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Go Digit General Insurance Ltd. Schedule/Certificate

Digit Private Car Policy UIN No.: IRDAN158RP0005V01201718

YOUR DETAILS PARTNER DETAILS

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Name: MS LANCESOFT INDIA PVT LTD Partner Name: ADVANCE LIFE INSURANCE BROKERS
PRIVATE LIMITED
G0 Registration Number: KA03MZ8891
6060 Partner Code : 1002815
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10 Policy Number: D195926963 / 31032025
Partner Mobile Number: 9910164833
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Mobile Number: xxxxxxxxx8474

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Partner Email : customer.care@advancelifeinsuranc

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Email: [email protected]

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10 YOUR POLICY DETAILS

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Policy Issue Date 31-Mar-2025

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fal Period of Policy for
From 02-Apr-2025 00:00:01 1
NCB % (Current Policy) 35%
-0
63
4
Own Damage Cover To 01-Apr-2026 23:59:59 Additional Excess (`) --
-0

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Br
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Period of Policy for From 02-Apr-2025 00:00:01 Voluntary Deductible (`) 0.00
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Third Party Liability To 01-Apr-2026 23:59:59 Compulsory Deductible (`) 2000

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Period of Policy for

From -- --
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PA Owner-Driver
To -- --
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20

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1GS Invoice No. IA172838056 Invoice Date 31-Mar-2025 10
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A 4352
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TOWER-1 MOBIUS, 4TH FLOOR, PLOT NO-13, 14 AND 15, S.J.R- I PARK, EPIP, WHITEFIE,LD, HOODLI VILLAGE,
AA Address
1 KRISHNARAJAPURAM, BENGALURU, BENGALURU, BENGALURU URBAN, KA,Bengaluru-560066
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Optional/AddOn Cover Optional/AddOn Coverage Details UIN

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Digit Private Car Consumable Cover Cover Unlimited Claims IRDAN158RP0005V01201718/A0008V01201718

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134 Digit Private Car Breakdown Assistance IRDAN158RP0005V01201718/A0014V02201718
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Digit Private Car Engine and Gear Box Protect Maximum of one claim would be payable IRDAN158RP0005V01201718/A0010V01201718
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217
124 Digit Private Car Parts Depreciation Protect Cover Unlimited Claims IRDAN158RP0005V01201718/A0009V01201718
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Digit Private Car Loss of Personal Belongings Cover Only 1 Claims Per Year/Max SI-30000 IRDAN158RP0005V01201718/A0069V01202021
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1003
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Digit Private Car Key & Lock Protect Cover Only 1 Claims Per Year/Max SI-30000 IRDAN158RP0005V01201718/A0068V01202021
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YOUR VEHICLE DETAILS

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MAHINDRA AND Model/Vehicle Variant (Sub-

RTO Location Bengaluru,KARNATAKA Make XYLO/H4 (ABS)
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MAHINDRA Type)
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Year of Regn./
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Seating Capacity 7 Fuel Type Diesel 2017/--

Manufacturing
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Engine No. MLG4K25343 Chassis No. MA1PT2MLXG2K34727 Cubic Capacity 2179 CC

FASTag
Odometer NA Financier Details HDFC BANK LTD
Number.

Policy No: D195926963

Page No: 1 of 4
Go Digit General Insurance Ltd.| GST Reg No 06AACCO4128Q1Z4| PAN No:- AACCO4128Q| HSN: 997134/General Insurance Services| Website: www.godigit.com/general-insurance| GSTIN
Address: Gurgaon Business Centre,1st Floor, Vatika City Point, Sector-25, Mehrauli Gurgaon Road,Gurugram,Haryana,PIN-122002| Registered Office Address: 1 to 6 floors, Ananta One (AR
VPC One), Pride Hotel Lane, Narveer Tanaji Wadi, Shivaji Nagar, Pune-411005, Maharashtra| IRDAI Reg No. 158 | CIN- U66010PN2016PLC167410| | Trade logo of Go Digit General Insurance Ltd.
displayed above belongs to Go Digit lnfoworks Services Private Limited and is provided and used by Go Digit General Insurance Ltd. under license. | Toll Free No (1800 258 5956/1800-103-
4448)| For more details on risk factors, terms, and conditions, please read sales brochure carefully before concluding a sale.
PB

Go Digit General Insurance Ltd. Schedule/Certificate

Digit Private Car Policy UIN No.: IRDAN158RP0005V01201718

FASTag NUMBER DECLARATION

The Policy has been issued subject to your affirmative declaration that a valid FASTag has been affixed on the insured vehicle.

