atul aggarwal

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Date :

Dear

Your Policy Details:-

Policy Number:-

Policy Period:-

Premium Paid:-

To

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We thank you for reposing your faith in us by renewing your car insurance policy.Your policy has been renewed

as per your advice in the renewal slip. The details of coverage are mentioned in the enclosed policy

schedule / certificate of insurance. For more details on benefits, please refer to the policy documents and

endorsements sent to you at the inception of policy.As our valued customer, you will continue to enjoy a host of value added benefits and give the extra protection

that your car needs.

Along with this letter we have enclosed:

Your Policy Schedule / Certificate of Insurance / Premium Payment Receipt

AutoSecure Policy Wordings Booklet

AutoSecure Customer Information Booklet

AutoSecure Car Insurance Document Holder

AutoSecure Policy Card

We assure you of our best services at all times. Happy driving !

Warm Regards,

In select garages across India, Repair cost reimbursed if you go to others garages. 7 working days. Conditions apply.

Insurance is the subjet matter of the soliciation. For more details on risk factors, terms and conditions, please read sales brochure

carefully before concluding a sale.Tata AIG General Insurance Company Ltd. Regd. Office: Peninsula Corporate Park, Piramal Tower,9th Floor, Ganpatrao Kadam Marg, Lower Parel, Mumbai 400 013.

0151727880

12/02/2013 11/02/2014

30/01/2013

4,760.00

Mr.ATUL AGGARWAL

Mr.ATUL AGGARWALS/O SHRI RAJESHWAR AGGARWAL,867 BHOPA ROAD SOUTH,NEW MANDI DISTT. MUZAFFARNAGAR,MUZAFFARNAGAR 251003,

MUZAFARNAGAR,

Rs.

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ENDORSEMENT

Endorsement No: Effective Date: Expiry Date:

Attached to and forming part of Policy No. 0151727880 01

12/02/2013 11/02/20140

TA08-Repair of Glass, Fiber, Plastic & Rubber Parts

What is covered:

A claim for only Glass / plastic / rubber / fiber part where You opt for repairs rather than replacement,

at Our authorized workshops/authorised dealers/authorised servive stations, will not affect YourNoClaim Bonus eligibility at the time of renewal with Us provided number of such claim does not exceed

one and there is no other claim for damage to the vehicle during theperiod of insurance.

What is not covered:

1. Cost of painting of parts without any other repair associated with these parts.

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Insurance is the subject matter of the solicitation.For more details on risk factors,terms and conditions,please read sales brochure carefully before concluding a sale.

Tata AIG General Insurance Co. Ltd. Regd Office: Peninsula Corporate Park, Piramal Tower, 9th Floor, Ganpatrao Kadam Marg, Lower Parel, Mumbai 400013.Website: www.tataaiginsurance.in 24x7 Tollfree Helpline : Email:

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1800 266 7780 [email protected]


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ENDORSEMENT

Endorsement No: Effective Date: Expiry Date:

Attached to and forming part of Policy No. 0151727880 01

12/02/2013 11/02/20140

Definitions:-

1. We, Us, Our, Ourselves means the Tata AIG General Insurance Co. Ltd.

2. You, Your, Yourself- Means or refers to the person or persons described in the Schedule as theinsured.In case schedule refers to an entity other than individual,then representative of such an entity

would be deemed as You, Your, Yourself.

3. Hospital / Nursing Home Any institution established for indoor care and treatment of sickness andinjuries and registered with local authorities and is under the supervision of a licensed and qualified

medical practioner.

4. Ambulance -A self-propelled motor vehicle specifically designed to transport critically sick or injuredpeople to a medical facility.

5. Medical Practioner- A person licensed to practice medicine and registered with the relevantauthorities.

6. Courtesy/Hire car- A vehicle provided to the insured by the hire car company.

7. Hire car Company - Company which is engaged in the business of letting out cars on hire car and hasprovided vehicle to the insured as per their terms and conditions.

8. Authorised workshop / garage / service station A motor vehicle repair workshop / garage / servicestation authorised by us

9. Family - You,Your spouse, Your children, Your parents and any other person residing with Youwithout paying a commercial rent.

