Issuing Office:

IFFCO TOKIO GEN INSUR CO LTD, 213/214 SANSKAR

COMPLEX, NEAR KKV HALL, 150 FT RING ROAD,

RAJKOT
IFFCO-TOKIO GENERAL INSURANCE CO. LTD GUJARAT 360005
Regd. Office: IFFCO Sadan C1 Distt. Centre, Saket, New Delhi - 110017 INDIA
COMMERCIAL VEHICLE CERTIFICATE OF INSURANCE cum SCHEDULE Phone #

Insured's Name VIKRAMSINH U VAGHELA Policy # : 42207442

Address: NEHRUNAGAR ST NO 5 Date of Issuance : 18/03/2009
NANA MOVA ROAD RAJKOT Period of Insurance : From : 18/03/2009 :15:30:12
RAJKOT GUJARAT Pin Code 0 To : Midnight on 17/03/2010 00.00.00
INDIA Cover Note # : Geographical Area : Within India Only
Phone # : 0 Agent No. 55000093
Insured Motor Vehicle Details & Premium Calculation
Type of Body Engine No. Seating GVW
Registration Year of CC Coverage IDV in Rs.
Mark & No. Manuf. BAJAJ AUTO 24319 Capacity

Make of Vehicle Chassis No.

GJ3TT8087 2001 Package 20,000
ICVCLASS C.1B 150 45918 3
3WHEELED VEHICLE
Registration Authority :
Vehicle Trailer Non Electrical Access. Elec./Elect. Acc. Bi-Fuel Kit Total Value Net Premium Rs.
20,000.00 0.00 0.00 0.00 10,000.00 30,000.00 2,307.00
A. Own Damage (Rs.) B. Third Party (Rs.)
Basic OD Premium 267.20 Basic TP Premium 1,455.00
Basic Trailor OD Premium (0) 0.00 Basic Trailers TP Premium (IMT 30) 0.00
Electrical/Electronics Accessories (IMT 24) 0.00 Bi Fuel Kit (IMT 25) 60.00
Bi Fuel Kit (IMT 25) 400.00
Fibre Glass Fuel Tank 0.00

Add : Add :
Geographical Area Extension (IMT 1) 0.00 Geographical Area Extension (IMT 1) 0.00
Overturning Extensions( IMT 47) 0.00 PA Owner Driver 100.00
Hire Reward/Commercial Usage (IMT 44) 0.00 PA Paid Driver/Cleaner/Conductor (IMT 17) (1) 25.00
IMT 23 0.00 Legal Liability to Driver (IMT 28)
Driving/Tutions 0.00 LL to Non Fare Paying PAX (IMT 37) (0) 0.00
LL To PAX on Ambulance/Hearses (IMT 46) 0.00
LL to Employee (IMT29) () 0.00

Less : Less :
Anti Theft Device (IMT 10) 0.00 Third Party Property Damage (IMT 20) 0.00
Handicap Discount (IMT 12) 0.00 Limit of Liability Under Section II-I (ii) 0.00
Vehicle User (IMT 13) 0.00
No Claim Discount ( 0.0% ) 0.00
Any Other Loading/Discount ( 0.0% ) 0.00 Any Other Loading Discount 0.00
Net (A) 667.00 Net (B) 1,640.00
Co-Insurance Details Agent No./Share Total Premium (A + B) 2,307.00
Co-Insurer 1 No Co-Insurer! Add Service Tax 237.62
Co-Insurer 2 No Co-Insurer! Premium Paid Rs. 2,544.62

Under Hire Purchase /Hypothecated/Lease Aggreement with NA

Subject to IMT Endorsement Nos., 17, 25Printed herein / attached hereto
Limitation as to use : Passenger Carrying Vehicles - Class C Driver Clause :
Use only in Connection wit insured's business. Use only for carriage of passengers in accordance with the permit (Contract Carriage or Stage Any person including insured: provided that
Carriage) instead within the meaning of the Motor Vehicles Act the person driving holds and effective
driving license at the time of the accident
The Policy does not Cover:
and is not disqualified from holding or
1. Use for Organised racing, pace making, reliability trail or speed testing obtaining such a license. Provided also that
2. Use whilst drawing a trailer except the towing (other than reward) of any one disabled mechanically propelled vehicle the person holding an effective learner's
license may also drive the vehicle and that
3. Use for the Conveyance of passenger for hire or reward by any person to whom the Motor Vehicle is hired such a person satisfies the requirements of
Private Car type vehicles let out on private hire and driven by hirer or any driver with hire permission. Rule 3 of the The Central Motor Vehicles
4. Use for the conveyance of passenger for hire or reward, other than the guests of hotel. Private Car type vehicles owned by hotels and hired by Rules, 1989.
them to their guests

No Claim Bonus : 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 during the preceding year(s) as per the following
Period of Insurance Percentage of NCB on OD Premium Limit of Liability
The preceding year 20 % Under Section II-I(i) Such amount as is necessary to meet the requirements of the
Preceding two consecutive year 25% Motor Vehicles Act, 1988
Preceding three consecutive year 35% Under Section II-I(ii) As per premium computation table
Preceding four consecutive year 45% Under Section III PA Owner- Driver as per premium computation table
Deductible under Section
Preceding five consecutive year 50%
Goods Carrying Taxis and Three Wheelers rated as Commercial Rs. 500
Vehicles Vehicles (Not exceeding 1500cc)
Taxis and Three Wheelers rated as Commercial Rs. 1000
Vehicles (Exceeding 1500 cc)
No claim bonus will only be allowed, provided the policy is renewed within 90 days of the expiry date of the previous policy
Receipt Particulars S.Tax.No. D-III/ST/R-IV/GEN.INS./01/03 For IFFCO-TOKIO General Insurance Co. Ltd.
Cash / Cheque : CASH Dated :
Amount : 2,545.00
Bank Details : Authorised Signature.

FOR CLAIMS CALL 1800 103 5499(Toll Free),0124-4285499 or SMS"CLAIM" to 56161