Auto Secure - Liability Only Policy
Date: 18/09/2025
Name : Mr. GADDAMEEDI SAHADEV Your Policy Details:
Address : S/O RAMACHANDRAIAH
HNO 2-38 Policy Number: 6300254291 00 00
NEETHAJI NAGAR
AMISTHAPUR
Policy Period: From 13:18 Hours on 18/09/2025 to
BHOOTHPUR Midnight of 17/09/2026
MAHABUBNAGAR
TELANGANA -509382
Premium Paid: ` 9,250.00
Dear Mr. GADDAMEEDI SAHADEV,
Welcome to Tata AIG General Insurance Company Limited family & we thank you for choosing our policy for your motor vehicle insurance.
We are enclosing Policy schedule cum certificate of insurance of your vehicle. You are requested to visit our website [Link] for
policy wording.
Your policy has been issued based on the information and declaration provided by you, No Claim Bonus (NCB) if shown on your policy schedule
has been allowed as you had not reported any claim in the previous policy.
Kindly go through the enclosed information/declaration provided by you and in case your policy shows No Claim Bonus, for which you are not
entitled as explained above or any other error/discrepancy then we request you to get in touch with us within 15 days of receipt of the policy
for correction otherwise all particulars will be deemed to be correct.
You may also reach us at our 24*7 helpline 1800 266 7780 for providing any information or in case you desire to have a printed copy of policy
wording.
We assure you of our best services at all times. Happy driving!
Sincerely ,
For TATA AIG General Insurance Company Limited
Authorized Signature
Insurance is the subject matter of the solicitation. For more details on risk factors, terms and conditions, please read sales brochure carefully, before concluding a sale.
Tata AIG General Insurance Company Limited
Registered office: Peninsula Business Park, Tower A, 15th Floor, G.K Marg, Lower Parel , Mumbai - 400013
24*7 Tollfree Number: 1800 266 7780 Fax: 0226693 8170 Email: customersupport@[Link] website: [Link]
IRDA of India Registration No: 108 CIN: U85110MH2000PLC128425, PAN: AABCT3518Q, UIN: IRDAN108RP0008V01200001
Auto Secure - Liability Only Policy
Certificate Of Insurance and Policy Schedule Form 51 of the Central Motor Vehicle Rules, 1989
Agent Name : SALAKA PARVATHEESAM
Agent License Code: POSP2204H Agent Contact No.: 8897444402
SALAKA 0044417
POSP Name: POSP Code: POSP PAN No.: CIFPS2204H POSP Contact Number: 8897444209
PARVATHEESAM 000
POSP Aadhar No: ********1979
Policy Number : 6300254291 00 00 Policy Type : Auto Secure - Liability Commercial Class : Passenger Carrying
Policy Code : 00/00/3188/02 Only Policy Vehicle
Alternate Policy No: N/A Covernote No: N/A Covernote Issuance Date: N/A
Name & Address of Insured Period of Insurance
Name : Mr. GADDAMEEDI SAHADEV (Section - I Liability) From 13:18 Hours on 18/09/2025 To Midnight of
Address : S/O RAMACHANDRAIAH, HNO 2-38, 17/09/2026
NEETHAJI NAGAR, AMISTAPUR, BHOOTHPUR,
MAHABUBNAGAR, TELANGANA – 509338
INDIA
Contact Number : 9187833662
Customer ID :
GSTIN :
Place of Supply: TELANGANA
State Code: 36
RTO LOCATION : MAHABUBNAGAR ZONE : C Geographical Area : INDIA Hire Purchase / Hypothecation /Lease
With : NIL
Contract/Loan/Reference No:
Public Licensed
Registration Make / Model / Engine Chassis Mfg.
GVW Carrier/Private CC/KW Carrying Capacity
Number BodyType Number Number Year
Carrier Including Driver
M/S ATUL AUTO A6L1042072 MCG000GP4A A1 GCV Public
TS-06-UB-8005 LTD / ATUL MC (1+3) 1758697 2017 995 carriers other 436 4
BSIII than 3 wheelers
Insured Declared Value (IDV) `
Non Electrical Electrical /
Bifuel / CNG /
Vehicle IDV Body IDV Chassis IDV Accessories Electronic Trailer IDV Total IDV
LPG Kit
IDV Accessories
80000 0 0 0 0 0 0 80000
SCHEDULE OF PREMIUM
Section - I LIABILITY (B)
Third Party Premium
Basic TP premium ` 8950.00
Legal Liability
Add: Legal liability to paid driver-IMT 28 Number of persons:2 ` 100.00
Add: Legal Liability to persons employed in connection with the operation and/or maintaining and/or Loading and/or
` 50.00
Unloading of Motor Vehicles-IMT 39
TOTAL LIABILITY PREMIUM ` 8100.00
Net basic Liability Premium(B) ` 8650.00
GST on Basic Liability Premium
SGST@6% ` 337.00
CGST@6% ` 337.00
Net Other Liability Premium(D) ` 150.00
Insurance is the subject matter of the solicitation. For more details on risk factors, terms and conditions, please read sales brochure carefully, before concluding a sale.
