Go Digit General Insurance Ltd.

Schedule/Certificate
Digit Commercial Vehicle Package Policy - Miscellaneous & Special Types of Vehicle UIN No.: IRDAN158RP0003V01201819

Name DR JAGAT NARAIN SUBHARTI CHARITABLE Vehicle Registration No. UK07BV8004

KFZ Good Insurance Brokers Private
SUBHARTI PURAM NANDA KI CHOWKI DEHRADUN Partner Name Limited
Misc Address
UTTARAKHAND 248007,Dehradun-248001
Partner Code 1011521

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Mobile xxxxxxxxx2376 Partner Email [email protected]

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Email [email protected] Partner Mobile No. 7061970619
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1 Aadhar No. --

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YOUR POLICY DETAILS

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Policy No. D178473182 / 17122024 Policy Issue Date 17-Dec-2024 Invoice Date 17-Dec-2024

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17-Dec-2024 17:27:20

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From
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Prime Broker
Period of 2
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Policy 16-Dec-2025 23:59:59
To

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G0 NCB % (Current Policy) 50 % Policy Type Public Carrier
BA

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Compulsory Deductible 5025 Voluntary Deductible --

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YOUR VEHICLE DETAILS -1
KFZ
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Make JCB Trailer Reg. No. RTO Location Dehradun,UTTARAKHAND

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Model/Vehicle Variant 3 DX 2WD / BACKHOE

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Year of Regn. / 2017 / -- Licensed Seating 1

(Sub-Type) LOADER Manufacturing Capacity
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Engine No. H00129982 Chassis No. HAR3DXSSA02522851 Cubic Capacity 4765 CC

13 Vehicle Body Type BACKHOE LOADER
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Fuel Type Diesel Gross Vehicle Weight 7510KG

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Goods Type -- Permit Type Public Carrier Wheels 4

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Odometer 2551 FASTag Number NA Financier Details

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9 FASTag NUMBER DECLARATION

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The Policy has been issued subject to your affirmative declaration that a valid FASTag has been affixed on the insured vehicle.
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60 YOUR VEHICLE IDV (THE MAXIMUM MONEY YOU CAN GET IN CASE OF A CLAIM)
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Vehicle IDV IDV of Electrical IDV of Non-Electrical CNG/LPG KIT IDV Trailer IDV Body IDV Total IDV
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(`) Accessories (`) Accessories (`) (`) (`) (`) (`)

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17 1005000 -- -- -- -- -- 1005000.00
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OWN DAMAGE PREMIUM [A] (`) LIABILITY PREMIUM [B] (`)
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Public
Carrie
Own Damage Premium (`) 6742.34 Basic Third-Party Liability (`) 7267.00
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Add-Ons Premium (`) 0.00

PA cover for Owner-Driver (`) --
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NCB Discount Amount (`) -3371.17

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Legal Liability to Paid (`) Driver (Persons:1) 50.00

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Total OD Total Act

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(`) 3371.17 Premium (`)

Premium 7317.00
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10688.17
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Net Premium [A+B} (`)

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N 1923.87
IGST @ 18% = (`1923.87)
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Total Premium (`) 12612.04

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VLE / RAP Name

VLE / Mobile Number

Policy No: D178473182

Page No: 1 of 4
Go Digit General Insurance Ltd, GST Reg No 07AACCO4128Q1Z2 , PAN No:- AACCO4128Q, HSN: 997134/General Insurance Services, GSTIN Address :NEHRU
PLACE BUSINESS CENTRE,5th Floor, B Wing, IFCI Tower, 61, Nehru Place,New Delhi,Delhi,PIN-110019. 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
 Go Digit General Insurance Ltd. Schedule/Certificate
Digit Commercial Vehicle Package Policy - Miscellaneous & Special Types of Vehicle UIN No.: IRDAN158RP0003V01201819

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, geographical extension, imported vehicle etc., wherever applicable).
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.
In case of an accident to your vehicle, please intimate us immediately for SPOT SURVEY. Failure to intimate in time could prejudice your claim. In case of
Total Loss and/or Theft claim, applicable subsidy amount availed as per government policy will be reduced from IDV for claim settlement.

ENDORSEMENT

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

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0.00 0.00 0.00 0.00 0.00 0.00 0.00

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OTHER DETAILS

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Previous Insurer ICICI Lombard General Insurance Co. Ltd.

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Previous Policy No. 3008/320234508/00/000 Previous Policy Expiry Date 12-Dec-2024

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IMT - Endorsements IMT-21,IMT-23,IMT-28,IMT-47(Overturning covered)

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Invoice Number IA158416545

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GSTIN/UIN No. Unregistered State Code 5

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Payment Mode Online Cheque/Transation No 19_dp-DI2A0C9917D808-1

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Bank Name IFSC/MICR No --

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Premium Payment Details Receipt No. RA197417200 Receipt Date 17-Dec-2024

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Nominee Details --

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Excluding existing damages; Front Wind Shield Glass-Broken;Front Load Bucket-Minor
Details of Existing Damages

