Insurance Purchase Statement
Following are the transaction details for your "SBI General Insurance" Policy Purchased through GIRNAR INSURANCE BROKERS PVT
LTD. A policy document will be issued against these details
Personal Details
Name MOHMED ARSHAN H SIDDIQUIE Policy Type Comprehensive Policy
Email dp873326@[Link] Issue Date 03/03/2025 [Link]
Mobile 9723880333 End Date 02/03/2026 [Link]
Address GODAL COMPLEX 201 OD Start Date 03/03/2025 [Link]
SILVASSAROAD , IMRAN NAGAR OD End Date 02/03/2026 [Link]
VAPI PARDII VALSAD
Vapi, Gujarat, 396191 TP Start Date 03/03/2025 [Link]
TP End Date 02/03/2026 [Link]
Premium Rs. 29511
Payment Date 02/03/2025
Vehicle Details
Hyundai Creta 1.6 CRDi SX 1582 (Diesel) Registration No.: GJ-15-CJ-4386
Engine No.: D4FBJM711672 Chassis No.: MALC381ULJM503986
Registration Date: 16/01/2019 Financier: NA
Coverage
Vehicle IDV: 650916 Owner Driver Cover: 1500000
Value of CNG/LPG Kit: 0 Passenger Cover (per 100000
Electrical Accessories: 0 passenger):
Non Electrical 0 Voluntary Deductible: 0
Accessories:
No Claim Bonus: 0%
Note: This is only a transaction confirmation receipt and cannot be used for filing claims. Have questions, suggestions or complaints? Connect with our Customer
Service Unit: Contact No.: +91 7551196989 (Mon to Sat, 10am– 7pm) Email: support@[Link]
Girnarsoft Insurance Brokers Private Limited. : Girnar 21, govind marg, Moti Doongri Road, Dharam Singh Circle, jaipur, Rajasthan - 302004
IRDAI License Number :588 , Valid Till: 19/03/2023