GENERAL RELIANCE Live Smart in INSURANCE Follow us O Welcome RELIANCE Selfi M / S SUDEEP LOGISTICS PVT LTD Download Now NEAR GANRAJ RIKSHAW STAND PLOT NO 04 SAFALYA BUNGLOW WAIDWADI PROGRESSIVE MODEL CO My Policy Claim Status OPERATIVE SOCIETY HADAPSAR Attach , Access or Register , Track PUNE CITY Download your policy or Submit claim MAHARASHTRA India - 411013 documents 9326 ****** From here on , Locator Video Claim you're our responsibility . Go cashless , Assistance Tap and spot from Intimate claims Welcome on board . amongst 5000 + instantly through Your Reliance Commercial Vehicles ( Passengers network garages . live video streaming . Carrying 4W > 6 & 3W > 17 ) Package Policy - Click here to download Schedule , with Policy Number 170122523400000278 is now live to Customer Information Sheet ( CIS ) access your policy anytime , anywhere download our Reliance Selfi App and enjoy a host of special features . Now Live Smart With Reliance general Insurance . Tech + Best Regards , reliancegeneral.co.in 022 4890 3009 ( Paid ) 74004 22200 ( WhatsApp ) Reliance General Insurance Company Limited . IRDAI Registration No. 103 An ISO 9001 : 2015 Certified Company Registered & Corporate Office : Reliance General Insurance Company Limited , 6th Floor , Oberoi Commerz , International Business Park , Oberoi Garden City , Off Western Express Highway , Goregaon ( East ) , Mumbai - 400 063 . Corporate Identity No. U66603MH2000PLC128300 . UIN : IRDAN103RP0012V02100001 .. Trade Logo displayed above belongs to Anil Dhirubhai Ambani Ventures Private Limited and used by Reliance General Insurance Company Limited under . License RGI / MCOM / CO / PCV / PS / Ver . 1.3 / 310118 . Page 1 of 13 ---PAGE END--- ar ny Digitally y signed by Reliance reliancegeneral.co.in GENERAL elig RELIANCE Smart General Insurance INSURANCE Company Limited 022 4890 3009 Date : 2025.02.04 16:14:51 74004 22200 IST Insence Pan mited eneral the Commercial ( Passengers Carrying 4W > 6 & 3W > 17 ) Policy - Schedule of Important of this certificate of policy is subject to realization premium cheque paid by the Insured . elianc e cum by the company 2 ) as provided in GR 27 ( g ) of Erstwhile Indian Motor Tariff ( i.e. Sale of Vehicle ) , No NCB will be allowed when a policy is not renewed within 90 days of Nohsurance its expiry . Policy Number : 170122523400000278 Proposal / Covernote No : R290125117094 Insured Name : M / S SUDEEP LOGISTICS PVT LTD Period of Insurance : From 00:00 Hrs on 01 - Mar - 2025 to Midnight of 28 - Feb - 2026 Communication Address & Place of Supply : NEAR GANRAJ RIKSHAW Policy Issuing Branch : A Block , Heritage House , Ground floor , 6 Ramabai STAND PLOT NO 04 SAFALYA BUNGLOW WAIDWADI PROGRESSIVE MODEL Ambedkar Road ,, PUNE , MAHARASHTRA , 411001 . CO OPERATIVE SOCIETY HADAPSAR PUNE CITY , PUNE , MAHARASHTRA , India , 411013 . Mobile No : 9326 * ****** Tax Invoice No. & Date : R290125117094 & 04 Feb 2025 04:14 Email - ID NA GSTIN / UIN & Place of Supply : 27AATCS2867F1ZS and MAHARASHTRA Insured Vehicle Details Registration No. MH12WJ3803 Mfg . Month & Year JAN - 2024 a Make / Model & Variant EICHER 2075 G SRL CWC BSVI CC / HP / Watt 3000 Engine No./ Chassis No. E446CDRA093328 / MC2FCHRTORAB41254 LCC Including Driver 33 Limite Type of Body NA Total Premium 44046 RTO Location MAHARASHTRA - Pune Total IDV 2,520,000.00 Manufacturer fully build in Yes Hypothecation / Lease Kotak Mahindra Bank Ltd Vehicle Category Bus Vehicle Usage Type Contract Carriage Company Vehicle Usage Sub Type School Bus Insured Declared Value ( IDV ) Chassis IDV 0.00 Non Electrical Accessories 0.00 Body IDV 0.00 CNG / LPG Kit 0.00 Vehicle IDV 2,520,000.00 Trailer / Side Car 0.00 Electrical / Electronic Accessories 0.00 Total IDV 2,520,000.00 Premium Summary Own Damage - Section I Amount ( ) Liability - Section II Amount ( ) Basic OD 2,109.06 Basic Liability ( TPPD 1 ) 35,287.00 Covers for Lamps Tyres / Tubes Mudguards / Bonet / Side Total Basic Liability Premium 35,287.00 parts etc ( IMT - 23 ) 316.36 PA Benefits - Section III Total Basic Own Damage Premium 2,425.42 Legal Liability to paid driver and / or Conductor and / or Less cleaner 100.00 Deduct 20 % for NCB -485.08 TOTAL LIABILITY PREMIUM 35,387.00 Sub Total of Deductions -485.08 TOTAL PACKAGE PREMIUM ( Sec I + II + III ) 37,327.00 CGST ( @ 9.00 % ) 3359.00 SGST ( @ 9.00 % ) 3359.00 TOTAL OWN DAMAGE PREMIUM 1,940.00 TOTAL PREMIUM PAYABLE ( ) 44,046.00 Subject to I.M.T.Endt . Nos . & Memorandum printed / herein / attached hereto . IMT 40,23,21,7 GSTIN : 27AABCB1ZG Lee Infant HSN 997134 , Description of services : MOST Insurance Service will " As per the regulations , the amount not be refunded if the policy / endorsement is cancelled after 31st October of the next financial year " . Of elianc Consolidated Stamp duty Paid vide Lot of Authorisation " NO LOA / ENF - 1 / CSD / 05 / 2025 / ( Validity Dt . 27/01/2025 to Dt . 