Two Wheeler-1 Year Own Damage Cover Bundled with 5 Years Liability Cover

Policy No. Issued at HERO INSURANCE BROKING INDIA PVT LTD.

United India Insurance Co. IRDA Registration No.: 649
04010031250160448851
M-13, 3rd Floor, Punj House Annexe, Connaught Place, New Toll-Free No.: 1800 102 4376
Delhi - 110001 264, Okhla Ind. Estate, Phase-III, Delhi-110020
Tel:1800 425 33333
040100@uiic.co.in

Insured Business/Profession Address of The Insured TP Valid From TP Valid To

# 31 OM SAIRAM NILAYA 2ND CROSS GAYATHRI LA
27-03-2025
Mr AKASH K B Business YOUT RAMASANDRA SULIKERE BANGALORE BAN Midnight of 26-03-2030
16:53:53
GALORE KARNATAKA 560060
Cubic GSTIN No.
Vehicle Regn No. Engine No. Chassis No. Make & Model Year of Mfg
Capacity (Customer)
Hero MotoCorp Splendor +
New HA11E8RHM30822 MBLHAW226RHM72879 2024 100
I3S DRSC FI
Declared Value (IDV) of Side Car IDV Non-Electrical Electrical Accessories CNG/LPG/Bi- Total IDV
Vehicle Accessories IDV IDV Fuel IDV
74420.00 NA 0.00 0.00 0.00 74420
Place of Regn. Body Type HP/Lease/Hire-Purchase Branch Office of Seating Premium
Agreement With HP/Lease/Hire-Purchase Capacity
BANGALORE Solo , --- 2 5443.00
Section A B. Liability Premium Computation (Section II) in Rs.
Basic OD Premium : 635.00 Basic Third Party Liability : 3851.00
Non-Electrical-Fitting Premium : 0.00 TPPD Discount : 0.00
Electronic & Electrical Accessories : 0.00 Total : 3851.00
Geographical Extension : 0.00 CNG/LPG/Bi-Fuel Kit : 0.00
ND Cover : 127.00 Geographical Extension : 0.00
Less : Add
Handicapped Discount : 0.00 Compulsory PA Cover (Owner Driver) : 0.00
For Anti-Theft Discount : 0.00 Optional PA Cover(Un Named Passenger) : 0.00
NCB : 0.00 Optional PA Cover(Un Named Driver) : 0.00
Total Own Damage Premium(A) : 762.00 Legal Liability Cover (Paid Drivers, Cleaners) : 0.00
Legal Liability Cover (Per Licensed Passenger) : 0.00
Total Liablity Premium (B) : 3851.00
Total Premium (A + B) : 4613.00
For any other extra : 0.00
IGST @ 18.00% : 830.00
Gross Premium : 5443.00
RegistrationNo.:103||LicenceNo.:103||CINNo.:U66010TN1938GOI003099||HSN/SAC:9971|| GSTIN No.:07AAACU5552C1ZL ||UIN No.-IRDAN545RP0011V01201819||IRDAN
545RP0002V01201920/A0010V01201920
27-03-2025 To 26-03- 27-03-2026 To 26-03- 27-03-2027 To 26-03- 27-03-2028 To 26-03- 27-03-2029 To 26-03-
OD Policy Period
2026 2027 2028 2029 2030
IDV 74420 NIL NIL NIL NIL
CPA Sum Insured(GENPA) NIL NIL NIL NIL NIL
Sum Insured of Optional PA Cover:-Sum Insured of Optional PA Cover "Unnamed Passenger"-NA and "Unnamed Driver"-NA
LIMITATIONS AS TO USE:--The Policy covers use of the vehicle for any purpose other than: a) Hire Or Reward b) Carriage of goods (other than samples or
personal luggage) c) Organized Racing d) Pace Making e) Speed Testing f) Reliability Trials g) Any purpose in connection with Motor Trade.
DRIVER: Any person including insured: Provided that a person driving holds an effective driving licence at the time of the accident and is not disqualified from
Holding or obtaining such a licence.Provided also that the person holding an effective Learner's Licence may also drive the vehicle and that such a person
satisfies the requirements of Rule 3 of the Central Motor Vehicle Rules, 1989.
LIMIT OF LIABILITY: Limit of the amount of the Company's liability under the Section II-I(i) in respect of any one accident as per M.V. Act 1988. Limit of the
amount of the Company's liability under Secion II-I(ii) in respect of any one claim or series of claims arising out of one event : Upto Rs - 100000/
IMPORTANT NOTICE:--The insured is not indemnified if the vehicle is used or driven otherwise than in accordance with this Schedule. Any payment made by
the company by reason of wider terms appearing in the 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 RIGHTS OF RECOVERY'
I/We certify that the policy to which the certificate relates as well the certificate of insurance are issued in accordance with this provisions of Chapter X & XI of M.V. Act 1988
Broker : Hero Insurance Broking India Pvt. Ltd.
Received Vide
Premium of Rs. 5443.00 CASH
Cash/Cheque No.
The policy is subject to a compulsory excess of Rs. 100/- &
Dated Nominee Name NAGARATHNA Depreciation is applicable as per policy terms & conditions*
Drawn on Nominee Age 52 (Please turn overleaf for details)
Consolidated Stamp Duty Paid Endorsements : IMT - 22
Scan to Renew / Acknowledgement 27-03-
Nominee Relation Mother
View Policy Dt 2025
FOR RENEWALS CONTACT: CM MOTOR Ph.No- 0988-6577775 On behalf of United India Insurance Co. Ltd.

