Go Digit General Insurance Ltd.

Schedule/Certificate
Digit Commercial Vehicle Insurance
UIN No.: IRDAN158RPMT0043V01202425

Name SIDHARTH INTER COLLEGE Vehicle Registration No. UP23T6947

BUDH NAGAR GAJRAULA, PO-BHARTIYA GRAM, POLICYBAZAAR INSURANCE
KFZP Address AMROHA 9761431786, , UTTAR PRADESH, Partner Name BROKERS PRIVATE LIMITED
CV 9999,99,Amroha-244221 Partner Code 1170700
tru Mobile xxxxxxxxx4007 Partner Email [email protected]
J Email [email protected] Partner Mobile No. --
FH Aadhar No. --
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YOUR POLICY DETAILS

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08-Sep-2025 Invoice Date 08-Sep-2025

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Policy No. D223721711 / 08092025 Policy Issue Date
From 10-Sep-2025 17:21:12

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1209 Period of Policy
Prime Broker
MAKL2 To 09-Sep-2026 23:59:59

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G01 NCB % (Current Policy) 20 % Policy Type Public Carrier
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Compulsory Deductible 500 Voluntary Deductible --

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YOUR VEHICLE DETAILS
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KFZP Make MAHINDRA AND MAHINDRA Trailer Reg. No. RTO Location Amroha,UTTAR PRADESH
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Model/Vehicle Variant Supro / VX(8 Seater) 0001-

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Year of Regn. / 2017 / Licensed Seating 8

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(Sub-Type) Manufacturing 01-01 Capacity

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G01 Chassis No. MA1FV2VARH6D34318

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Engine No. VAH6D19278 Cubic Capacity 909 CC

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15 Fuel Type Diesel Gross Vehicle Weight 1895KG Vehicle Body Type Van
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Goods Type -- Permit Type Public Carrier Wheels 4

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MAHINDRA&MAHINDRA FINANCIAL SER LTD

Odometer FASTag Number 0 Financier Details
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4. Manufacturing Year and Month 0001-01-01

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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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176038 -- -- -- -- -- 176038.00
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OWN DAMAGE PREMIUM [A] (`) LIABILITY PREMIUM [B] (`)

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7.0 Own Damage Premium (`) 39.23 Basic Third-Party Liability (`) 17407.00
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Public NCB Discount Amount (`) -7.85 PA cover for Owner-Driver (`) --
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Carrie
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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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(`) 31.38 Premium (`)

Premium 17457.00
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Net Premium [A+B} (`) 17488.38

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CGST @ 9% = (`1573.95) + SGST/UTGST @ 9% = (`1573.95) 3147.90

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N Total Premium (`) 20636.28

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This policy is issued on the basis of declaration provided by you that the Vehicle shall only be used for the purpose of Carrying school staff and/or
school children. Any deviation in usage of this vehicle other than what has been declared, shall amount to misrepresentation and Insurer shall have the
right to cancel the policy and/or reject any claim on above stated gross violation.
MA Note: The above total OD premium is inclusive of all applicable loading / discounts viz (automobile association memberships, voluntary excess, anti-theft
K 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.
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Policy No: D223721711
Page No: 1 of 3
Go Digit General Insurance Ltd, GST Reg No 09AACCO4128Q1ZY , PAN No:- AACCO4128Q, HSN: 997134/General Insurance Services, GSTIN Address :Varanasi
Business Centre,4th floor, Arihant Complex, Sigra Varanasi,Varanasi,Uttar Pradesh,PIN-221010. 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 –
L66010PN2016PLC167410
 Go Digit General Insurance Ltd. Schedule/Certificate
Digit Commercial Vehicle Insurance
UIN No.: IRDAN158RPMT0043V01202425

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

IA200802482 2025-09-08 17488.38 0.00 1573.95 1573.95 0.00 0.00 20636.28

OTHER DETAILS
Previous Insurer Go Digit General Insurance Limited
Previous Policy No. D163763224 Previous Policy Expiry Date 03-Sep-2025

IMT - Endorsements IMT-21,IMT-23,IMT-28,IMT-40,IMT-7

Invoice Number IA200802482

GSTIN/UIN No. State Code 9

Payment Mode Float Cheque/Transation No

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Bank Name IFSC/MICR No --

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Premium Payment Details Receipt No. RA253544330 Receipt Date 08-Sep-2025

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Nominee Details --

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Details of Existing Damages --

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Other details --

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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

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Conditions, unless specifically agreed and endorsed. Limitation as to use - The policy covers use of the vehicle only under a permit within the

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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
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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
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- 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
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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
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vehicle and that such a person satisfies the requirements of Rule 3 of the Central Motor Vehicles Rules, 1989 and any subsequent amendment as
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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
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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:
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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 before
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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
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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
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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.
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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 (Section
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-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
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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
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Tariff.
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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 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-receipt
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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
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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.
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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
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conditions detailed in this policy schedule as well as the policy document sent by Digit shall prevail in case of any dispute.
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Policy No: D223721711

Page No: 2 of 3
Go Digit General Insurance Ltd, GST Reg No 09AACCO4128Q1ZY , PAN No:- AACCO4128Q, HSN: 997134/General Insurance Services, GSTIN Address :Varanasi
Business Centre,4th floor, Arihant Complex, Sigra Varanasi,Varanasi,Uttar Pradesh,PIN-221010. 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 –
L66010PN2016PLC167410
 Go Digit General Insurance Ltd. Schedule/Certificate
Digit Commercial Vehicle Insurance
UIN No.: IRDAN158RPMT0043V01202425

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
Centre at 1800-258-5956 or email us at [email protected] or visit Senior Vice President - Customer Experience
[email protected]
our website Digit Insurance: Car, Bike, Health & Travel Insurance Authorized Signatory
Online . Printed, Signed, and Executed at Bengaluru
For instant resolution, you can ping us “Hi” on WhatsApp at 702 Consolidated Stamp Duty has been paid as per Letter of
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 ,
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

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Policy No: D223721711

Page No: 3 of 3
Go Digit General Insurance Ltd, GST Reg No 09AACCO4128Q1ZY , PAN No:- AACCO4128Q, HSN: 997134/General Insurance Services, GSTIN Address :Varanasi
Business Centre,4th floor, Arihant Complex, Sigra Varanasi,Varanasi,Uttar Pradesh,PIN-221010. 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 –
L66010PN2016PLC167410