Tata AIG General Insurance Company Limited
Registered office: Peninsula Business Park, Tower A, 15th Floor, G.K Marg, Lower Parel , Mumbai - 400013
24*7 Tollfree Number: 1800 266 7780 Fax: 0226693 8170 Email: customersupport@[Link] website: [Link]
IRDA of India Registration No: 108 CIN: U85110MH2000PLC128425, PAN: AABCT3518Q, UIN: IRDAN108RP0008V01200001
Auto Secure - Liability Only Policy
GST on other liability cover
SGST@9% ` 14.00
CGST@9% ` 14.00
NET PREMIUM (B+D) ` 9125.00
TOTAL POLICY PREMIUM ` 9250.00
Drivers Clause: Persons or classes of persons entitled to drive: 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.
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
Warranty for Warranted that at no time the Gross Laden Weight of the vehicle exceeds the Gross Vehicle weight mentioned in the
Goods Carrying Schedule of the policy.
Vehicles
LIMITS OF LIABILITY
Under Section II - 1 (i) Such amount as is Under Section II - 1 ` 7,50,000 Under Section III : PA Owner Driver Capital Sum Insured:
of policy (Death of or necessary to meet (ii) of policy (Third 0 based on Insured's declaration that
bodily injury) the requirements Party Property he/she is not holding any effective
of the Motor Damage) driving license and thus not eligible for
Vehicles Act, Compulsory Personal Accident cover
1988. for Owner Driver.
This policy does not cover preexisting damages as per Inspection photographs and Report
Subject to: A) IMT Endorsement Number: IMT 28, IMT 39
B) TATA AIG Auto Secure Endorsement Number (TA) :
NOMINATION DETAILS
Name of the Nominee Relationship with Insured Name of Appointee (If nominee is minor) Relationship with Nominee
CHARAN BROTHER NA NA
I/We hereby certify that the Policy to which this Certificate relates as well as this Certificate of Insurance are issued in accordance with the
provisions of Chapter X and Chapter XI of M.V. Act, 1988. For TATA AIG General Insurance Company LTD.
In witness whereof this Policy has been signed at HYDERABAD on 18/09/2025
Receipt No.(s) :
Consolidated Stamp Duty has been paid to the State Exchequer
GSTIN : 36AABCT3518Q1ZX-TELANGANA
Service Account Code : 997134
Authorized Signatory
Policy Servicing Office : 5TH AND 6TH FLOOR, IMPERIAL TOWERS, [Link] 7-1-6-617/A, GHMC NO - 615,616, AMEERPET, HYDERABAD -
500016 , HYDERABAD , TELANGANA , 500016
Insurance is the subject matter of the solicitation. For more details on risk factors, terms and conditions, please read sales brochure carefully, before concluding a sale.
Tata AIG General Insurance Company Limited
Registered office: Peninsula Business Park, Tower A, 15th Floor, G.K Marg, Lower Parel , Mumbai - 400013
24*7 Tollfree Number: 1800 266 7780 Fax: 0226693 8170 Email: customersupport@[Link] website: [Link]
IRDA of India Registration No: 108 CIN: U85110MH2000PLC128425, PAN: AABCT3518Q, UIN: IRDAN108RP0008V01200001
Auto Secure - Liability Only Policy
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 Vehicles Act, 1988 is recoverable from the
Insured. See the clause headed 'AVOIDANCE OF CERTAIN TERMS AND RIGHT OF RECOVERY'. This policy does not cover pre existing damages
as per Inspection photographs and Report
Note: This Schedule, Policy terms and conditions available on company website and Endorsements mentioned herein above shall read together
and word or expression to which a specific meaning has been attached in any part of this Policy or of the Schedule shall bear the same meaning
wherever it may appear. Any amendments/modifications/alterations made on this system generated policy document is not valid and Company
shall not be liable for any liability whatsoever arising from such changes. Any changes required to be made in the policy once issued, would be
valid and effective, only after written request is made to the Company and Company accepts the requested amendments/modifications/alterations
and records the same through separate endorsement to be issued by the Company. You are advised to go through the policy schedule cum
certificate of insurance which is issued based on your declaration and if any error/ discrepancy is found in respect of vehicle details, No Claim
Bonus or any other material information, it should be brought to our notice within 15 days of receipt of this policy for necessary correction along
with the supporting documents, otherwise it will be deemed correct. You may visit company website at [Link] for detailed benefits,
terms & conditions & exclusions of the policy. You may also reach us at our 24*7 helpline 1800 266 7780 in case you desire to have a printed
copy of policy wording. Our grievance redressal procedure and details about ombudsman is also available in our policy wording. Please note that
any misrepresentation, non disclosure or withholding of material facts will lead to cancellation of policy ab initio with forfeiture of premium and
non consideration of claim, if any. We will specifically seek confirmation on No Claim Bonus availed by you from your previous insurer. In case we
receive confirmation that you had lodged claim with them then we will forfeit all the benefits under section I i.e. own damage section of the policy.
Insurance is the subject matter of the solicitation. For more details on risk factors, terms and conditions, please read sales brochure carefully, before concluding a sale.
Tata AIG General Insurance Company Limited
Registered office: Peninsula Business Park, Tower A, 15th Floor, G.K Marg, Lower Parel , Mumbai - 400013
24*7 Tollfree Number: 1800 266 7780 Fax: 0226693 8170 Email: customersupport@[Link] website: [Link]
IRDA of India Registration No: 108 CIN: U85110MH2000PLC128425, PAN: AABCT3518Q, UIN: IRDAN108RP0008V01200001