Insured Motor Vehicle Details & Premium Calculation
RegistrationMark & No
Year ofManuf.
Type of Body
Make of Vehicle
CC IDV in RsEngine No.
Chassis No.
SeatingCapacity
Registration Authority
Two Wheeler Side CarInsured Declared Values (Rs)
Accessories Bi-Fuel Kit Total ValueGross Premium Rs.
Limitation as to use:Use Only for social, domestic and pleasure
purposes and for the insured's business orprofession. The policy
does not cover use for hire or reward, tuition, racing,
pace-making,reliability trail, speed testing, carriage of goods
(other than samples or personal luggage) inconnection with any
trade or business or use for any purpose in connection with Motor
Trade.
Driver Clause:Any person including insured, provided that the
person driver holds an effective driving license.Provided also that
the person holding an effective learner's liscense may also drive
the vehicleand that such a person satisfies the requirements of
Rule 3 of The Central Motor VehiclesRules, 1989.
No Claim Bonus: The insured is entitled for a No Claim Bonus
(NCB) on own damage section of the policy, if no claim is made or
pending the preceding year(s) as per the following table: Period of
Insurance percentage of NCB on OD Premium
The preceding Year 20% Preceding 2 consecutive years 25%
Preceding 3 consecutive years 35% Preceding 4 consecutive years 45%
Preceding 5 consecutive years 50%
No Claim Bonus will only be allowed, provided the policy is
renewed within 90 days of the expiry of the previous policy.For
IFFCO-TOKIO General Insurance Co. Ltd.
Authorized Signatory
Co-insuranceDetails
Name %
Premium Paid
Net (A) Net (B)
A. Own Damage Amount Rs. B.Third Party Amount Rs.
Total Preminum
Less:Third Party Property Damage ( IMT 20)Limit of Liability
Under Section II-I (ii)
Any Other Loading/Discount Any Other Loading/Discount
Under Hire Purchase/Hypo /'Lease Agreement with.
Insured's Name :Address :
Coverage
IFFCO -TOKIO GENERAL INSURANCE CO. LTDRegd. Office: IFFCO
SADAN,C1 Distt Centre, Saket,New Delhi- 110017
PinCode Phone Number :
Date Of Issuance
Two Wheeler Policy
Policy No.
AgentNo C/ N No : Geographical Area :
Under Section II-I (i) - Such amount as is necessary to meet the
requirement of the MotorVehicle Act, 1988.Under Section II-I (ii) -
As per premium computation tableUnder Section III - PA Owner -
Driver as per premium computation tableDeductible under section I
(Rs) - for Partial Loss,for Total Loss
Elec./Elec. Acc.
Issuing Office :
Type
Add: Legal Liability to Driver (IMT 28)Legal Liabilty to
Employees (IMT 29) PA to Passengers (IMT 16) Rallies (IMT 31)
Geographical Area Extension (IMT 1)
Call Centre : 1800-103-5499 (Toll Free); ( 0124) 428-5499 ; SMS
No : 56161Service Tax No : D-III/ST/R-IV/GEN INS/01/03
Printed herein / attached hereto
:
::
:
Policy Schedule Cum Certificate of Insurance
Add:Rallies (IMT 31) Foreign Vehicle Loading (IMT 19)
Geographical Area Extn (IMT 1)
Basic Premium Electrical/Electronic Accessories (IMT 24)
Accessories(IMT 33) Bi Fuel Kit (IMT 25)
Basic Premium Bi Fuel Kit (IMT 25)PA Owner:Driver CSI Rs
100000
Period Of Insurance: From hrs on ::
Subject to IMT Endorsement Nos.
Less:Voluntary Express Less 0% (IMT 22A)Side Car Discount Anti
Theft Device (IMT 10) Automobile Association (IMT 8) Handicap
Discount (IMT 12) Vehicle Use (IMT 13) No Claim Bonus
To Mid Night on
%
I/we hereby certify that the Policy to which this Certificate
relates as well as this Certificate of Insuranceare issued in
accordance with the provisions of Chapter X and Chapter XI of
M.V.Act .1988.
Service Tax
Tie Up No :
Narain Manzil, 4th Floor23, Barakhambha Road,Connaught Place,
New Delhi - 110001Ph: 41519720-24Fax: 011-41519725
KULBHUSHAN .. 71660013H.NO 73 HARKESH NAGAR , TILPAT FARIDBAD
23/01/2010 , 1130 09/11/2009FARIDABAD HARYANA 08/11/2010121003
20000425401816259250582833 Within India Only20A
14134SOLOUP51AD1753 2008 100 Comprehensive 34000 201168HERO
HONDA SPLENDOR PLUS
34000 - - - 34000 714.70-
569.84 300.00- -- 50.00-- -- -- -
-- ----- -100000-
20.00 113.97-91.17
364.70 350.00714.70
-73.61
788
50
20000139
..KULBHUSHAN .. TILPAT FARIDBAD
[email protected]:/output/71660013.pdf
