https

Go Digit General Insurance Ltd.

Schedule/Certificate
Digit Two-Wheeler Policy – Bundled
UIN No.: IRDAN158RP0009V02201819
Name ANUJA PRASAD Vehicle Registration No. NEW
Partner Name: NOEL IMBERT
Address 18/352 sec-18,indra nagar,Lucknow-226001 1022737
Partner Code: 1022737
N Mobile xxxxxxxxx6265 Partner Mobile No. +917905966265
Email axxxxxxxxxxa@gxxxl.com Partner Email ajoonee.motors@gmail.com
PAN (POSP) ACLPI6529H
51 Aadhar No. -- For Claims,contact us at 1800-258-5956
YOUR POLICY DETAILS
Policy No. D031180983 / 08032021 Policy Issue Date 08-Mar-2021 Invoice No. IA032421427 Invoice Date 08-Mar-2021
10
Period of Policy Own Damage Cover and Add On(s) if Opted Third Party Liability Cover PA Owner Driver
From 08-Mar-2021 14:03:45 08-Mar-2021 14:03:45 --
ACL
To 07-Mar-2022 23:59:59 07-Mar-2026 23:59:59 --
Compulsory 100 NCB % (Current Policy) 0%
Deductible (`)
Voluntary 0 Additional Excess
Deductible (`)
(`) --
Coverages Opted Digit Two-Wheeler Policy – Bundled Additional Deductible

110 Digit Two-Wheeler Package Policy - Parts Depreciation Protect –

Add On(s) Opted
Bundled(IRDAN158RP0009V01201819/A0032V01201819)(Cover only 2 claims per year)

YOUR VEHICLE DETAILS

PO
G0
RTO Location Lucknow,UTTAR PRADESH Make HONDA Model/Vehicle
Variant (Sub- ACTIVA/6G STD (BSVI)
Engine No. JF01EG0373284 Chassis No. ME4JF913BMG373631 Type)
Year of
Regn/Year of
Body Type Scooter Fuel Type Petrol Mfg. --/2021
Odometer
Seating Capacity 2 Cubic Capacity 110 CC Reading (KM) --
YOUR VEHICLE IDV

Year Vehicle IDV Non-Electrical Accessories IDV Electrical Accessories IDV CNG/LPG IDV Total IDV PA Owner Driver
Year 1 63613 -- -- -- 63613 --
Year 2 0 0 0 0 0 --
51 Year 3 0 0 0 0 0 --
Year 4 0 0 0 0 0 --
Year 5 0 0 0 0 0 --
G01
OWN DAMAGE PREMIUM [A] (`) LIABILITY PREMIUM [B] (`)
Own Damage Premium (`) 693 Basic Third-Party Liability (`) 3285
Add-Ons Premium (`) 286 PA cover for Owner-Driver (`) --
NCB Discount Amount (`) -0 Legal Liability to Employees (`) --
636
0 Legal Liability to Paid Driver (`) --
693 PA cover for 2 unnamed passengers each (`) --
PA cover for Paid Driver (`) --
Total OD Premium 979 Total Act Premium 3285
0A (`) (`)

Net Premium (`) 4264

0 CGST @ 9% = (`384) + SGST/UTGST @ 9% = (`384) 768

62 Final Premium (`) 5032

0
0 Note:The above total OD premium is inclusive of all applicable loading / discounts viz (automobile association memberships, voluntary excess, anti-theft
0C0 handicap person, driver tuition, fiber glass, CNG/ LPG unit, imported vehicle etc., wherever applicable).
00
00 Imp note: Own Damage cover shall end on completion of first year of this comprehensive bundled policy. The policy will continue as a third party cover
29
26 governed by standard wordings of Act only till the end of remaining period of policy
A If the “Own Damage Cover” under your policy is cancelled during the policy period, then your policy shall be governed by the standard terms and conditions
0A of “Act only” policy for the Third Party Cover during the remaining period of policy
0693
ENDORSEMENT
0 Invoice Number Invoice Date Gross Premium Igst Cgst Sgst Utgst Cess Net Premium

0 IA032421427 2021-03-08 5032.00 0.00 384.00 384.00 0.00 0.00 4264.00

Policy No: D031180983

Page No: 1 of 2
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.: 09AACCO4128Q1ZY HSN: 9971/General Insurance Services, GSTIN Address: Lucknow Business
Centre,5th floor, Halwasiyas Commerce House, 11 Mahatma Gandhi Marg, Hazratganj,Lucknow,Uttar Pradesh,PIN-226001
https
Go Digit General Insurance Ltd.
Schedule/Certificate
Digit Two-Wheeler Policy – Bundled
UIN No.: IRDAN158RP0009V02201819

OTHER DETAILS
Previous Insurer -- Previous Policy No. --
Previous Policy --
IMT - Endorsements IMT-22 Expiry Date
GSTIN/UIN No. Unregistered State Code 9
Receipt No. RA034350714 Receipt Date 08-Mar-2021
Financier Details -- Nominee Details --

Other Details

Follow these rules like you follow the rules of the road.
Geographical Area: Any accidental loss, damage and/or liability caused, sustained or incurred within India shall be covered subject to Policy Terms and Conditions, unless specifically
agreed and endorsed. 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 &
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
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. 2) Under Section II - 1 (i)of the policy: Death of or bodily injury _ Such amount as is
necessary to meet the requirements of the Motor Vehicles Act, 1988 and any subsequent amendment as applicable. 3) Under Section II _ 1 (ii)of the policy: Damage to Third Party
Property(` 100000) 4) P.A. Cover for Owner Driver under Section III (CSI) (per annum) - (` 0)

Big Legal words

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
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. 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 commencement of the Policy . Cheque dishonor / Non-receipt of payment: If premium paid through
Cheque, the 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 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 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 settlement.Violation of Motor Vehicle Act: This policy is issued in accordance with the provision of
Chapter X and 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 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: The policy is issued subject to acceptance
of risk after evaluation of the Vehicle Inspection report. Own Damage cover (Section - I) would not commence unless the satisfactory Vehicle Inspection report has been received by
us. If the Company does not receive the Vehicle Inspection report or the report is adverse, the Company, at its discretion, will cancel Policy as per the Motor Tariff
Note: 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

The Policy has been issued without Compulsory Personal Accident Cover to Owner Driver on the basis of your declaration that you do not hold a valid Driving License on or before the
date of commencement of this Policy / already have an alternate Personal Accident insurance cover of Rs. 15 Lakhs
For & On Behalf of Go Digit General Insurance Ltd.

In case of claim or any other query, please contact our 24-hour Call
Centre at 1800-258-5956 or email us at hello@godigit.com
or visit our website www.godigit.com.

Praveen Bhat
Vice President - Customer Experience
praveen.bhat@godigit.com
Authorized Signatory
Printed, Signed, and Executed at Bengaluru
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.

Policy No: D031180983

Page No: 2 of 2
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.: 09AACCO4128Q1ZY HSN: 9971/General Insurance Services, GSTIN Address: Lucknow Business
Centre,5th floor, Halwasiyas Commerce House, 11 Mahatma Gandhi Marg, Hazratganj,Lucknow,Uttar Pradesh,PIN-226001