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Bajaj Allianz BIKE LETEST - Removed

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Certificate Cum Policy Schedule

Policy Details
Policy Issuing Office: Bajaj Allianz General Insurance Co. Ltd.,, Dno:22B-20-3,, Beside Corporation bank,, Venkata rama power press road,Power pet,
Eluru-534002 Ph:08812 -645150
Cover Note No.: Policy Issued On: 17-Nov-2021 12:03:59
Policy Number: OG-22-1817-1802-00000421 Product: Two Wheeler - Package Policy
Period of Insurance: From: 17-Nov-2021, 00:00 To: 16-Nov-2022 Midnight
Insured Name: MD ABDUL GAFFOOR Zone: B
Insured Address: S/o IBRAHIM,19-6-4,GUN BAZAR,ELURU, W G DIST
Policy Holder ID: 213687934 Intermediary: 56181189 - MILLENNIALS INSURANCE
BROKERS PRIVATE LIMITED
Hypothecation: Sub Imd Code:
GSTIN / UIN NA
State Code / Name 37 - Andhra Pradesh

Vehicle Details
Registration No. Make Model Sub Type Year Of Mfg.
AP37BY2512 HERO HF DELUXE SELF 10/2013
CAST
Seat Cap. CC/KW CNG/LPG Unit Elec.Acc Non- Elec. Acc.
2 124 0 0 0
Vehicle IDV Chassis No. Engine No. Total Insured Declared Value
15260 MBLHA11EWDPK22 HA11EFD9K29 15260
797 212

Schedule Of Premium
A. Own Damage
Total Own Damage Premium: 122
B. Liability
Basic Third Party Liability 752
PA Cover for Owner-Driver of Rs.1500000 331
PA Cover For 0 Paid Driver(s) of Rs. 0 each 0
Bonus/ Malus 0
Total Liability Premium: 1083
C. Special Discount 0
D. Net Premium (A+B) 1205
E. Service Tax Details
State GST (9%) 108
Central GST (9%) 108
Final Premium Rs.(D+E) 1421
***All Premium Figures are in Rupees
No Claim Bonus: 0%
I/We declare that I have read the policy schedule and the rate of NCB claimed by me/us is correct and that no claim as arisen in the existing policy period (copy of the
policy enclosed). I further undertake that if this declaration is found to be incorrect, all benefits under the policy in respect of section 1 of the policy will stand forfeited.
I hereby agree to confirm within 7 days in case of any objection or disagreement with the above.

Geographical Area India Additional Excess Rs. 0


Compulsary Deductible Rs. 100 Voluntary Excess Nil
Previous Policy Expired On: Previous Policy Number 0
The above Total OD Premium is inclusive of all applicable Loading/Discounts viz (Automobile Association Membership, Voluntary Excess, Anti-Theft, Handicap Person,
Driver Tuition, Fiber Glass, CNG/LPG Unit, Geographical Extn., Imported Vehicle etc wherever applicable).
Limits Of Liability:
Under section II-I(i) of the policy -> Death of or bodily injury : Such amount as is necessary to meet there requirements of the Motor Vehicles Act, 1988. Under
section II-I(ii) of the policy -> Damage to Third Party Property : Rs. 100000

Limitation As To Use:
The Policy covers use of the vehicle for any purpose other than : Hire or reward, Carriage of goods(other than samples or personal luggage), Organ- ised racing,
Pace making, Speed testing, Reliability trials, Any purpose in connection with Motor Trade.
Driver:
Any person including the insured Provided that a person driving holds an effective driving licence at the time of the accident and is not disqualified from holding or
obtaining such a licence. Provided also that the person holding an effective Learner's licence may also drive the vehicle and that such a per- son satisfies the
requirements of Rule 3 of the Central Motor Vehicles Rules, 1989.
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.On specific request and subject to terms and conditions, record of informa- tion exchange will be made
available.
Subject to IMT Endorsement Nos: 22, Policy wordings attached herewith
No Details
Plan Description:
Transaction Details - Corporate Name - BAGIC CBM Microlink
*** If premium paid through cheque, the policy is void ab-initio in case of dishonor of cheque.
Premium Collection Details: - [Receipt No/Collection No/Amount] 1817-00068014,/260046732,/ Rs.1421,

This certificate of insurance is issued in accordance with the provision of Chapter X and Chapter XI of M.V.Act, 1988.
***** In case of any claim, please contact our 24 Hour Call centre at 1800-22-5858, 1800-102-5858, 1800-209-5959 (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' *****
Damage Details:-
Kindly contact our nearest / local offices for No Claim Bonus Confirmations.
Insured Declared Value:
Policy Year Tenure From Tenure To Total Sum Insured
The schedule of age wise Insured Declared Value (IDV) as shown in the above table is applicable for the purpose of Total Loss including Theft/ Con- structive Total
Loss (TL/CTL) claims only on basis of loss date falling in the respective year. A vehicle will be considered to be a CTL, where the ag-

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