KFZ

PC

Go Digit General Insurance Ltd.

Digit Commercial Vehicle Insurance

OE
OEM
KFZP
Passe Name MOHAMMED YOUSUF Vehicle Registration No. KA03AE8121
1 POLICYBAZAAR INSURANCE
NO 522 MAIN ROAD R K HEGDE,NAGAR DR
custo Address SHIVARAM KARANTH Partner Name BROKERS PRIVATE LIMITED
N NAGAR,BANGALORE,KARNATAKA,Bengaluru-560045 Partner Code 1170700
FH
Mobile xxxxxxxxx1277 Partner Email [email protected]

OE
50 Email [email protected] Partner Mobile No. --
N Aadhar No. --

PB

MAKL

KK G01
Z MAK
A
KFZP
29
Pri
G01
C
52 YOUR POLICY DETAILS
Policy No. D210702085 / 01072025 Policy Issue Date 01-Jul-2025 Invoice Date 01-Jul-2025
From 03-Jul-2025 12:32:16
Period of Policy 02-Jul-2026 23:59:59
To
NCB % (Current Policy) 0% Policy Type Public Carrier
4. Compulsory Deductible 500 Voluntary Deductible 0
Pas YOUR VEHICLE DETAILS
Make BAJAJ AUTO Trailer Reg. No. RTO Location Bengaluru,KARNATAKA
23 Year of Regn. / Licensed Seating
Model/Vehicle RE COMPACT/Z 2017 / -- 4
Variant (Sub-Type) Manufacturing Capacity

Engine No. AZYWHF93375 Chassis No.MD2A45AY7HWF40994 Cubic Capacity 198.00 CC

1203
62
13. Fuel Type CNG Gross Vehicle Weight 672KG Vehicle Body Type OEM Inbuilt Non AC
00 Goods Type -- Permit Type Public Carrier Wheels 3
Public
KFZPC Odometer FASTag Number --
Manufacturing Year and Month -- Financier Details

YOUR VEHICLE IDV (THE MAXIMUM MONEY YOU CAN GET IN CASE OF A CLAIM)

Vehicle IDV IDV of Electrical IDV of Non-Electrical CNG/LPG KIT IDV Trailer IDV Body IDV Total IDV
(`) Accessories (`) Accessories (`) (`) (`) (`) (`)

82000 3000 0 -- -- 85000.00

N
Optional Covers Opted
Optional/AddOn Cover Optional/AddOn Coverage Details UIN

MA
K

Policy No: D210702085

Page No: 1 of 3
Go Digit General Insurance Ltd, GST Reg No 29AACCO4128Q1ZW , PAN No:- AACCO4128Q, HSN: 997134/General Insurance Services, GSTIN Address
:Bengaluru Retail Business Centre,Atlantis No 95 4th B Cross Road 5th Block Koramangala Industrial layout,Bangalore,Karnataka,PIN-560095. 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
KFZ
PC

Go Digit General Insurance Ltd.

Digit Commercial Vehicle Insurance

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

Own Damage Premium (`) 264.84 Basic Third-Party Liability (`) 5833.00
Add-Ons Premium (`) 0
PA cover for Owner-Driver (`) 330.00
NCB Discount Amount (`) -0.00
Legal Liability to Paid (`) Driver (Persons:1) 50.00

Total OD Total Act

(`) 264.84 Premium (`) 6213.00
Premium

Net Premium [A+B} (`) 6477.84

CGST @ 9% = (`583.01) + SGST/UTGST @ 9% = (`583.01) 1166.02

Total Premium (`) 7643.86

Special Terms:
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).
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.
If the “Own Damage Cover” under your policy is cancelled during the policy period, then your policy shall be governed by standard terms and conditions of
Third Party Cover for the remaining policy period.

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

0.00 0.00 0.00 0.00 0.00 0.00 0.00

OTHER DETAILS
Previous Insurer --
Previous Policy No. -- Previous Policy Expiry Date --
IMT - Endorsements IMT-21,IMT-23,IMT-24,IMT-28,IMT-40

Invoice Number IA186469931

GSTIN/UIN No. Unregistered State Code 29

Payment Mode Float Cheque/Transation No
Bank Name IFSC/MICR No --

Premium Payment Details Receipt No. RA236275212 Receipt Date 01-Jul-2025

Nominee Details SMT .
--
Spouse
01-Jan-1977

Details of Existing Damages --

Other details --

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 and
Conditions, unless specifically agreed and endorsed. Limitation as to use - The policy covers use of the vehicle only under a permit within the
meaning of the Motor Vehicles Act 1988 or such a carriage falling under sub-section (3) of Section 66 of the Motor Vehicles Act, 1988. The policy
does not cover use for Organised racing, Pace Making, Reliability Trials, Speed Testing, Use whilst drawing a trailer except the towing (other than
for reward) of any one disabled Mechanically propelled vehicle (only for Passenger Carrying Vehicle). 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. 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): ` 1500000
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 . 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.
Important Note: Please inform the Company in case of change on account of addition of CNG/PNG kit.

Policy No: D210702085

Page No: 2 of 3
Go Digit General Insurance Ltd, GST Reg No 29AACCO4128Q1ZW , PAN No:- AACCO4128Q, HSN: 997134/General Insurance Services, GSTIN Address
:Bengaluru Retail Business Centre,Atlantis No 95 4th B Cross Road 5th Block Koramangala Industrial layout,Bangalore,Karnataka,PIN-560095. 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
KFZ
PC

Go Digit General Insurance Ltd.

Digit Commercial Vehicle Insurance

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.
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.
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 particular.
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 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 or driven otherwise than in accordance with this Schedule. This policy is subject to the standard policy wordings, warranties and
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.
For & On Behalf of Go Digit General Insurance Ltd.

Wish to go through your detailed policy wordings, click here;https://www.godigi

Praveen Bhat
t.com/content/dam/godigit/directportal/en/downloads/commercial/Policy%20Wo Senior Vice President - Customer Experience
rdings%20-%20Commercial%20Vehicle%20Package%20Policy%20- [email protected]
%20Passenger%20Carrying%20Vehicle%20-%20Digit%20Insurance.pdf</HP> Authorized Signatory
. In case of claim or any other query, please contact our 24-hour Call Centre at Printed, Signed, and Executed at Bengaluru
Consolidated Stamp Duty has been paid as per Letter of
1800-258-5956 or email us at [email protected] or visit our website
Authorization No.67-B/04/2017-18 Date: 30th May 2017
www.godigit.com. For instant resolution, you can ping us “Hi” on WhatsApp at issued by Department of Stamps and Registration ,
702 606 1234 Bengaluru- 560009 - KARNATAKA.
For Claims Notification and Procedure click here; Hey,our document is now digitally signed
Click here to view the certificate.

Policy No: D210702085

Page No: 3 of 3
Go Digit General Insurance Ltd, GST Reg No 29AACCO4128Q1ZW , PAN No:- AACCO4128Q, HSN: 997134/General Insurance Services, GSTIN Address
:Bengaluru Retail Business Centre,Atlantis No 95 4th B Cross Road 5th Block Koramangala Industrial layout,Bangalore,Karnataka,PIN-560095. 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