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Motor Policy Schedule Cum Certificate of Insurance

1) This document is a motor policy schedule and certificate of insurance for a goods carrying vehicle owned by Ajaib Singh. 2) The vehicle is a 2006 model Eicher truck with registration number PB-10-BS-5992. 3) The policy covers the period from July 27, 2016 to July 26, 2018 and provides insurance coverage for own damage of the vehicle, liability, and personal accident of the driver.

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4K views1 page

Motor Policy Schedule Cum Certificate of Insurance

1) This document is a motor policy schedule and certificate of insurance for a goods carrying vehicle owned by Ajaib Singh. 2) The vehicle is a 2006 model Eicher truck with registration number PB-10-BS-5992. 3) The policy covers the period from July 27, 2016 to July 26, 2018 and provides insurance coverage for own damage of the vehicle, liability, and personal accident of the driver.

Uploaded by

Ar Mani
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
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Motor Policy Schedule Cum Certificate of Insurance

(See Rule 51 of Central Motor Vehicle Rules 1989 of Motor Vehicle Act, 1988)
GENERAL INSURANCE
Business Location : CHANDIGARH - BRANCH Cover Note No. 59612531
Policy Number : 3379/01474024/000/00 Customer Code : 101186770965 Policy Type: Package – Goods Carrying Vehicle
Name & Communication Address:
Registration Address: -
AJAIB SINGH
306
306
GULAB NAGAR, THE RAJPURA DISTT PATIALA, IFP RAJPURA
GULAB NAGAR, THE RAJPURA DISTT PATIALA, IFP RAJPURA
S.O, PATIALA, PUNJAB, PIN – 140401
S.O, PATIALA, PUNJAB, PIN – 140401
Mobile – 9872379023, Landline -
Mobile – 9872379023, Landline -
Certificate Number: 3379/01474024/000/00 Geographical Area: India
Period if Insurance: From 27/07/2016 00:01 hours to midnight on 26/07/2018 Business of Profession: Individual
PARTICULARS OF THE VEHICLE INSURED
Date of Registration on: 23/03/2006 Place of Registration: PATIALA Registration Mark: PB-10-BS-5992
Make: EICHER Model: 11.10 Variant: HD Year of Mfg: 2006
Type of Body: OPENBODY Fuel Used: DIESAL Engine No.: E483CD6B136636 Chassis No: 33HC6B010501
Cubic Capacity: 90 Watts Gross Vehicle Weight (GVW): 11920 Public/Private Carrier: PUBLIC Registration Mark (Trailer) Contract No: SLCNDGR0101464
Licensed passenger Carrying Capacity: 2 Driver & Other: 1 Cleaner: - Conductor: - Total Seating Capacity Including Driver: 3 Chassis No. (Trailer):
IDV (Insured Declared Value)
Value of Chassis (Rs): 450000 Value of Body (Rs): 0 For Vehicle (Rs) : 4,50,000.00 For Trailer (Rs): 0.00 Non-Electrical Accessories (Rs): 0.00
Electrical/Electronic Accessories (Rs): 0.00 Value of CNG/LPG Kit (Rs): 0.00 Total Value (Rs): 4,50,000.00
A.OWN DAMAGE B.LIABILITY
No. of Premium No. of Premium
SI IMT SI IMT
Person (Rs) Person (Rs)
Basic OD 4,50,000.00 8,154.00 Basic TP 15,365.00
TOTAL 8,154.00 Paid Driver Cover 1 40 50.00
Own Damage Premium 8,154.00 TOTAL 15,415.00
Detariff Discount (60%) 4,892.40 TOTAL PREMIUM (B) 15,415.00
TOTAL (A) 3,262.00 C.PERSONAL ACCIDENT COVERS
E.OTHER SERVICES CHANGES (NON PREMIUM) 2,00,000.00 100.00
Chola Vakue

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