https

Go Digit General Insurance Ltd.

Schedule/Certificate
Digit Two-Wheeler Policy - Bundled
UIN No.: IRDAN158RP0009V02201819

Name SOHIL SABBIRBHAI QURESHI Vehicle Registration No. NEW

VIKRAMBIRSINGH ISHWARSINGH
GALI NO 9 RAM RAHIMNAGAR, B/H CALICO Partner Name: BAGGA
N Address MILL,BEHRAMPURA,AHMEDABAD,Ahmedabad- 1151005
380022
Partner Code:
Mobile xxxxxxxxx3980 Partner Mobile No. 9825303181
51
Email [email protected] Partner Email [email protected]
PAN (POSP) AFXPB2669G

10 Aadhar No. 5845 For Claims,contact us at 1800-258-5956

AFX YOUR POLICY DETAILS

Policy No. D142623444 / 03042024 Policy Issue Date 03-Apr-2024 Invoice No. IA130393929 Invoice Date 10-Apr-2024
Period of Policy Own Damage Cover and Add On(s) if Opted Third Party Liability Cover PA Owner Driver
From 03-Apr-2024 18:39:22 03-Apr-2024 18:39:22 03-Apr-2024 18:39:22
To 02-Apr-2025 23:59:59 02-Apr-2029 23:59:59 02-Apr-2025 23:59:59
Compulsory NCB % (Current Policy) 0%
Deductible 100
(`)
124 Voluntary
Deductible (`) -- Additional Excess (`) --
Coverages Opted Digit Two-Wheeler Policy - Bundled
PO
G8 AddOn Cover AddOn Coverage Details UIN
Digit Two-Wheeler Package Policy - Parts
Cover only 2 claims per year IRDAN158RP0009V02201819/A0032V01201819
Depreciation Protect - Bundled
1
IU Digit Two-Wheeler Package Policy - Return to
IRDAN158RP0009V01201819/A0036V01201819
Invoice - Bundled

YOUR VEHICLE DETAILS

RTO Location Ahmedabad,GUJARAT Make SUZUKI Model/Vehicle

BURGMAN STREET/RC OBD
Variant (Sub-
Engine No. AF217905816 Chassis No. MB8EA112CR8271580 BSVI
Type)
Motor Year of
Regn/Year of
Body Type Scooter Fuel Type Petrol Mfg. --/2024
POS Seating Capacity 2 Cubic Capacity 124 CC Odometer
51 SURYODAY SMALL FINANCE
FASTag Number Financier Details
BANK.

G80 YOUR VEHICLE IDV

Year Vehicle IDV Non-Electrical Accessories IDV Electrical Accessories IDV CNG/LPG IDV Total IDV PA Owner Driver
Year 1 94978 4075 -- -- 99053 1500000
Year 2 0 0 0 0 0 --
949 Year 3 0 0 0 0 0 --
Year 4 0 0 0 0 0 --
C
407 Year 5 0 0 0 0 0 --

OWN DAMAGE PREMIUM [A] (`) LIABILITY PREMIUM [B] (`)

0A Own Damage Premium (`) 1568.99 Basic Third-Party Liability (`) 3,851.00
Add-Ons Premium (`) 569.87 PA cover for Owner-Driver (`) 450.00
A
00A NCB Discount Amount Legal Liability to Employees (`)
(`) -0.00 --
407 0 Legal Liability to Paid Driver (`) --
A 14 A 1568.99 PA cover for 2 unnamed passengers each (`) --
0 PA cover for Paid Driver (`) --
A000C Total OD Premium
00 (`) 2138.86 Total Act Premium (`) 4301.00
00 Net Premium (`) 6439.86
34
51 CGST @ 9% = (`579.59) + SGST/UTGST @ 9% = (`579.59) 1159.18
A
0A1568.
0 Final Premium 7599.04
(`)

0 Note:The above total OD premium is inclusive of all applicable loading / discounts viz (automobile association memberships, voluntary excess, anti-theft
handicap person, driver tuition, fiber glass, CNG/ LPG unit, imported vehicle etc., wherever applicable).
In case of an accident to your vehicle, please intimate us immediately for SPOT SURVEY. Failure to intimate in time could prejudice your claim.
0