10. Period of Insurance -The period of time stated in the schedule for which the policy is valid andoperative.

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Tata AIG General Insurance Co. Ltd. Regd Office: Peninsula Corporate Park, Piramal Tower, 9th Floor, Ganpatrao Kadam Marg, Lower Parel, Mumbai 400013.Website: www.tataaiginsurance.in 24x7 Tollfree Helpline : Email:

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RECEIPT

Receipt No.: Receipt Date:

Received with thanks from Mr. ATUL AGGARWAL (ID:5003321345)

a sum of Rs. 4,760.00(Rupees Four Thousand Seven Hundred Sixty and Paise 00Only)

vide Cheque no. 038855 dated 24/01/2013 drawn on SYNDICATEBANK,MUZAFFARNAGAR branch towards

(Insured: Mr. ATUL AGGARWAL (ID:5003321345))

W002786704 30/01/2013

Utilised from Receipt (Rs.)Total Premium (Rs.)Policy No.Sr. No.

1 0151727880 4,760.00 4,760.00

Excess: 0.00

Note:

2. Upon issuance of this Receipt, all previously issued temporary receipts, if any, related to this Policy shall be considered null and void.

Amount received by cheque shall be subject to realisation

4. Any amount received in excess of the premium is being/shall be refunded by the Company

Revenue ( consolidated ) Stamp duty duly paid vide Challan No.

3.

1. This is a computer generated receipt and does not require a signature.

Service Tax Registration No : Insurance/Tata/Mumbai-I/1542/2001-02.

MH0002855752 dated 12/12/2012 , for applicable cases

RP01 Branch:

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Insurance is the subject matter of the solicitation.For more details on risk factors,terms and conditions,please read sales brochure carefully before concluding a sale.Tata AIG General Insurance Co. Ltd. Regd Office: Peninsula Corporate Park, Piramal Tower, 9th Floor, Ganpatrao Kadam Marg, Lower Parel, Mumbai 400013.

Website: www.tataaiginsurance.in 24x7 Tollfree Helpline : 1800 266 7780 Email: [email protected]

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Certificate & Policy No. Policy Type

Effective time and date of commencement of Insurance

Premium (incl.S.Tax)

Date of Expiry Insured's Business/Profession

Place of Registration Geographical Area

Name:

Address :

Agent/Broker License Code -Agent/Broker Producer Name -

Agent/Broker Contact No.-

Auto Secure

Certificate of Insurance and Policy Schedule

Form 51 of the Central Motor Vehicle Rules, 1989

From 00:01 Hours on 12/02/2013

Rs. 4,760.00

Midnight on 11/02/2014 SERVICE

JHAJJAR INDIA

ATUL AGGARWAL

UTTAR PRADESH

Name and address of the Insured

S/O SHRI RAJESHWAR AGGARWAL,867 BHOPA ROAD SOUTH,

MUZAFARNAGAR,

NEW MANDI DISTT. MUZAFFARNAGAR,

Under Hire Purchase/Hypothecation/Lease with

Registration No. Make & Model Mfg.Year

Body Type Seating

CapacityCC Chassis No.Engine No.

HR14D5468 MARUTIALTO LXI SALOON 2008 796 5 3546822 01202435

IDV of vehicle(Rs.) IDV of Side Car(Rs.)IDV of non-built-in Accessories(Rs.)Bi-Fuel/CNG/LPG

Kit(Rs.)

Total Insured DeclaredValue (Rs.)Non-Electrial

1,15,250.00 1,15,250.00

Electrical

SCHEDULE OF PREMIUM

MUZAFFARNAGAR 251003,

DB-042/02

Private CarPackage Policy0151727880 01

Bajaj Capital Insura011-39881010

Premium on Vehicle and non electrical accessories Rs. 3,152.20 Basic Rs. 784.00

A. TOTAL OWN DAMAGE PREMIUM (rounded off) Rs. 3,152.00 Add: Compulsory PA Cover for Owner-Driver Rs.2,00,000 Rs. 100.00

Add:Legal Liability to paid driver as per Endt. IMT 28 Rs. 50.00

Add:PA benefits as per Endt.IMT 16 No. of Passengers : 5 Capitalbenefits Rs. 60000.00 Rs. 150.00