12/2026 ) / 424 Date 24-01-2025 " at General Stamp Office , Mumbai . ** Applicable for the State of Jammu & Kashmir . SAMADHAN 23P68356 / R 9326689009 sujitlolage@gmail.com ***** 907 E RA Intermediary Customer Name diary Contact No. Intermediary E - mail ID POS UID Aadhaar No. / PAN No. wellnce The Sheet ( CIS ) for this product is available on our website Lim InsuC https://www.reliancegeneral.co.in/insurance/about-us/downloads.aspx Relianc urance Relianc General Company Limited Reliance General Insurance Company Limited . IRDAI Registration No. 103 An ISO 9001 : 2015 Certified Company Registered & Corporate Office : Reliance General Insurance Company Limited , 6th beroi Commerz International Business Park Oberoi Garden City Off , , , Western Express Highway , Goregaon ( East ) , Mumbai - 400 063 . Corporate Identification No. U66603MH2000PLC128300 UIN IRDAN103RP001202 100001. Trade logo displayed above belongs Anil i Ambani Dhirard : to . Ventures Private Limited and used by Reliance General Insurance Company Limited under License . RGI / MCOM / CO / PCV / PS / Ver . 1.3 / 310118 Page 2 of 13 anc ---PAGE END--- Stian GENERAL reliancegeneral.co.in reliany RELIANCE Smart INSURANCE General 022 4890 3009 Limited 74004 22200 Insce eliance pany rance Limits of liability for section III CSI Under Section II ( 1 ) ( i ) of the Policy - Death of or bodily injury to any eneral : r owner driver under 0 ( a ) so far as it is necessary to meet the requirements of the Motor Vehicle Act , 1988. ( b ) Under Section II ( 1 ) ( ii ) of the Policy - Damage to property other than property belonging to the insured or held in trust or in the custody of control of the insured up to the limits specified- ( TPPD 1 Sum Insured - 7,50,000 / - , TPPD 2 Sum Insured- 6,000 / - ) . ellane as to use The policy covers the use only under a permit within the meaning of Motor Vehicle Act , 1988 or such a carriage falling under sub - section ( 3 ) of Sec 66 of the Motor Vehicle Act , 1988. The Policy covers use for any purpose other than : ( a ) Rnce Organized racing ( b ) Pace making ( c ) Speed testing ( d ) Reliability trials . ( e ) Use whilst drawing a trailer except the towing ( other than for reward ) of any one sabled mechanically propelled ve vehicle . Persons / Classes of Any person including insured : : entitled to drive : Provided that a person driving holds a driving license at the time of the accident and is not disqualified from holding or obtaining such a license . Provided that the person holding a valid learner's license may drive the vehicle when not used for the transport of goods at the time of the accident and that a person satisfies the requirements of Rule 3 of the GenInsurance 3 Central Motor Vehicles Rules , 1989 . Deductible under Section - I : ( i ) Compulsory deductible 1000 / - ( ii ) Additional y deductible 00 / ( iii ) Voluntar deductible 0 / - - Relianc * No Claim Bonus is subject to no claim on the previous policy . Benefits under the policy stands forfeited if claim is / was made in previous policy . " It is hereby declared and agreed that any damages losses occurred & any Liability having been incurred , prior to the commencement of cover under this policy are excluded from e scope of this policy . " % of Discount on Own Damage Premium Period of Insurance % of NCB on OD Premium The Preceding Year 20 % Preceding Two Consecutive Years 25 % Preceding Three Consecutive Years 35 % Preceding Four Consecutive Years 45 % Preceding Five Consecutive Years 50 % Compulsory PA cover for owner driver : Insured is not eligible for the Compulsory PA cover for owner ac in this policy as the same has not been opted for the reasons allowed as per motor tariff and / or basis insured's declaration given below : an personal " we hereby declare that I / we hold t insurance policy covering death and permanent ( total & partial ) and / or compulsory personal effective accident ( CPA ) for owner driver in other vehicles ; whereby the Sum Insured limit is of Rs 1,500,000 or more in all such above mentioned conditions . " In case you have missed it , please opt for compulsory PA cover by payment of additional premium as applicable The of insurance y shall commence from the date of receipt of such additional premium . wo . " It is hereby declared and agreed that all pre - existing damages to the vehicle having occured prior to the of cover from the scope of the policy are applicable policy " Relianc Sprouted ' is on Bass D Premium excluding Add on with detailed terms , conditions and exclusions are available on - wherever our website www.reliancegeneral.co.in Statutory Provisions : " As per Section 146 of the Motor Vehicle Act , 1988 it is to have your vehicle insured against third party risk . " As Section 196 of the Motor Vehicle Act 1988 driving an uninsured vehicle is punishable with fine or Rs . 2000 imprisonment up to 3 for the first per , and offence and fine of Rs . 