0% found this document useful (0 votes)
10 views2 pages

CG04MD6242

This document is a receipt for a Digit Two-Wheeler Liability Only Policy issued by Go Digit General Insurance Ltd. It includes details such as the policy number, vehicle information, premium amounts, and coverage terms. The policy covers third-party liability and is valid for one year from the issue date.

Uploaded by

yashnairna
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
0% found this document useful (0 votes)
10 views2 pages

CG04MD6242

This document is a receipt for a Digit Two-Wheeler Liability Only Policy issued by Go Digit General Insurance Ltd. It includes details such as the policy number, vehicle information, premium amounts, and coverage terms. The policy covers third-party liability and is valid for one year from the issue date.

Uploaded by

yashnairna
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
You are on page 1/ 2

https://

MA Go Digit General Insurance Ltd.


Schedule/Receipt
Digit Two-Wheeler Liability Only Policy
UIN No.: IRDAN158RP0003V01201718

Name AZRUDDIN . Vehicle Registration No. CG04MD6242


Address C/O NAMAN SHARMA ,N-4 ,ANUPAM , POLICYBAZAAR INSURANCE BROKERS
Partner Name
NAGAR ,NEAR TV TOW,ER ,SHANKAR PRIVATE LIMITED
NAGAR,RAIPUR ,MO- 6398560060, Raipur 1170700
Partner Code
-,Raipur-492001
PB
Mobile xxxxxxxxx6848 Partner Mobile No. --
Email [email protected] Partner Email [email protected]
Aadhar No.
cust

y
IGS

lic
Po
PB

y
nl
O
lty
bi
ia
MAK
G01

L
119.5

er
el
he
W
o-

B
w
tT

YOUR POLICY DETAILS


i
ig
D

Policy No. D167093767 / 25092024 Policy Issue Date Invoice No. IA148601008
5

From 26-Sep-2024 21:34:48


-2

M Period of Policy Policy Term 1 Year


FH 25-Sep-2025 23:59:59
09

To
IGS
From 25-Sep-2024
5-

Pri --
Period of Policy for PA Owner Driver Invoice
2

FH To -- Date
20

YOUR VEHICLE DETAILS


26

MAK RTO location Raipur,CHATTISGARH Make HONDA Model/Vehicle


9-

Variant (Sub- ACTIVA/5G STD (BSIV)


-0

Engine No. JF50E78025020 Chassis No. ME4JF50BDJ7025126 Type)


24

Body Type Scooter Fuel Type Petrol Year of Regn 2018


20

Seating
2
Capacity Cubic Capacity 110 CC Year of Mfg. 2018
A

FASTag Financier
IV

Odometer
Number Details
CT

N
A

ENDORSEMENT
A
D

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

xt
O

IA148601008 2024-09-25 664.00 119.52 0.00 0.00 0.00 0.00 783.52


H
42

LIABILITY PREMIUM (`)


62

664.00
D

Basic Third-Party Liability (`) PA cover for Owner-Driver (`) --


M

PA cover for 2 unamed passengers each 0 (`) -- PA cover for Paid Driver 0 (`) --
04

Legal Liability to Employees (`) -- Legal Liability to Paid Driver (`) --


G
.C

Net Premium (`) 664.00


IGST @ 18% = (`119.52) 119.52

Final Premium (`) 783.52


http

Go Digit General Insurance Ltd, GST Reg No 09AACCO4128Q1ZY , PAN No:- AACCO4128Q, HSN: 997134/General Insurance Services, GSTIN Address :Noida
N Business Center,5th Floor, Halwaiyas Commerce house, Habibullah Estate, 11 M.G Marg, Hazratganj,Lucknow,Uttar Pradesh,PIN-226001. 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://

MA Go Digit General Insurance Ltd.


Schedule/Receipt
Digit Two-Wheeler Liability Only Policy
UIN No.: IRDAN158RP0003V01201718

OTHER DETAILS

Previous Insurer -- Previous Policy No. --


Previous Policy
IMT - Endorsements IMT-20 Expiry Date --

GSTIN/UIN No. Unregistered State Code 22


Receipt No. RA185022900 Receipt Date 25-Sep-2024
Nominee Details --

Other Detials --

Geographical Area: Any liability 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

y
lic
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

Po
Liability: 1) 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

y
Vehicles Act, 1988 and any subsequent amendment as applicable. 2) Under Section II - 1 (ii) of the policy: Damage to Third Party Property - (`

nl
6000) 3) P.A. Cover for Owner Driver under Section III (CSI) -(`)(per annum).

O
lty
PA Owner Driver Declaration:The Policy has been issued without Compulsory Personal Accident Cover to Owner Driver on the basis of

bi
your declaration that you do not hold a valid Driving License on or before the date of commencement of this Policy / already have an

ia
alternate Personal Accident insurance cover of Rs. 15 Lakhs

L
er
Important Note: Please inform the Company in case of change on account of addition of CNG/PNG kit.

el
he
PUC Declaration:The Policy has been issued subject to valid Pollution Under Control (PUC) Certificate disclosed by you as an insured on or before
W
the date of commencement of the Policy .Cheque dishonor / Non-receipt of payment premium paid through Cheque, the policy is void ab-initio in
case of dishonor of Cheque or non-receipt of payment. Violation of Motor Vehicle Act: This policy is issued in accordance with the provision of
o-

Chapter X and Chapter XI of MV act, 1988 and any subsequent amendment as applicable. Any violation will forfeit all benefits and coverages
w

under the Policy. The insured is not indemnified if the vehicle is used or driven otherwise than in accordance with this Schedule. Any payment
tT

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
i

the insured. See the Clause headed (Avoidance Of Certain Terms And Right Of Recovery) in the policy. This policy is subject to the standard
ig
D

policy wordings, warranties and conditions applicable for this product in addition to coverages and exclusions specified in the motor vehicle tariff
published by IRDAI. Policy would be void on the ground that it was obtained by non- disclosure of material fact or by a representation of fact
5
-2
09

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
5-

conditions detailed in this policy schedule as well as the policy document sent by Digit shall prevail in case of any dispute.
2
20

For & On Behalf of Go Digit General Insurance Ltd.


26

Wish to go through your detailed policy wordings,


9-

click here .
-0

In case of claim or any other query, please contact our 24-


24

hour Call Centre at 1800-258-5956 or email us at Praveen Bhat


Senior Vice President – Customer Experience
[email protected] or visit our website Digit Insurance: Car,
20

[email protected]
Authorized Signatory
Bike, Health & Travel Insurance Online . Printed, Signed, and Executed at Bengaluru
A

Consolidated Stamp Duty has been paid as per Letter of


For instant resolution, you can ping us “Hi” on WhatsApp Authorization No.67-B/04/2017-18 Date: 30th May 2017
IV

issued by Department of Stamps and Registration ,


at 702 606 1234 Bengaluru- 560009 - KARNATAKA.
CT

For Claims Notification and Procedure click here. Hey, our document is now digitally signed
A

Click here to view the certificate.


For instant resolution, you can ping us “Hi”
A

on WhatsApp at 702 606 1234


D
N
O
H
42
62
D
M
04
G
.C

Go Digit General Insurance Ltd, GST Reg No 09AACCO4128Q1ZY , PAN No:- AACCO4128Q, HSN: 997134/General Insurance Services, GSTIN Address :Noida
N Business Center,5th Floor, Halwaiyas Commerce house, Habibullah Estate, 11 M.G Marg, Hazratganj,Lucknow,Uttar Pradesh,PIN-226001. 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

You might also like