Caringly youg. Bajaj Allianz General Insurance Company Ltd. B BAJAJ|Allianz @ Claim Summary Sheet Date of Intimation 27-Mar-2021 Intimation print Date 27-Mar-2021 03:45:16 Policy Details Claim Intimation/Registration Details Policy Reference Number OG-20-1210-1826-00000234 Claim Reference Number OC-21-1202-1826-00001055 Policy HolderInsured Name MR RAMAN KUMAR Name of Caller//Claimant Vehicle Registration Number NEW Date of Loss 25-MAR-2021 Policy Inception Date 29-MAR-2020 Time of Loss 03:00:00 Policy Expiry Date 28-MAR-2025 Driver's Name Naresh kumar Policy Issuance Date 29-MAR-2020 Driving License Number PB0220100028018 64VB 64VB is Cleared. Driver Relation with Insured Other Relative Policy Status Issued Claimant Relationship with - Vehicle Make HONDA No Claim Bonus 0 Vehicle Model ACTIVA No Claim Bonus Amount 0 Past Endorsement No. NCB Status Engine Number 0089057 Chassis (VIN) Number 088902 Previous Insurer Name NA Manufacturing Year 2020 Previous Policy Number NA IMD Name//Number 10074010,KARAN SHARMA Previous Policy Expiry Date NA Sub IMD Name//Number NA Pre-Inspection PIN Number NA Policy Cover Benefits s3, Voluntary Excess 0 IMT Endorsement 20, 7, 22, Compulsary Deductible 100 Policy Holder's Telephone No 8054305433 Additional Compulsary 0 Policy Holder's Mobile No 9216120290/9216120290 Email Id kumram968@gmail.com Callers Contact Number 9216120290 Description of Loss car hit with the side of vehicle and fell down Inspection Address amritsar Past Claim History Number of claim Reported 2 Previous Claim Paid Amount 7711 Previous Claim Number OC-21-1202-1826-00000259 Previous Claim Date of Loss 19-AUG-20 Previous Claim Surveyor NameMR PRABHDEEP SINGH Previous Claim Repairer Name ARYAN MOTORS PVT. Number of Add-on Covers 1 Paid Amount- Add on covers 715 ThankingYou, Yours FaithFully, From Bajaj Allianz General Insurance Company Ltd Claim Registering Centre Name - INSURANCE WALLET ---PAGE END---