4000 and / or imprisonment up to 3 months for the second offence . " I / We hereby that the Policy to which the certificate relates as well as this certificate of insurance are in accordance with the of Chapter X and certif Chapter XI of M.V. Act , 1988 . Note : In the event of dishonor of cheque , this policy document automatically stands cancelled from irrespective of whether a separate communication is sent 2 or not . Piano move Safeguard your transaction by paying your premium via cross cheque / DD in favour of Reliance General Insurance Co. Ltd. The policy has been issued based on the information provided by you and the policy is not valid if any of the information provided is incorrect . Subject otherwise to the terms , conditions and exclusions of the Reliance Miscellaneous and Special Types of Vehicles Package Policy Certificate Cum Policy Schedule . In witness whereof this Policy has been signed at Mumbai on policy tax invoice date in lieu of Proposal / Covernote No. as mentioned in the policy . This document shall be treated as a Tax Invoice as per Rule 46 of the Central Goods and Services Tax Rules 2017 . Updating Registration Number of vehicles within 15 days of policy inception is MANDATORY as per IRDA . Kindly provide the same to your Agent / Our Call centre / Policy i issuing Branch ( Applicable for policies booked without Registration No of vehicles ) . S elianc IMPORT NOTICE : The insured is not indemnified 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 RIGHT OF RECOVERY ' . For legal interpretation , English version will hold good . In case of a renewal , the benefits provided under the policy and / or terms and conditions of the policy including premium rate may be subject to change . As per National Highways of India kindly ensure to affixed FASTag on your vehicle Authority , . Rel Gener Limited Insuranny Comp Relianc General Reliance surance surance Company Limited Reliance General Insurance Company Limited . IRDAI Registration No. 103 An ISO 9001 : 2015 Certified Company Registered & Corporate Office : Reliance General Insurance Company Limited , 6th IRDAN103RP0012001 Oberoi Commerz International Business Park Oberoi ( City Off , , , , uan Mumbai logo den Western Express Highway Goregaon ( East ) - 400 063 . , , Trade . Corporate identification No. U66603MH2000PLC128300 UIN : displayed above belongs to Anil Dhir i Ambani . , Ventures Private Limited and used by Rallance General Insurance Company Limitled under License . RGIMCOM.CO/PCV/PS/Ver . 1.3.310118 Page 3 of 13 anc ---PAGE END--- t any GENERAL tian RELIANCE INSURANCE reliancegeneral.co.in relio General 022 4890 3009 Insence Limited 74004 22200 pany eliance Grievance For resolution of any query or grievance urance , Insured may contact the respective write an branch office of the Company or email at rgicl.services@relianceada.com may call at 02248903009 or may . In case the insured is not satisfied Nodal Grievance with the response of the office Officer of the Company at rgicl.grievances@relianceada.com , insured may contact the Grievance . In the event of unsatisfactory Officer , insured may email to Head response from the Nodal Grievance Officer at rgicl.headgrievances@relianceada.com response from the Head Grievance . In the event of unsatisfactory Officer , he / she may , subject to vested grievance jurisdiction , approach the Insurance Relianceneral . Details of the offices of the Insurance Ombudsman for the redressal of Ombudsman are available at IRDAI www.reliancegeneral.co.in website www.irda.gov.in or or on www.gbic.co.in. on company website The insured may also contact territorial the following office of the Insurance jurisdiction the branch or office of Ombudsman within whose the Company is located . of the Insurance Ombudsman 3rd Floor Jeevan Seva acknowlence , , Annexe S. V. Road Santacruz 26106960 Fax : 022 -26106052 , ( Mumbai - 400 054. Tel 287 , .: 022 -2 Email : bimalokpal.mumbai@cioins.co.in . 26106552 / Note : Kindly the receipt of this In case you find any variations against your proposal or in the policy , contact C us immediately . them neral Fast The Relianc policy does not cover liability for death , bodily injury or as excluded under empany Vide GSR no Section ( 2 ) ( ii ) and ( 164 ( f ) dated 25.02.2022 iii ) : b and C of Motor Vehicles w . e . f 01.4.2022 ) Act 1988 ( Inserted In the unfortunate event of a claim , please P. call quoting your Policy No. on 248903009 ( 0224 In the absence Communication and register your claim of any fr from you within immediately within 7days from the date a period of 15 days of receipt of loss . of this letter , we will consider that proposal . he issued policy is in order and as per your Special Conditions ACERemark : as ACE of Rs.25000 Additional Compulsory Excess of Rs.5000.0 RGIC ORB . Lindom Policy has been issued with reference to vehicle inspection report , reference lead no . & viewed on company's special conditions.The website by the lead no report remarks can be . Renc Reliance Genea For Reliance General Insurance Co. Ltd. Co Insured Limite1eneral A Reliance General Authorised