it is called a total loss when the damages are so severe that claim assessment (Survey) indicates that the vehicle is beyond
repairs OR it shows that the Insurance Co.’s liability is more than 75% of two wheeler’s insured declared value. Visit your nearest Dealership or
just inform Maruti Suzuki Insurance Broking at 3377 4477 (prefix 011/022/033/044) and you will be guided for a quick claim settlement.

Avoid driving through water log areas!

It can cause damage to your vehicle both internally and externally. Please do not try to start your car in case your vehicle stops by getting
submerged in flood or while crossing a water logged area. This can cause severe damage to the engine which is called Consequential Loss and
is not covered in your policy.

Must to Know
This Policy does not cover damage due to consequential loss, Wear & Tear, Mechanical/Electrical Breakdown, Driving under the influence of liquor or drugs,
Contractual Liability, Driving without valid driving license, Usage outside specified geographical area, Nuclear or War perils. It does not cover Damage to
tyres (unless vehicle is also damaged).

A Compulsory deductible based on Vehicle CC as per India Motor Tariff will apply at the time of every claim.

Depreciation on parts as per India Motor tariff will apply at the time of every claim unless opted for zero depreciation cover.

In case of Zero Depreciation Policy, the benefit of Zero Depreciation would be applicable for specific number of claims as per the Insurance Company's
Terms & Conditions.

AC Gas is fully payable. All Oils/Brake Lining/Glass Sealants/Oil Air Filters are paid @ 50%. Coolant/Fastener are not payable.
Visit Maruti
Visit Maruti SuzukiSuzuki Insurance
Insurance Broking
Broking at [Link]
at [Link]

Be Safe : Your Safety is Our Concern

Don’t Mix Drinking and Driving Always Keep Your Vehicle In Good Follow Traffic Rule
Condition

Pedestrians Have First Priority on Roads Please Use Child Seats When Children Always Wear Your Seat Belts
are Seated in Front of Airbags