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Scratch;Right Side Body-Minor Scratch;Left Side Body-Minor Scratch;
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Other details -- Trailer chassis no -
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Follow these rules like you follow the rules of the road.
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Geographical Area -Any accidental loss damage and/or liability caused sustained or incurred within India shall be covered subject to and
Conditions, unless specifically agreed and endorsed. Limitation as to use - Use in connection with the insured's business.The Policy does not
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cover (1) Use for racing, pace making, reliability trial or speed testing.(2) Use for the carriage of passengers for hire or reward.(3) Use whilst
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drawing a trailer except the towing (other than for reward) of any one disabled mechanically propelled vehicle. Person or Class of persons
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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
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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
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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
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(i) of the policy: Death of or bodily injury - Such amount as is necessary to meet the requirements of the Motor Vehicles Act, 1988. 3) Under
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Section II - 1 (ii) of the policy: Damage to Third Party Property - `750000 4) P.A. Cover for Owner Driver under Section III (CSI): `
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PUC Declaration:The Policy has been issued subject to valid Pollution Under Control (PUC) Certificate disclosed by you as an insured on or
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before the date of commencement of the Policy . NCB Declaration: The premium has been charged and policy has been issued subject to NCB
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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
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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
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issuance of policy or before the start date of period of insurance whichever is earlier.
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Important Note: Please inform the Company in case of change on account of addition of CNG/PNG kit.
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PA Owner Driver Declaration:The Policy has been issued without Compulsory Personal Accident Cover to Owner Driver on the basis of your
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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
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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
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(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
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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
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per the Motor Tariff.

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.
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Policy would be void on the ground that it was obtained of material fact or by a representation of fact which was false in some material
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particular.
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Cheque dishonor / Non-receipt of payment premium paid through Cheque, the policy is void ab-initio in case of dishonor of Cheque or non-
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receipt of payment.
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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
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subsequent amendment as applicable. Any violation will forfeit all benefits and coverages under the Policy. The insured is not indemnified if the
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vehicle is used or driven otherwise than in accordance with this Schedule. This policy is subject to the standard policy wordings, warranties and
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conditions applicable for this product in addition to Indian Motor Tariff. 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) in the policy.
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.

Policy No: D178473182

Page No: 2 of 4
Go Digit General Insurance Ltd, GST Reg No 07AACCO4128Q1Z2 , PAN No:- AACCO4128Q, HSN: 997134/General Insurance Services, GSTIN Address :NEHRU
PLACE BUSINESS CENTRE,5th Floor, B Wing, IFCI Tower, 61, Nehru Place,New Delhi,Delhi,PIN-110019. 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
 Go Digit General Insurance Ltd. Schedule/Certificate
Digit Commercial Vehicle Package Policy - Miscellaneous & Special Types of Vehicle UIN No.: IRDAN158RP0003V01201819

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 Praveen Bhat
Call Centre at 1800-258-5956 or email us at [email protected] Senior Vice President - Customer Experience
[email protected]
or visit our website Digit Insurance: Car, Bike, Health & Travel Authorized Signatory
Insurance Online .

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Printed, Signed, and Executed at Bengaluru

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For instant resolution, you can ping us “Hi” on WhatsApp at 702 Consolidated Stamp Duty has been paid as per Letter of

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606 1234 Authorization No.67-B/04/2017-18 Date: 30th May 2017
For Claims Notification and Procedure click here. issued by Department of Stamps and Registration ,

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Bengaluru- 560009 - KARNATAKA.

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Hey,our document is now digitally signed

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Click here to view the certificate.
For instant resolution, you can ping us “Hi”

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on WhatsApp at 702 606 1234

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Photographs and documents submitted by you

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Images of photographs of Insured Vehicle, RTO Registration Certificate (RC) and any other document submitted by you during pre-inspection are reproduced

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below.

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Pre-existing Damages: All types of pre-existing damages or cost of repair of such damage shall be excluded at the time of claim settlement.

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Please note that the Company reserves the right to deny a claim as well as cancel the policy in case of fraud, misrepresentation, non-disclosure of material

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fact as per policy terms and conditions.

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In case you have any queries or note any discrepancies in the photographs/RC/any other document, please reach out to us at 1800-258-5956 within 7 days

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from Policy Issue Date.

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Front Left Corner Wind Shield

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CHP Back Right Corner

Policy No: D178473182

Page No: 3 of 4
Go Digit General Insurance Ltd, GST Reg No 07AACCO4128Q1Z2 , PAN No:- AACCO4128Q, HSN: 997134/General Insurance Services, GSTIN Address :NEHRU
PLACE BUSINESS CENTRE,5th Floor, B Wing, IFCI Tower, 61, Nehru Place,New Delhi,Delhi,PIN-110019. 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
 Go Digit General Insurance Ltd. Schedule/Certificate
Digit Commercial Vehicle Package Policy - Miscellaneous & Special Types of Vehicle UIN No.: IRDAN158RP0003V01201819

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Back Left Corner

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Engine Chamber
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Policy No: D178473182

Page No: 4 of 4
Go Digit General Insurance Ltd, GST Reg No 07AACCO4128Q1Z2 , PAN No:- AACCO4128Q, HSN: 997134/General Insurance Services, GSTIN Address :NEHRU
PLACE BUSINESS CENTRE,5th Floor, B Wing, IFCI Tower, 61, Nehru Place,New Delhi,Delhi,PIN-110019. 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