Signatory Company Insurance Reliance Relianc General Insurance Company Limited Reliance General Company Insurance Limited Reliance Relianc General Insurance Limited Company Reliance General Company Insurance Limited Reliance Relianc General Insurance Limited Reliance General Company Limited Company Reliance Relianc urance * Reliance General Insurance Company Limited Limited . IRDAI Registration Company Registered No. 103 & Corporate Office : Reliance An ISO 9001 : 2015 Certified General Insurance Company Company Limited , 6th 128300. Oberoi Commerz Internatione logo Western Express Highway , Goregaon ( East ) , Mumbai - 400 IRDAN103RP0012 UN , , ational , Oberoi Garden City Insurance 063 . . O Business , The Trade Sun. N IRDAN103RP 01. : Ventures Park FL General Private Limited and used by Reliance General Insurance d above belongs to Anil Dhirub Ambani Company Limited under License . RGI / MCOM / CO / PCV / PS / Ver . 1.310118 Page 4 of 13 anc ---PAGE END--- any Stian GENERAL reliancegeneral.co.in relio RELIANCE Smart INSURANCE General 022 4890 3009 Limited 74004 22200 Insce Reliance Risk Assumption Letter General Limited Insurance Company Dear M / S SUDEEP LOGISTICS PVT LTD ral Thank you for choosing Reliance General Insurance . Please find enclosed policy no .: 170122523400000278 which has been issued based on the details declared by the applicant . Relianc Insured Vehicle Details Registration No. MH12WJ3803 Mfg . Month & Year JAN - 2024 company Make / Model & Variant EICHER 2075 G SRL CWC BSVI CC / HP / Watt 3000 Engine No./Chassis No. E446CDRA093328 / MC2FCHRTORAB41254 LCC Including 33 Reliant Type of Body NA Total Premium 44046 Limited RTO Location MAHARASHTRA - Pune IDV 2520000 Manufacturer fully build in Yes Hypothecation / Lease Kotak Mahindra Bank Insured's Declared Value ( IDV ) Chassis IDV 0.00 Non Electrical Accessories 0.00 Coany Body IDV 0.00 CNG LPG Kit 0.00 Lim Vehicle IDV 2520000 Trailer / Side Car 0.00 Electrical / Electronic Accessories 0.00 Total IDV 2,520,000.00 ted pany Previous Policy Details Previous Year Policy No. Period of Insurance Previous Policy - Claim Status 4305018500 From : 29/02/2024 To : 28/02/2025 midnight Yes No YOU HAVE OPTED FOR THE FOLLOWING COVERS Relianc Standard Vehicle Own Damage + Generalerance Third Party Comp Cover Electrical / electronic accessories Non - electrical accessories Bi - fuel kits comprising systems Add - on Covers Reliance urance Nil Deprecia Cover No for depreciation on vehicle parts other than tyres and tubes with respect of approved partial loss claims . Provides cover for towing charges over and above the standard guideline as per the cover by customer ( Sum Insured 0.0 / - ) . Additional L Limit of TPPD Indemnify the Insured for an additional TPPD amount opted for damage to property other than property belonging to the Relianc accidented Insured or held in trust or in custody of Insured . Emergency Hotel Provide allowance towards the Hotel accommodation vehicle met with a V stolen 200 kms away from the location Accomodation provided in policy copy . Whed NCB Retention No - Claim Bonus % is retained even after a claim , would have become 0 % without this cover . Total Cover Provides cover for registration charges , road tax and insurance premium ( Total Cover Sum Insured - EMI Protect Pays for car EMIs for the time period during which the vehicle is in one of our network garages for repair . Benefit Provides allowance as per plan opted , if vehicle is in garage for more than minimum days & for initial eligible own damage claim . , and in case of theft where vehicle is not found for more than 90 days owance Benefit Plus Provides allowance as per plan opted , if vehicle is in garage for more than minimum days & for own damage claim . , and eligit I case of theft where vehicle is not found for more than 90 days Ranc Protector Covers repair or replacement expenses arising out of accidental loss or damage to tyre & tubes 14b Rim Protector Covers repair or replacement expenses arising out of accidental loss or damage to Rims is Personal belongings Covers loss of al of insured or his f while such items are in at the time loss or damage to the vehicle belongings Key Protect Cover Provides I cost of keys in the event keys are lost . It also covers cost of locks if the vehicle is broken into Assistance cover Provides or support in various emergency situation to the insured and Insured Vehicle due to or breakdown Tools and Equipment Cover It will provide an allowance of specified amount for loss or damage to the tools and equipments at the time of event Voluntary Deductible The insured shall be given reduction in premium if insured opts for specified amount of voluntary deductible and will bear the specified expense at the time of event No Claim Discount retension Relianc It will maintain the current applicable NCB at the time of renewal of the policy Insurance Compone Li Insuran Reliance General Limited Insurance Company Relianc General Reliance