this is a essay,my name tabees khan, Essays for Computer Vision. Comoros
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tabees78621 June 2017

this is a essay,my name tabees khan, Essays for Computer Vision. Comoros

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3005/19034043/10507/000

Insured Business/Profession Address of The Insured Valid From To

MR. OTHER VILL+POST-NAUBATPUR CHANDAULI 21-09-2013 20:00:12

Midnight of 20-09-2014

Vehicle Regn No. Engine No. Frame No. Make & Model Year of Mfg Cubic Capacity --- HA10ENDHC25755 MBLHA10AWDHD47358 Hero MotoCorp (formerly

Hero Honda)PASSION PRO DRS

2013 100

Declared Value (IDV) of Vehicle Side Car IDV Non-Electrical Accessories IDV

Electrical Accessories IDV

CNG/LPG/Bi-Fuel IDV

Total IDV

46654.00 NA 0.00 0.00 NA 46654.00

Place of Regn. Body Type HP/Lease/Hire- Purchase Agreement

With

Branch Office of HP/ Lease/Hire-Purchase

Seating Capacity Premium

CHANDAULI Solo SHRI RAM CITY UNION VARANASI 2 1248.00

A. Own Damage Premium Computation (Section 1) in Rs. B. Liability Premium Computation (Section II) in Rs.

Basic Premium On

Vehicle : 703.00 Accessories : 0.00

Electronic & Electrical Accessories : 0.00 Bi-Fuel Kit :

Total : 703.00 Add Extras:

Geographical Extension : 0.00 :

For any other extra :

Sub Total : 703.00 Less Discounts

For anti-theft devices : 0.00 Any other discount :

NCB : 0.00 Total Deductions : 0.00

Net Own Damage Premium(A) : 703.00

Basic Premium Including Premium for TPPD

Vehicle : 357.00 CNG/LPG/Bi-Fuel Kit : 0.00

Add

a) Compulsary PA Cover (Owner Driver) : 50.00 b) Optional PA Cover(Un Named Passenger) : 0.00

c) Optional PA Cover(Pillion Rider) : 0.00 Legal Liability

d) Legal Liability Cover (Paid Drivers, Cleaners)

: 0.00

e) Legal Liability Cover (Other then Paid Drivers, Cleaners)

: 0.00

Total Liablity Premium (B) : 407.00

Total Premium (A + B) : 1110.00 For any other extra : 0.00

Add Service Tax : 138.00 Gross Premium : 1248.00

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.

IMPORTANT NOTICE: The insured is not indemified 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' 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 liabili

Premium of Rs. 1248.00 Received Vide Cash/Cheque No. CASH

Dated Nominee Name BHAI LAL

Drawn on Nominee Age 51

Acknowledgement Dt 19-11-2012 Nominee Relation FATHER

03-Aug-2012 Date & Signature of proposer

Agent / Broker Details - Direct

On behalf of ICICI Lombard General Insurance Company Ltd

FOR RENEWALS CONTACT: VISHAL AUTO AGENCIES Ph.No- 0542-2370455

ty under Secion II-I(ii) in respect of any one claim or series of claims arising out of one event : Upto Rs 100000/- I/We certify that the policy to which the certificate relates as well the certificate of insurance are issued in accordance with the provisions of Chapter X & XI of M.V. Act 1988

Dealer's Stamp & Signature

Issued through NsurePlus Application Software

Consolidted Stamp Duty Paid Endorsements: IMT - 22,5

PAMA COMPLEX, DLW ROAD, SHIVDASPUR, LAHARTARA, VARANASI

Duly Constituted Attorney

Regd. & Head Office : ICICI Lombard General Insurance Company Limited,ICICI Bank Tower,Bandra Kurla Complex,Bandra East,Mumbai-400051 The stamp duty of Re. 0.5 paid in cash or by demand draft or pay order, vide Receipt / Challan No 9937 dated June 19th, 2012

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