Policy No: D142623444

Page No: 1 of 3

Go Digit General Insurance Ltd, GST Reg No 24AACCO4128Q1Z6 , PAN No:- AACCO4128Q, HSN: 997134/General Insurance Services, GSTIN Address
:Ahmedabad Sarkhej Business Centre,A wing, 10th Flr, 1001-1002, Ratnakar Nine Square, Nr Kesav Bagh Party Plot, Va,Ahmedabad,Gujarat,PIN-380015.
Website : www.godigit.com.
Corporate office Address : Atlantis, 95, 4thB Cross Road, Koramangala Industrial Layout, 5thBlock, Bengaluru, Karnataka, PIN – 560095, IRDAI Reg No. 158,
CIN – U66010PN2016PLC167410
https
Go Digit General Insurance Ltd.
Schedule/Certificate
Digit Two-Wheeler Policy - Bundled
UIN No.: IRDAN158RP0009V02201819
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
governed by standard wordings of Act only till the end of remaining period of policy
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
of “Act only” policy for the Third Party Cover during the remaining period of policy

ENDORSEMENT
Invoice Number Invoice Date Net Premium Igst Cgst Sgst Utgst Cess Gross Premium

IA129913793 2024-04-03 6439.86 0.00 579.59 579.59 0.00 0.00 7599.04

IA130393929 2024-04-10 0.00 0.00 0.00 0.00 0.00 0.00 0.00

OTHER DETAILS
Previous Insurer -- Previous Policy No. --

IMT - Endorsements Previous Policy --

IMT-22,IMT-24,IMT-7 Expiry Date
GSTIN/UIN No. Unregistered State Code 24
Receipt No. -- Receipt Date --
Nominee Details --

I do hereby confirm that the details provided for this endorsement are true and correct to the best of my knowledge. I
understand that in the event of any discrepancy found later on in this regard, the Company shall remain entitled to take
Other Details
appropriate action against me, including legal action.10;Following are the non-financial endorsements changes
:10;LastName: SABBIRBHAI QURESHI10;

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) - (` 1500000)

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: In case of a break-in, the company may
conduct pre-inspection of the vehicle and in such a case, Own Damage cover (Section -I) of the policy would not commence unless the pre-inspection of the vehicle has been done
and the acceptance of risk is subject to evaluation of the vehicle inspection report. In case of any adverse findings in the report, the Company, at its discretion, may cancel the Policy
as per the Motor Tariff.
Note: The policy is issued in utmost good faith, relying on the information shared by insured at the time of obtaining the policy. 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.

For & On Behalf of Go Digit General Insurance Ltd.

Wish to go through your detailed policy wordings, click here.

In case of claim or any other query, please contact our 24-hour Call Praveen Bhat
Senior Vice President - Customer Experience
Centre at 1800-258-5956 or email us at [email protected] or visit our [email protected]
website Digit Insurance: Car, Bike, Health & Travel Insurance Online . Authorized Signatory
For instant resolution, you can ping us “Hi” on WhatsApp at 702 606 Printed, Signed, and Executed at Bengaluru
1234 Consolidated Stamp Duty has been paid as per Letter of
For Claims Notification and Procedure click here. 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.
For instant resolution, you can ping us “Hi”
on WhatsApp at 702 606 1234

Policy No: D142623444

Page No: 2 of 3

Go Digit General Insurance Ltd, GST Reg No 24AACCO4128Q1Z6 , PAN No:- AACCO4128Q, HSN: 997134/General Insurance Services, GSTIN Address
:Ahmedabad Sarkhej Business Centre,A wing, 10th Flr, 1001-1002, Ratnakar Nine Square, Nr Kesav Bagh Party Plot, Va,Ahmedabad,Gujarat,PIN-380015.
Website : www.godigit.com.
Corporate office Address : Atlantis, 95, 4thB Cross Road, Koramangala Industrial Layout, 5thBlock, Bengaluru, Karnataka, PIN – 560095, IRDAI Reg No. 158,
CIN – U66010PN2016PLC167410
https
Go Digit General Insurance Ltd.
Schedule/Certificate
Digit Two-Wheeler Policy - Bundled
UIN No.: IRDAN158RP0009V02201819

Policy No: D142623444

Page No: 3 of 3

Go Digit General Insurance Ltd, GST Reg No 24AACCO4128Q1Z6 , PAN No:- AACCO4128Q, HSN: 997134/General Insurance Services, GSTIN Address
:Ahmedabad Sarkhej Business Centre,A wing, 10th Flr, 1001-1002, Ratnakar Nine Square, Nr Kesav Bagh Party Plot, Va,Ahmedabad,Gujarat,PIN-380015.
Website : www.godigit.com.
Corporate office Address : Atlantis, 95, 4thB Cross Road, Koramangala Industrial Layout, 5thBlock, Bengaluru, Karnataka, PIN – 560095, IRDAI Reg No. 158,
CIN – U66010PN2016PLC167410