urance Company Reliance General Insurance Company Limited . IRDAI Registration No. 103 An ISO 9001 : 2015 Certified Company Limited Registered & Corporate Office : Reliance General Insurance Company Limited , 6th Oberoi Commerz , Business Park Cen Off and , City , Western Express Highway , Goregaon ( East ) , Mumbai - 400 063 . na viruterden Trade ESTATE above belongs to Anil Ambani logonal Vertures Private Limited and used by Reliance General Insurance Company Limited under License . RGIMICOMICO.PCV / PS / Ver 138310118 Page 5 of 13 anc ---PAGE END--- RELIANCE discrepancies Please INSURANCE GENERAL and changes take claims a as / rectification moment ( Note- per , please neral Ins Live ace . on your Smart subsistence the Warranted to date proposal . In let us carefully of the know of commencement that . Non absence check the Policy the insured disclosure of immediately your . any policy Limited Further communication . pany Reliance Gener of named and You details the / , Policy or can the herein misrepresentation write mentioned Company and / owner from to undertakes us reserves of you at rgicl.services@relianceada.com above the within vehicle of and General to claims eliance Compart the a in Reliance General Insurance right renew period the holds in policy to and the of take a previous 15 appropriate maintain valid days schedule a Pollution policy of . valid receipt or Kindly reliancegeneral.co.in action and Under period of call confirm rance any Limited Reli effective this us Reliance General Insurance Company in Control can letter 022 that case lead , 48903009 022 of PUC ( PUC to we the any and ) Certificate cancellation will same 74004 4890 discrepancy / or consider ( Paid are the fitness ) 3009 for in 22200 Tancy PUC and of that necessary order Nian in Certificate your ited For in / or the . In O General Limited Reliance the General Insurance Company Reliance or PUC valid policy issued case O Reliance fitness , as fitness or policy of or applicable rejection General fitness certificate certificate is in certificate , during of your order , as General Insurance Co Authorised Insurance . ) . ) the applicable Relianc Reliance Company Limited Reliance General Insurance , Co. Signatory Ltd. Limited Relianc Insurance Company Reliance General Company Limited Reliance General Insurance Registered Reliance Corporate Western General Ventures Express & Private Identification Corporate Insurance Company Limited Relianc Highway General Insurance Limited Reliance Office surance Company Limited , Company and No. Goregaon : Reliance used U66603MH2000PLC128300 by Reliance ( East ) , General Limited . Relianc Mumbai Company Limited General Insurance Limited Reliance General Insurance - 400 Company Insurance . UIN 063 IRDAI . Company : IRDAN103RP0012V02100001 Limited Registration , Relianc 6th Company Limited Limited Floor No. General Insurance , 103 under Oberoi License . Trade Commerz . RGI logo , / MCOM displayed International Company Limited Relianc 2 / CO / above Business An PCV ISO / PS belongs 9001 / Ver Park : . 1.3 to , Oberoi 2015 / 310118 Anil Certified Dhirubhai Garden Relianc Ambani City Company , Off Page 6 of 13 anc ---PAGE END--- any Stian GENERAL reliancegeneral.co.in elia RELIANCE Smart INSURANCE General 022 4890 3009 74004 22200 Limited Insence rance neral pany Reliance Know your policy Remember to carefully go through the Risk Assumption Letter and confirm your personal as well as your vehicle details . nyited In case of any policy details revet within 15 days from the policy start date on 0248905009 ( Paid or visit any of ou of our branches . ellane Kindly refer to the Key Feature Document and Policy Wording at www.reliancegeneral.co.in to understand your policy better and learn more about the policy coverages , add - on covers and Policy Exclusion . This document is a statement of the specific provisions that form the Terms and Conditions of this Policy . What documents do you require for making any change to your policy 1. Changes in vehicle make & model / cubic capacity / seating capacity / engine & chassis no./year of manufacture / registration no./location/address Documents required : Letter for change , policy copy and registration certificate copy along with additional Premium cheque if a , 2. Changes in electrical and non electrical accessories / CNG / LPG kit Documents : Letter for addition policy copy invoice copy of accessories endorsed gistration > certificate copy ( for CNG / LPG kit ) and cheque for additional Chequired premium . , , , Rend 3. s in financier details ( Hypothecation / Lease / Hire purchase ) Documents required : Letter for change , policy copy , endorsed registration certificate copy and no objection certificate from financier ( not mandatory for deletion , if registration certificate copy is endorsed ) . How to register a Claim - Cashless F ά No 茴 Report vehicle Claim registration Survey , Document verification , Cashless Amount Vehicle at Network Garage by Network