Call us at 1800-258-5956 to update your contact details. This will help us give you a smooth claim process.

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YOUR VEHICLE IDV

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Year Vechicle IDV Non-Electrical Electrical CNG/LPG Trailer Total PA Owner
(`) Accessories IDV (`) Accessories IDV (`) IDV (`) IDV (`) IDV (`) Driver

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Year 1 344244 -- -- -- -- 344244.00 --

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Year 2 0 0 0 0 0 0 --

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Year 3 0 0 0 0 0 0 --

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OWN DAMAGE PREMIUM [A] (`)

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LIABILITY PREMIUM [B] (`)

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Total Basic Own Damage Premium (`) 12434.00 Basic Third-Party Liability (`) 7897.00
NCB Discount Amount -4352.00 PA cover for Owner-Driver (`) 1 --
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(`)
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Others (`) -5576.53 Legal Liability to Employees (`)

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Own Damage Premium (`) 2505.47 Legal Liability to Paid Driver (`) 50.00
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Add-Ons Premium (`) 6191.53 PA cover for 7 passengers 100000 (`) 350.00
20

CNG/LPG Premium (`)

2
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PA cover for Paid Driver (`)

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Total OD Premium (`) 8697.00 Total Act Premium (`) 8297.00

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25

Net Premium (`) 16994.00 2505 7897

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3058.92 50
1349.10
350
IGST @18%=(`3058.92)
2505.47
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Final Premium (`) 20052.92

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Note: The above total OD premium is inclusive of all applicable loading / discounts viz (automobile association memberships, voluntary excess, anti-theft
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handicap person, driver tuition, fiber glass, CNG/ LPG unit, geographical extension, imported vehicle etc., wherever applicable). GDD
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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
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Loss and/or Theft claim, applicable subsidy amount availed as per government policy will be reduced from IDV for claim settlement.
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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
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“Act only” policy for the Third Party Cover during the remaining period of policy .
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ENDORSEMENT
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Invoice Number Invoice Date Net Premium Igst Cgst Sgst Utgst Cess Gross Premium
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IA172838056 2025-03-31 16994.00 3058.92 0.00 0.00 0.00 0.00 20052.92

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Policy No: D195926963

Page No: 2 of 4
Go Digit General Insurance Ltd.| GST Reg No 06AACCO4128Q1Z4| PAN No:- AACCO4128Q| HSN: 997134/General Insurance Services| Website: www.godigit.com/general-insurance| GSTIN
Address: Gurgaon Business Centre,1st Floor, Vatika City Point, Sector-25, Mehrauli Gurgaon Road,Gurugram,Haryana,PIN-122002| Registered Office Address: 1 to 6 floors, Ananta One (AR
One), Pride Hotel Lane, Narveer Tanaji Wadi, Shivaji Nagar, Pune-411005, Maharashtra| IRDAI Reg No. 158 | CIN- U66010PN2016PLC167410| | Trade logo of Go Digit General Insurance Ltd.
displayed above belongs to Go Digit lnfoworks Services Private Limited and is provided and used by Go Digit General Insurance Ltd. under license. | Toll Free No (1800 258 5956/1800-103-
4448)| For more details on risk factors, terms, and conditions, please read sales brochure carefully before concluding a sale.
PB

Go Digit General Insurance Ltd. Schedule/Certificate

Digit Private Car Policy UIN No.: IRDAN158RP0005V01201718

OTHER DETAILS
Previous Insurer Royal Sundaram General Insurance Co. Limited
Previous Policy No. VPC1448752000103 Previous Policy Expiry Date 01-Apr-2025
IMT - Endorsements IMT-16,IMT-22,IMT-28,IMT-7

GSTIN/UIN No. 29AAACL9790K2ZQ State Code 29

Payment Mode Online Cheque/Transation No 19_dp-DIDD63F05B7774-1

Bank Name IFSC/MICR No --
Premium Payment Details Receipt Number RA218675273 Receipt Date 31-Mar-2025
Nominee Details --