27-Mar-2025
Date & Signature of 402-A, Nayandahalli village, ITI HBCS layout, Nayandahalli, Bengaluru 560039
proposer

Dealer's Stamp & Signature Duly Constituted Attorney

# : Received with Thanks Rs 5443.00 from Mr AKASH K B as premium against the money receipt no 02U1122703202503851551
Regd. & Head Office : 24, Whites Road, Chennai 600014
For further information about motor insurance policy please also visit www.irdai.gov.in >> Grievances >> Policyholder Handbooks
 THE AVOIDANCE OF CERTAIN TERMS AND RIGHT TO RECOVERY
Nothing in this Policy or and endorsement hereon shall affect the right of any person indemnified by this policy or any other person to recover an amount under
or by virtue of the Provisions of the Motor Vehicles Act.
But the Insured shall repay to the Company all sums paid by the Company which Company would not have been liable to pay but for the said provisions..
IMPORTANT:--IN THE EVENT OF TRANSFER OF OWNERSHIP, INSURANCE IS NOT AUTOMATICALLY TRANSFERRED IN THE NAME OF TRANSFEREE
UNLESS APPLICATION IS MADE WITHIN FOURTEEN DAYS THERE OF SEEKING TRANSFER OF INSURANCE .
GRIEVANCE CLAUSE:--
SCHEDULE OF DEPRECIATION FOR ARRIVING AT IDV
AGE OF THE VEHICLE RATE OF DEPRECIATION FOR FIXING IDV
Not Exceeding 6 months 5%
Exceeding 6 months but not exceeding 1 year 15%
Exceeding 1 year but not exceeding 2 years 20%
Exceeding 2 year but not exceeding 3 years 30%
Exceeding 3 year but not exceeding 4 years 40%
Exceeding 4 year but not exceeding 5 years 50%
Depreciation of Parts for Partial Loss Claims
a. Rate of depreciation for all rubber/nylon/plastic parts, tyres and tubes, batteries and air bags 50%
b. Rate of depreciation for all fibre glass components 30%
c. Rate of depreciation for all parts made of glass NIL
d. RATE OF DEPRECIATION FOR ALL OTHER PARTS INCLUDING WOODEN PARTS IS TO BE AS PER THE FOLLOWING SCHEDULE
AGE OF THE VEHICLE RATE DEPRECIATION
Not exceeding 6 months NIL
Exceeding 6 months but not exceeding 1 year 5%
Exceeding 1 year but not exceeding 2 years 10%
Exceeding 2 year but not exceeding 3 years 15%
Exceeding 3 year but not exceeding 4 years 25%
Exceeding 4 year but not exceeding 5 years 35%
Exceeding 5 year but not exceeding 10 years 40%
Exceeding 10 years 50%
AGE OF THE VEHICLE RATE ON (OD)
Not exceeding 6 months 15%
Exceeding 6 months but not exceeding 1 year 25%
Exceeding 1 year but not exceeding 2 years 25%
Exceeding 2 year but not exceeding 3 years 35%
Exceeding 3 year but not exceeding 4 years 35%
Exceeding 4 year but not exceeding 5 years 35%
e. Rate of Depreciation for Painting:- In the case of painting, the depreciation rate of 50% shall be applied only on the material cost of total painting charges.
In case of a consolidated bill for painting charges, the material component shall be considered as 25% of the total painting charges for the purpose of applying
the depreciation
DO'S FOR THE INSURED
1. In the event of accident to the vehicle, please Inform in writing to the authorised Hero MotoCorp dealer &/ or Insurance Company's office immediately.
2. Please complete and sign the claim form.