Garage Loss Assessment & Re - inspection Confirmation Delivery How to register a Claim - Reimbursement OU C B = Registration Report Vehicle Survey , Document Vehicle Submission of Claim Settlement of Claim at Garage verification , Loss Assessment Delivery Original Repair Bills + to Customer and Re - inspection Payment Receipt What documents do you require to register a Claim Ca 123 Claim form duly filled and signed stamp in case of company registered vehicles ) Registration copy Raim Suanccompany Relianc Driving License of the driver the time of loss General Reli 4 . Policy copy Company Limited 5 . Vehicle fitness certificate Cat 6 . Vehicle route permit 7 . Vehicle carriage permit 8 . Road tax copy Reliance ompany 9 . Load Challan ( if applicable ) Limited Insurance Note : 1. As soon as a claim occurs , please immediately to our call centre 022 48903009 ( Paid ) . Delay in intimation would result in the violation of policy ac So condition 2. Any additional document , if will be informed . Relianc ited Gener amp How to renew your policy conveniently Payment Modes Internet banking C www . Cheque / DD Visit reliancegeneral.co.in Call 022 4890 3009 ( Paid ) Submit a cheque / DD along with signed Renewal Credit / Debit Card and renew online and renew Notice to branch / agent and renew anc The content on this page is for additional information & Should not be considered as part of the policy document / Schedule Re An ISO 9001 : 2015 Certified Company Limit * Reliance General Insurance Company Limited . IRDAI Registration No. 103 Registered & Corporate Office : Reliance General Insurance Company Limited , 6th Trade Oberoi Commerz International Business Park Oberoi ( City Off and , , , Dhiren . Western Express Highway , Goregaon ( East ) , Mumbai - - 400 063 . IRDAN103RP001201 Corporate identification No. U66603MH2000PLC128300 UIN : logo displayed above belongs to Anil Ambani . Ventures Private Limited and used by Rallance General Insurance Company Limitled under License . RGIMCOM.CO/PCV/PS/Ver . 1.3.310118 Page 7 of 13 anc ---PAGE END--- any Stian GENERAL reliancegeneral.co.in relio RELIANCE Smart INSURANCE General 022 4890 3009 Insence Limited 74004 22200 POS Reliance Proposal for Vehicles Package | Forneral Commercial Insurance Limited ( Other Motor Trade Risks Policy ) erpany made / details stated below are the minimum requirement to be furnished by a proposer . Relianc quer General The Insurer may seek any other as desired for under for underwriting purpose ) men . icmation * ( Applicable to all classes of with suitable amendments in ' Limitations as to Use ' ) Company for PCV GCV Me For Office Use Only Policy Number 1701225000278 Date Goal Lind Savvion Reference No. Inspection Lead No. ang ny Intermediary Details ( To be filled in BLOCK LETTERS ) Intermediary Name SAMADHAN RANSHUR Code 23P68356 Ge Branch Name Code 1701 Limit Sales Manager Name Anikesh Kailas Kolhapure Code 71016662 * POS PAN No. ***** *** 907 E * POS UID Aadhaar No. liance any any Details ( To be filled in BLOCK LETTE 1 . This Proposal is for A new Policy Renewal of Policy Others ( Please specify ) 22 Proposer's Full Name Mrs. SUDEEP LOGISTICS PVT LTD where Relianc Address Address for Communication vehicle is normally and Used NEAR GANRAJ RIKSHAW STAND PLOT NO 04 Reser Coated Flat / Building / Door / Block No. SAFALYA BUNGLOW WAIDWADI Road / Street / Sector PROGRESSIVE MODEL CO OPERATIVE SOCIETY APSAR Nearest mana Reliance Area Limited Insurance CITY 411013 Relianc MAHARASHTRA General Country India Restore Limited Phone Mobile Insurancom Emergency Contact No. Blood Group #Email Fax randompany Reliance 3 . Period of 01/03/2025 To 4. Source of Funds Business Salary Agricultural Income Savings 5 . Monthly Income Upto 20,000 50,001 to 1,00,000 1,00,001 and above 6 . Aadhaar No. No. **** 907 E Relianc elianurancmpany 8 . Fast Tag ID Gw Rosure Comimited 9 . Are you an existing General Yes No Insurance Customer If Yes , please the Policy No .: eliance rance #The Policy copy all related documents shall be sent to the email ID provided above . If you wish to receive copy and related documents in physical form to % the aforesaid communication address , please drop us an email at rgicl.services@relianceada.com Details of the Vehicle Number Reno 10. Registration MH12WJ3803 Registration Lited of 18/03/2024 ananymited 12. Registering Authority & Loca MAHARASHTRA - Pune Compted , 13. Year & Month of Manufacture JAN - 2024 14. Cubic Capacity 3000 15. Engine Number E446CDRA093328 16. Chassis Number MC2FCHRTORAB41254 Geraldo Reliance 17. Make of Vehicle EICHER Limited 18. Type of Body / Model NA / 2075 19 . Gross Vehicle Weight ( GVW ) / Cubic Capacity ( C.C. ) Comp 20 . type ( Applicable only if W 7500 kgs ) Hazardous Non - Hazardous Goods + Relianc 21 . Is the Vehicle made in India ? ☐ No Insurance Limited Reliance General Insurance Company Limited . IRDAI Registration No. 103 An ISO 9001 : 2015 Certified Company Registered & Corporate Office : Reliance General Insurance Company Limited , 6th Oberoi % Commerz , International Business Park , Oberoi City Off , Western Express Highway , Goregaon ( East ) , Mumbai - 400 063 IRDAN103RP00120 . IRDAN103RP001201 logo buran Trade displayed yarden Identification No. 166603 MH2000PLC128300 I UIN Dhirubhai eral Caprate above belongs Anil Ambani anny : to . : . Ventures Private Limited and used by Reliance General Insurance Company Limited under License . / PCV / PS / Ver 1.3 / 310118 CO . Page 8 of 13 anc ---PAGE END--- any Stian GENERAL reliancegeneral.co.in relio RELIANCE Smart INSURANCE General 022 4890 3009 74004 22200 Limited Insence Reliance Max . Licensed carrying assen 22 . 