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CHOLAMANDALAM MS GENERAL INSURANCE COMPANY LTD.
ADDRESS:
NUNGAMBAKKAM BRANCH OFFICE
RAIN TREE PLACE, 4TH FLOOR
INEW NO # 7, OLD NO # 9, MC NICHOLS ROAD, CHETPET,
NUNGAMBAKKAM S.O
CITY:
CHENNAI
STATE:
TAMIL NADU
GSTIN:
33AABCC6633K1ZQ
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GST Invoice No.:
3379522061494
DATE:
27/06/2024
PAN:
AABCC6633K
SAC Code:
997134
SAC Description:
Motor vehicle insurance services
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| Business Location: NUNGAMBAKKAM BRANCH OFFICE |
Cover Note No: - |
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| Policy
Number: 3379/03960295/000/00 |
Customer
Code: 1009159164910001 |
Policy
Type: Package - Goods Carrying Vehicle |
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Name&Communication Address:
TAMILARASAN G
S/O GANESAN NO 31 B NORTH STREET ANNA NAGAR ILANKULAM TIRUNELVELI,
ELANKULAM B.O,TIRUNELVELI
TAMIL NADU,PIN- 627110
Mobile-7695937349
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Name and Registration Address:
S/O GANESAN NO 31 B NORTH STREET ANNA NAGAR ILANKULAM TIRUNELVELI,
ELANKULAM B.O,TIRUNELVELI
TAMIL NADU,PIN- 627110
Mobile-7695937349 |
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| Period
of Insurance: from 27/06/2024 13:33 hours to midnight on 26/06/2025 |
Business
or Profession: Individual |
Geographical
Area: No Extension |
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Certificate Number: 3379/03960295/000/00 |
Issue
Date: 27/06/2024 |
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PARTICULARS OF THE VEHICLE INSURED
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| Date
of Registration: 27/06/2024 |
Place
of Registration: TIRUNELVELI |
Registration
Mark: NEW |
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| Make: MARUTI |
Model: SUPER CARRY - STD 1.2L PETROL |
Variant: STD 1.2L PETROL |
Vehicle Colour: - |
Year
of Mfg: 2024 |
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| Type
of Body: PICK UP |
Fuel
Used: PETROL |
Engine
No: K12NN4257938 |
Chassis
No: MA3EDC03TRE319680 |
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| Cubic
Capacity: 1196 |
K.Watts
: - |
Gross
Vehicle Weight(GVW): 1600 |
GVW
as per RC: 0 |
Public/Private
Carrier: PUBLIC |
Registration
Mark(Trailer): - |
Contract
No: - |
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| Licensed
Passenger Carrying Capacity: 1 |
Driver
1 |
Cleaner: 1 |
Conductor: 0 |
Total
Seating Capacity Including Driver: 2 |
Chassis
No.(Trailer): - |
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IDV (Insured Declared Value)
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| Value
of Chassis (Rs): 600000 |
Value
of Body (Rs): 0 |
For
Vehicle (Rs): 600000 |
For
Trailer (Rs): 0 |
Non-Electrical
Accessories (Rs): 0 |
| Electrical/Electronic
Accessories (Rs): 0 |
Value
of CNG/LPG Kit (Rs): 0 |
Total Value (Rs): 600000 |
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A. OWN DAMAGE
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SI |
No. of Person |
IMT |
Premium (Rs) |
| Basic OD |
600,000.00 |
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|
10,356.00 |
| IMT
23 |
10,356.00 |
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23 |
1,553.00 |
| TOTAL |
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11,909.00 |
| Own
Damage Premium |
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11,909.00 |
| Experience Based
Discount
(85%) |
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10,122.65 |
| TOTAL(A) |
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1,786.00 |
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D.ADD-ON COVERS(BENEFITS)
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Benefit
No. |
Option
No. |
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| ADD-ON COVERS PREMIUM |
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0.00 |
| Add-On
Covers Discount |
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.00 |
| TOTAL ADD-ON-COVERS PREMIUM (D) |
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0.00 |
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E.OTHER CHARGES (NON PREMIUM)
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| Chola value added services
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0.00 |
| TOTAL OTHER CHARGES (NON PREMIUM) (E) |
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0.00 |
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B. LIABILITY
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SI |
No. of Person |
IMT |
Premium (Rs) |
| Basic
TP |
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16,049.00 |
| Paid Driver |
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1 |
40 |
50.00 |
| Legal Liability to |
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40 |
50.00 |
| Cleaner |
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1 |
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| TOTAL |
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16,149.00 |
| TOTAL
PREMIUM(B) |
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16,149.00 |
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C.PERSONAL ACCIDENT COVERS
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| PA for owner driver |
1,500,000.00 |
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550.00 |