3. Documents like claim form, original driving licence, original registration certificates, copy of policy, police report (In case of the theft/third party loss) and
Satisfaction Voucher be submitted to the authorised Hero MotoCorp Dealer. .
4. If the vehicle is to be repaired at a workshop other than Hero MotoCorp authorized workshop, please intimate to the nearest office of United India Insurance
Co. Ltd. along with copy of policy for appointment of surveyor to assess the loss.
DONT'S FOR THE INSURED
1. In case of Third Party Loss/ extensive Damage to own vehicle inform the police for obtaining proper F.I.R. and do not admit any liability or enter in to any compromise without
written consent of the Insurance Company.
2. Do not proceed with the repairs or replacement job unless approved by the Insurer/authorized surveyor.
On renewal,the benefits provided under the policy and/or terms and conditions of the policy including premium rate may be subject to change.
The insured is entitled for a No Claim Bonus (NCB) on the own damage section of the policy, if no claim is made or pending in each completed year of risk* , as
per the following table provided the policy is renewed with us on long term basis:
Important:-Anti rebate clause Prohibition of Rebates (Section 41 of Insurance Act, 1938 as amended) : 1. No person shall allowo r offer to allow, either
directly or indirectly, as an inducement to any person to take out or renew or continue an insurance in respect of any kind of risk relating to lives or property in
India, any rebate of the whole or part of the commission payable or any rebate of the premium shown on the policy, nor shall any person taking out or renewing
or continuing a policy accept any rebate, except such rebate as may be allowed in accordance with the published prospectuses or tables of the insurer: provided
that acceptance by an insurance agent of commission in connection with a policy of life insurance taken out by himself on his own life shall not be deemed to be
acceptance of a rebate of premium within the meaning of this sub-section if at the time of such acceptance the insurance agent satisfies the prescribed
conditions establishing that he is a bona fide insurance agent employed by the insurer. 2. Any person making default in complying with the provisions of this
section shall be liable for a penalty which may extend to ten lakh rupees,”
Disclaimer:-The Policy shall be void from inception if the premium in full is not realised by the company. In the event of misrepresentation, fraud or non-
disclosure of material fact, the Company reserves the right to cancel the Policy. Please note that the insured vehicle was pre-inspected and a report was
prepared accordingly. The existing damages to the vehicle as mentioned in the report shall not be paid by the Company. The policy is issued basis the
information provided by you, which is available with the company. In case of discrepancy or non recording of relevant information in the policy, the insured is
requested to bring the same to the notice of the company within 15 days. GST for this invoice is not payable under reverse charge basis.