22 capacity ( No. of in case of Passenger carrying vehicles Limited Insurance 23 . Vehicle Category Vehicle usage type ( Applicable if bus ) : Contract Carriage Carriage Ceneral sub type ( Applicable if Contract Carriage ) : School Bus Employee pickup Bus Others e usage Relianc 24. Seating capacity ( Including 33 Genl mite Comp Details of the Vehicle Type and Use 25 . a . Whether the ehicle is driven by Non conventional source of power ? Yes No If yes Bi Fuel CNG Electric - Insured's Declared Value Non electrical Electronic accessories Value of CNG / I Total Value ( ) - IDV ) of vehicle Chasis Fuel Lin ( accessories fitted to the fitted to the vehicle ( ) ( ) 0.00 Vanc b . Do you have a valid PUC ? Yes No Ge mite ( Note Warranted that the insured named herein / owner of the vehicle holds a valid Pollution Under Control ( PUC ) Certificate and / or valid fitness certificate , as applicable , on the date of commencement of the Policy and undertakes to renew and maintain a valid and effective PUC and / or fitness Certificate , as applicable , during the subsistence of the Policy . Further , the Company reserves the right to take appropriate action in case of any discrepancy in the PUC or fitness certificate . ) 26 . Details of ( a ) Age of Owner Intercom No Limi ( b ) Does the driver suffer from defective or hearing or any physical infirmity . Yes If give Please any eral elianc Ra ( c ) Has the driver ever been involved for causing any accident or loss ? Yes ☐ No If " Yes " please give details as under including the pending prosecution , if any : - Reliance ( d ) D.O.B. Senece Limited Insurance 27 . Covers ( Subject to availability and eligibility ) Easy Monthly Instalment Protection Cover : ( RGI - MO - A00-00-17 - V01-14-15 ) Relianc If Yes , please choose any one option ; General Relle Company Plan I - 1 EMI , EMI Amount : Limi Plan II - 2 EMIs , EMI Amount : Plan 3 EMIS , EMI Amount : Limit Reliance mited ( b ) Additional Towing Charges % Insurance Depreciation Cover : Total Cover No Relianc ( e ) Voluntary rance General Release Company Company Voluntary amount opted Limited : ( f ) Emergency Hotel Accommodation 은 Reliance imited ( g ) limit of TPPD % Insurance Company Additional amount opted : Personal Belongings 은 Relianc General Benefit Amount : Relancerance surce Company Limited ( i ) Daily Allowance Benefit No Per day amount opted : Days opted : Reliance Insurance 1imited ( j ) Allowance Benefit Plus Company Per day allowance amount Coverage Days opted : Relianc General Relian Company Limited Reliance General Insurance Company Limited . IRDAI Registration No. 103 An ISO 9001 : 2015 Certified Company Registered & Corporate Office : Reliance General Insurance Company Limited , 6th Commerz International Business Park Oberoi Garden City Off , , , Western Express Highway , Goregaon ( East ) , Mumbai - 400 063 . Corporate Identification No. U66603MH2000PLC128300 UIN 100001. Trade logo displayed above belongs to Anil Dhirubh Ambani IRDAN103RP0012eroi . : Ventures Private Limited and used by Reliance General Insurance Company Limited under License . RGI / M / COM / CO / PCV / PS / Ver . 1.3 : 310118 Page 9 of 13 ---PAGE END--- any Stian GENERAL reliancegeneral.co.in relio RELIANCE Smart INSURANCE General 022 4890 3009 Limited 74004 22200 Insence Reliance ( k ) and Equipment Cover Limited Insurance Company ( 1 ) Any other Details ce anceneral ellane Is the vehicle fitted with any I device approved by the ARAI ? Yes General Company If Yes , please attach of Installation in the vehicle , issued by Automobile Association of India . the 29 . 