Other Details --

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Details of Existing Damages --

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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 Policy Terms and Conditions, unless specifically agreed and endorsed.. Limitation as to

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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

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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 accident and is not disqualified from holding or obtaining such a license. 2)

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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

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requirements of the Motor Vehicles Act, 1988. 3) Under 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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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

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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
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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
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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. The insured is not indemnified if the vehicle is used
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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
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insured. See the Clause headed (Avoidance Of Certain Terms And Right Of Recovery) in the policy. Pre-existing Damages: All types of pre-existing damages or cost of repair of such damage will be excluded at the time of
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claim settlement,as per the attached images. 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-
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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.
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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
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Digit shall prevail in case of any dispute.

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For & On Behalf of Go Digit General Insurance Ltd.

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

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

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Call Centre at 1800-258-5956 or email us at [email protected]

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or visit our website Digit Insurance: Car, Bike, Health & Travel Praveen Bhat
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Insurance Online . Senior Vice President - Customer Experience

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For instant resolution, you can ping us “Hi” on WhatsApp at 702 [email protected]
606 1234 Authorized Signatory
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For Claims Notification and Procedure click here. Printed, Signed, and Executed at Bengaluru
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Consolidated Stamp Duty has been paid as per

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Letter of Authorization No.67-B/04/2017-18 Date:

30th May 2017 issued by Department of Stamps
and Registration , Bengaluru- 560009 -
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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” on
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WhatsApp at 702 606 1234

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Policy No: D195926963

Page No: 3 of 4
Go Digit General Insurance Ltd.| GST Reg No 06AACCO4128Q1Z4| PAN No:- AACCO4128Q| HSN: 997134/General Insurance Services| Website: www.godigit.com/general-insurance| GSTIN
Address: Gurgaon Business Centre,1st Floor, Vatika City Point, Sector-25, Mehrauli Gurgaon Road,Gurugram,Haryana,PIN-122002| Registered Office Address: 1 to 6 floors, Ananta One (AR
One), Pride Hotel Lane, Narveer Tanaji Wadi, Shivaji Nagar, Pune-411005, Maharashtra| IRDAI Reg No. 158 | CIN- U66010PN2016PLC167410| | Trade logo of Go Digit General Insurance Ltd.
displayed above belongs to Go Digit lnfoworks Services Private Limited and is provided and used by Go Digit General Insurance Ltd. under license. | Toll Free No (1800 258 5956/1800-103-
4448)| For more details on risk factors, terms, and conditions, please read sales brochure carefully before concluding a sale.
PB

Go Digit General Insurance Ltd. Schedule/Certificate

Digit Private Car Policy UIN No.: IRDAN158RP0005V01201718

This is the end of the document and the beginning of a wonderful relationship.

We hope that you do not get in a situation when you have to file a claim. However, if that happens, we are always there for
you. That’s a promise!
Stay Calm and just relax! We will take care of everything!
You can take your car to any of the listed network garages in case anything happens, and we assure you a hassle-free claim
process.

• Complete cashless facility • 6 Months warranty on repairs • Complimentary Pick-up & Drop

*Facilities mentioned above are offered by the garages. List of garages is subject to change in future. Please

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call on 1800-258-5956 in case you require further help.

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Policy No: D195926963

Page No: 4 of 4
Go Digit General Insurance Ltd.| GST Reg No 06AACCO4128Q1Z4| PAN No:- AACCO4128Q| HSN: 997134/General Insurance Services| Website: www.godigit.com/general-insurance| GSTIN
Address: Gurgaon Business Centre,1st Floor, Vatika City Point, Sector-25, Mehrauli Gurgaon Road,Gurugram,Haryana,PIN-122002| Registered Office Address: 1 to 6 floors, Ananta One (AR
One), Pride Hotel Lane, Narveer Tanaji Wadi, Shivaji Nagar, Pune-411005, Maharashtra| IRDAI Reg No. 158 | CIN- U66010PN2016PLC167410| | Trade logo of Go Digit General Insurance Ltd.
displayed above belongs to Go Digit lnfoworks Services Private Limited and is provided and used by Go Digit General Insurance Ltd. under license. | Toll Free No (1800 258 5956/1800-103-
4448)| For more details on risk factors, terms, and conditions, please read sales brochure carefully before concluding a sale.