B. TOTAL LIABILITY PREMIUM Rs. 1,084.00

---------------------------------------------------------------------------------------------------

COMPREHENSIVE PREMIUM ( A+B ) Rs. 4,236.20

NET PREMIUM Rs. 4,236.20

Add : 12.36% Service Tax Rs. 523.59

TOTAL PREMIUM Rs. 4,760.00

Drivers Clause : Persons or classes of persons entitled to drive : Limitations as to use:

Any person including the insured: Provided that a person driving holds aneffective driving licence at the time of the accident and is not disqualified fromholding 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 personsatisfies the requirements of Rule 3 of the Central Motor Vehicles Rules, 1989.

The Policy covers use of the vehicle for any purpose other than :

a) Hire or Reward b) Carriage of goods (other than samples or personalluggage) c) Organised racing d) Pace Making e) Speed testing f) Reliability

Trials g) Any purpose in connection with Motor Trade.

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Tata AIG General Insurance Co. Ltd. Regd Office: Peninsula Corporate Park, Piramal Tower, 9th Floor, Ganpatrao Kadam Marg, Lower Parel, Mumbai 400013.

Website: www.tataaiginsurance.in 24x7 Tollfree Helpline : Email:

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Limits of Liability: Subject to :

A. Indian Motor Tariff Endorsement No. (IMT)

B. TATA AIG Auto Secure Endorsement No. (TA)

I/We hereby certify that the Policy to which this Certificate relates as well as this Certificate ofInsuranceare issued in accordance with the provisions ofChapter X and XI ofMotor Vehicles Act,1988.

For Tata AIG General Insurance Company Ltd.

16,22,28

In witness whereof this Policy has been signed at MUMBAI on 30/01/2013.

Receipt(s): W002786704Service Tax Registration No : Insurance/Tata/Mumbai-I/1542/2001-02.

Under Section II-1 (i) of the policy (Death of or bodily injury) : Such amount as is necessary to

meet the requirements of the Motor Vehicles Act, 1988.Under Section II-1 (ii) of the policy (Damage to Third Party Property ) : Rs. 750000.0/-P.A. Cover for Owner - Driver under Section III: CSI : Rs. 200000.0/-Nominee for P.A. Cover: Age: Yrs Relationship:

Deductible under Section - I Compulsory Deductible : Rs. 1000.0/-Voluntary Deductible : Rs. 0/-Imposed Excess : Rs. 0.0/-

08

PUNITAAGGARWAL

35 WIFE

The stamp duty ofRs. 0.25/-(Rupees zero and Paise 25 Only) paid in cash or demand draft or by payorder, vide Receipt/Challan no MH0002855752 dated the 12/12/2012.

Any amendments/modifications/ alterations made on this system generated policy document is not valid and Company shall not be liable for any liability whatsoeverarising from such changes. Any changes required to be made in the policy once issued, would be valid and effective, only after written request is made to the Company

and Company accepts the requested amendments/modifications/alterations and records the same through separate endorsement to be issued by the Company.

The Insured is not indemnified ifthe vehicle is used or driven otherwise than in accordance with this Schedule. Any payment made by the Company by reason ofwider terms appearing inthe Certificate in order to comply with the Motor Vehicles Act, 1988 is recoverable from the Insured. See the clause headed "AVOIDANCE OF CERTAIN TERMS AND RIGHT OFRECOVERY".

This Schedule, the attached Policy and Endorsements mentioned herein above shall read together and word or expression to which a specific meaning has been attached in any part ofthisPolicy or of the Schedule shall bear the same meaning wherever it may appear.

IMPORTANT NOTICE

IN CASE OF AN ACCIDENT TO YOUR VEHICLE PLEASE INTIMATE US IMMEDIATELY FOR SPOT SURVEY FAILINGWHICH CLAIM COULD BE PREJUDICED

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Tata AIG General Insurance Co. Ltd. Regd Office: Peninsula Corporate Park, Piramal Tower, 9th Floor, Ganpatrao Kadam Marg, Lower Parel, Mumbai 400013.

Website: www.tataaiginsurance.in 24x7 Tollfree Helpline : Email:

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atul aggarwal

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