| PA cover for Paid driver |
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17 |
12.00 |
| TOTAL PREMIUM(C) |
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562.00 |
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| TOTAL (A+B+C+E) |
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18,497.00 |
| TOTAL CONSIDERATION |
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18,497.00 |
| CGST |
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1,181.00 |
| SGST |
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1,181.00 |
| IGST |
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0.00 |
| AMOUNT COLLECTED |
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20,859.00 |
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LIMITATIONS AS TO USE:
The Policy covers use of the vehicle for any purpose other than: a)Organised Racing. b)Use while drawing a Trailer,except the towing(other than for reward) of any one disabled mechanically propelled vehicle. c)Pace Making. d)Reliability Trial. e)Speed Testing. f)Use for carrying passengers in vehicles;except employees not exceeding the number permitted in the registration document and coming under the purview of Workmen's Compensation Act 1923.
1.As per Sec 147 of MV Act issued policy the premium received only to an
extent of liability fixed by IRDA/Central Govt
2.Sec 150 (2) (b) that the policy is void on the ground that it was
obtained by, nondisclosure of any material fact or by representation of any fact which was,
false in some material particular;
i.Or
ii.(c) that there is non-receipt of premium as required under section 64VB of, the Insurance Act, 1938.
3.No Application for compensation shall be entertained unless it is made within
6 Months from the date of occurrence of the Accident
4.No Sum shall be payable by an Insurer incase a person driving the vehicle does
not have a valid driving license or is under the influence of Alcohol or Drug.
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| DRIVER CLAUSE:
Any person including insured provided that a person driving holds an effective driving license at the time of the accident and is not disqualified from holding or obtaining such a license. Provided also that the Person holding an effective learner's license may also drive the vehicle when not used for the transport of goods at the time of the accident and that such a person satisfies the requirements of Rule 3 of the Central Motor Vehicles Rules 1989. |
LIMITS OF LIABILITY:Under Section II-1 (1) of the Policy - Death or bodly injury
such amount as is necessary to meet the requirements of the Motor Vehicle Act,
1988. Under Section II - 1 (ii) of the Policy - Damage to Third Party Property
- Rs.750000
P.A. Cover for the Owner cum Driver Under Section III (CSI)- Rs.1,500,000.00
Deduction Under Section 1: Rs.500 Additional compulsory deductibles under Section 1 Rs.0.00
Additional Imposed deductibles under Section 1 Rs.0
Subject to I.M.T. Endt. Nos. and Memorandum:
23,21,40,17,7 .
Coverage Under this policy is subject to realisation of premium cheque(s).
Incase of dishonor of cheque(s). No separate intimation will be given and the
policy stands cancelled from inception.
Product Plan:
Applicable benefits:-
The policy wordings with detailed terms, conditions,warranties exclusions and the list of
Ombudsman details are available on our website www.cholainsurance.com.
Date and Signature of the proposal
27/06/2024.
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Warranties:
-
Warranted that NCB under this Policy is based on representation regarding NCB and absence of claim under the previous Policy. If the information be found incorrect or false in any aspect, this Policy shall be void ab initio and no benefit shall be payable by the company.
This policy has been issued upon declaration by the Assured that a valid Pollution Under Control (PUC) Certificate is held on the date of commencement of the Policy
lt is hereby warranted the coverage under this Policy commences only from the Risk Start time and Date as mentioned in the Policy schedule. No Liability shall attach under this Policy in respect of any Accident/Loss prior to the time and date of commencement of Period of insurance
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| No Claim Bonus will only be allowed provided the policy is renewed within 90 days of the expiry date of the previous policy. |
| CVAS NEW :
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| As per GR 36A-PA for Owner driver refers to the Owner of the insured vehicle holding an effective drving licence. |
| Nominee Details: |
| Financier Name & Address:
INDUSIND BANK LTD,CHENNAI,. |
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Intermediary Name:
VIZZA INSURANCE BROKING SERVICES PVT LTD
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POSP Name:
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Code:
201391901498
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POSP PAN No.:
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Contact No:
9952530055
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POSP Aadhaar No.:
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| Note: The Motor Policy Schedule cum Certificate of Insurance is an important document issued based on your declaration.
