P400 Policy # :75779918Insured's Name :

Period of Insurance From: 27/02/2011 : 00:00:00To : Midnight on 26/02/2012 : 00:00:00

Geographical Area : Within India Only

Pin Code 263152

Address: Date of Issuance :

Phone #: 9837058068

Regd. Office: IFFCO Sadan C1 Distt. Centre, Saket, New Delhi - 110017

Servicing Office:

Cover Note # :

TWO WHEELER POLICY CERTIFICATE OF INSURANCE CUM SCHEDULE

IFFCO-TOKIO GENERAL INSURANCE CO. LTD

09/03/2011

HIMANSHU ARORA

71684679

IFFCO TOKIO GEN INS CO LTD H 1 B, DURGA CITYCENTER NANITAL ROAD HALDWANIUTTRANCHAL

263139INDIA5946-284066-67Phone #

S/O KEVAL ARORA R/O AMAJ MANDIGADARPUR UDHAM SINGHINDIA

UTTRANCHAL

Policy # : 1-HGC5E7

29000030 29000030

290000309837407007

Agent Name:

Agent #:Agent Mobile #:

RegistrationMark & No.

Year of Org.Sale/Year of

Manuf.

Type of Body

Make of Vehicle

CC IDV in Rs. Engine No.

Chassis No.

Seating Capacity

UK12ER6421 2008

-

BAJAJ PULSAR 150

27332

27068150 239,775.00

Insured Motor Vehicle Details & Premium Calculation

Coverage

Package

Two Wheeler Side Car Accessories Elec./Elect. Acc. Bi-Fuel Kit Total Value Net Premium Rs. 39,775.00 0.00 0.00 0.00 0.00

B. Third Party (Rs.)A. Own Damage (Rs.)Basic Premium Basic Premium

Electrical Accessories (IMT 24)Accessories (IMT 33)

Add :Rallies (IMT 31)Foreign Vehicle Loading (IMT 19)Geographical Area Extension (IMT 1)

Bi Fuel Kit (IMT 25)

Add :Legal Liability to Driver (IMT 28)Legal Liability to Employee (IMT 29)PA to Passenger (IMT 16)Rallies (IMT 31)Geographical Area Extension (IMT 1)Less : Third Party Property Damage (IMT 20)Limit of Liability Under Section II-I (ii)

Any Other Loading/Discount Net (A)

Any Other Loading Discount Net (B)

Co-Insurance Details

39,775.00 690.15

Less : Voluntary Excess Less 0% (IMT 22A)Anti Theft Device (IMT 10) Automobile Association (IMT 8) Handicap Discount (IMT 12)Vehicle Use (IMT 13)No Claim Discount

Service Tax/GST 71.09Rs. 761.23

Rs. 690.15

Registration Authority :

666.63

0.000.00

300.000.00

0.00

0.00

0.000.00

0.00

0.000.000.00

0.000.000.000.000.000.00

-233.32

340.15 350.00-93.16 0.00

Co-Insurer 1Co-Insurer 2Co-Insurer 3Co-Insurer 4

Agent No./ShareNo Co-Insurer!No Co-Insurer!No Co-Insurer!No Co-Insurer!

Bi Fuel Kit (IMT 25) 0.00

PA Owner:Driver CSI Rs 100000 50.00Side Car Premium 0.00

100,000.00

( 35% )( -21.5% )

Premium Paid Rs.

Total Premium (A + B)

Under Hire Purchase /Hypothecated/Lease Aggreement with NA

Limitation as to use : Use only for social domestic and pleasure purpose and for the insured's business orprofession. The policy does not cover use for hire or reward, tution, racing, pace-making,reliability trails, speed testing, carriage of goods(other than samples or personalluggage) in connection with any trade or business or use for any purpose in connectionwith Motors Trade.

Any person including insured: provided that the person driving holds and effective drivinglicense at the time of the accident and is not disqualified from holding or obtaining such alicense. Provided also that the person holding an effective learner's license may also drivethe vehicle and that such a person satisfies the requirements of Rule 3 of the The CentralMotor Vehicles Rules, 1989.

Driver Clause :

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 thefollowing table:s

Period of Insurance Percentage of NCB on OD Premium The preceding year 20 %

Preceding two consecutive year 25% Preceding three consecutive year 35%Preceding four consecutive year 45%

Preceding five consecutive year 50%No claim bonus will only be allowed, provided the policy is renewed within 90 days of the expiry date of the previous policy

Limit of Liability Under Section II-I(i) Such amount as is necessary to meet the requirements of the Motor Vehicles Act, 1988Under Section II-I(ii) As per premium computation tableUnder Section III PA Owner- Driver as per premium computation table Compulsory Excess (IMT 22) Rs. 50

Partial Loss: Total Loss:

Imposed Excess:

Subject to IMT Endorsement Nos. Printed herein / attached hereto

Receipt Particulars S.Tax.No. D-III/ST/R-IV/GEN.INS./01/03Cash / Cheque No : CASH Dated : Premium :Bank Details :

For IFFCO-TOKIO General Insurance Co. Ltd.

Authorised Signatory761.00

1) "Policy Issuing Office: Delhi", 2) " Consolidated Stamp Duty deposited as per the order of Government of National Capital Territory of Delhi"1FOR CLAIMS CALL 1800 103 5499(Toll Free),0124-4285499 or SMS"CLAIM" to 56161