We request you to verify the details and ensure that everything is in order.
In case of any discrepancies, please contact us within 15 days from the date of issuance of policy. |
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| Place: CHENNAI |
Date:27/06/2024 |
Receipt No: |
Receipt Date: |
For Cholamandalam MS General Insurance
Company Ltd.
@CholaSign1
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We hereby declare that though our aggregate turnover in any preceding financial year from 2017-18
onwards is more than the aggregate turnover notified under sub-rule (4) of rule 48, we are not required
to prepare an invoice in terms of the provisions of the said sub-rule and also as per
Notification No. 13/2020-CT dated 21-03-2020. This policy schedule shall be in lieu of Tax Invoice and
hence no separate GST invoice required In compliance with Rule 54(2) of CGST Rules, 2017.
Consolidated Stamp Duty Paid Vide G.O Rt No 397,
Commercial Taxes and Registration (j1) Department, Tamil Nadu dated 24/05/2024
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Duly Constituted Attorney(s)
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| I/We hereby certify that the policy to which this
certificate relates as well as this certificate of insurance are issued in
accordance with the provisions of Chapter X and Chapter XI of the Motor
Vehicles Act, 1988. |
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In the event of a claim under Compulsory personal accident cover (CPA), the intimation of the claim to the Insurer shall be within 30 days of its occurrence
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| IMPORTANT NOTICE: The insured is not indemnified if
the vehicles 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 RIGHT
OF RECOVERY" |
For Information/Claims: Contact Toll Free Helpline at
1800 208 5544: sms "CHOLA" to 56677 For CARE contact 1800 103 5354;
E-mail: customercare@cholams.murugappa.com: www.cholainsurance.com
Note:UIN for this product and the related add on covers availed under this
policy are as mentioned in the attached sheet ,which forms part of the
Policy Schedule. |
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| Whether tax is payable under reverse charge basis - No.
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| Cholamandalam MS General Insurance Company Ltd. |
Regd.&Head Office:Dare
House, 2nd Floor, No.2, N.S.C Bose Road, Chennai-600 001, India
CIN: U66030TN2001PLC047977 | IRDAI Reg. No. 123 |
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frmRegn_Letter
| Customer
Name :
TAMILARASAN G |
Address :
S/O GANESAN NO 31 B NORTH STREET ANNA NAGAR ILANKULAM TIRUNELVELI
-,ELANKULAM B.O,TIRUNELVELI,TAMIL NADU,PIN- 627110
Mobile- 7695937349 |
Dear Sir/Madam
Ref: Vehicle details updation in your Motor Insurance Policy
3379/03960295/000/00
On behalf of Chola MS we would to thank you for choosing us as your preferred
insurer. Your vehicle details are updated in our records as per the details
below.We request you to confirm the correct / missing information and send this
letter back to the address given, to update the same in our records. If there
are any corrections, we request you to provide the Registration Certificate
(RC) for our records and future reference.
| Vehicle Registration :
NEW |
| Engine :
K12NN4257938 |
| Chassis :
MA3EDC03TRE319680 |
Documents to be sent to:
Manager (Operations),
Cholamandalam MS General Insurance Ltd
1st Floor, Hari Nivas Tower, 163, Thambu Chetty Street,
Parrys Corner,
Chennai - 600001
We request you to reply within 7 days of receipt of this letter. Alternatively,
request you to e-mail your above Vehicle details with scanned copy of
Registration Certificate to the following e-mail ID, quoting your policy
number. customercare@cholams.murugappa.com
For any further clarifications please feel free to call our toll free # 1800
208 5544.
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Yours faithfully, |
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For Cholamandalam MS General Insurance Company Ltd.
@CholaSign1
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Authorised Signatory |
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