29 Are you a member of Association of India ? If Yes , please submit membership copy . Yes No 은 Vale is used for Driving Tuitions ? Yes No 은은 Whether 333 Rell Whether use f Vehicle is limited to Own Premi No KKK Li Whether commercial vehicle is also used for Private purposes ( excluding use for hire or reward ) ? No Insurance Yes is fitted with Fibre Glass Tank ? Yes No the Vehicle llanc If so , is the the duty Vehicle element belongs included to in Embassy the IDV ? / Consulate of a for of / challenged Yes % General For Company use Blind 35 . Whether the Vehicle is F No Handic Yes design 36 . Date of purchase of the Vehicle by the Proposer 20 any 37 . Whether the Vehicle at the time of purchase was New Second Hand urance Relian Risk Inclusions 38 . Do wish to restrict the above limits to the statutory TPPD Liability limit of 6000 / - only ? Yes No O you wish to cover legal to ? ellane my ( a ) Driver / Conductor / Cleaner ( No. of persons ) Yes General Re ( b ) Other employees ( No. of Persons ) Yes No Company ( c ) Non - fare paying ( No. of ) Yes Limited inclusenger persons No 39 . Do wish to personal Accident ( P.A. ) for paid drivers , cleaners conductors ? No you e Co. If Yes , give name and Capital Sum Insured opted for . The maximum CSI available per person is 1 Lakh in the case of Motorised wheelers and 2 sance મુ lakhs for other classes of vehicles . Low Accident Cover for Owner Please give details of nomination al 40 . Name of the Appointee ( if 100 Name of the Nominee Age of Nominee Address Roland Nominee is Minor ) પો ( Note : 1. Personal Accident cover for owner driver is compulsory for Sum Insured 15,00,000 / - for Two Wheeler , Private Car , GCV , PCV and Misc - D 2. Compulsory PA cover for owner driver cannot be granted where a is owned by a company , a partnership firm or a similar body corporate or Recortance owner - driver does not hold effective driving license ) Do to include Personal Accident cover Named Persons ? Yes Lim 41 . No Insuliny you Name of the Appointee Name CSI Name of Nominee Age of Nominee Relationship Address ( If is Minor ) RentMany CLim 42 . Extension of Geographical Area Whether extension of Geographical Area to the Countries required ? 1 . Reliance 2 . Limited Insurance Nepal Relianc General 5. Pakistan Company Limited Insurance 6. Sri Lanka el ance Details of Hire / Hypothecation / Lease Purchase 43 Please state if the vehicle is under Lease ✓ Hypothecation Agreement . Hire Purchase If so , give name and address of parties . 44 . Full Name Kotak Mahindra Bank Ltd 45. Address Relianc ancerny oneralnce Note Reliance General Insurance Company Limited . IRDAI Registration No. 103 An ISO 9001 : 2015 Certified Company Registered & Corporate Office : Reliance General Insurance Company Limited , 6th Oberoi Commerz , International Business Park , Oberoi Garden City , Off Western Express Highway , Goregaon ( East ) , Mumbai - 400 063 . logo Trade IRDAN103RP001201 Corporate identification No. U66603MH2000PLC128300 UIN : displayed above belongs to Anil Dhirubhai Ambani . . Ventures Private Limited and used by Reliance General Insurance Company Limited under License . RGI / MCOM / CO / PCV / PS / Ver . 1.3 / 310118 Company Page 10 of 13 ex ---PAGE END--- any Stian GENERAL reliancegeneral.co.in relic RELIANCE Smart General INSURANCE 022 4890 3009 Limited 74004 22200 Insence rance pany neral The Insured's Declared Value ( IDV ) of the vehicle will be deemed to be the ' SUM INSURED ' for the purpose of tariff and it will be fixed at commencement of Seliance each policy period for each insured vehicle . The IDV of the vehicle is to be fixed on the basis of manufacturers ' listed selling price of the brand & model as the vehicle proposed for urance at the commencement of insurance / renewal , and adjusted for depreciation as per policy wordings . Details of Previous Insurance 46 . Full Name of previous insurer KOTAK MAHINDRA GENERAL INSURANCE COMPANY LIMITED 47 . Address Expire 48 . Policy Number 4305018500 Previous Policy 28/02/2025 પાયો 49 . Type of Cover Package Policy Liability only others ( to be describe ) onellan 50 . NO CLAIM allowed under previous policy ( % ) 0 Limited 51 . Claims taken in previous policy Yes No If yes , No. of Claims Claims 22 Are you entitled to No Claim Yes wellane Gerlinceited If yes , please submit / attached proof thereof Company Payment Details ☐ Cheque / DD Cheque / DD No. anmited Cheque / DD Date Cash Others Proposer's Bank Details 53 . Name of the Bank Account Holder 54 . Bank Account No .: 55 . Current 56 . of the Bank Relianc 57 . Branch Genom Comonymited 58 . MICR Code ( 9 digit MICR code number of the bank and branch appearing on the cheque issued by the bank ) 59 . IFSC Code ( 11 character code appearing on your cheque leaf ) I understand that any refund due on the payment / any payment / to be directly credited to my aforesaid Bank Account . * insan * As per IRDAI , its mandetory that all payments to the insured are only through electronic mode . our Curance Limited Insince Comited Relianc General Reliance Company Insurance Limited Reliance General Limited Insurance Company Relianc General Reliance Company Limited Insurance Reliance Limited General Insurance Company Relianc General Reliance Company Limited Insurance Reliance General Insurance Limited Company Relianc General Reliance surance Company Limited Reliance General Insurance Company Limited . IRDAI Registration No. 103 An ISO 9001 : 2015 Certified Company Registered & Corporate Office : Reliance General Insurance Company Limited , 6th Oberoi Commerz , Business Trade for of Western Express Highway , Goregaon ( East ) , Mumbai - 400 063 . logo to Anil Dhirubhai Ambani 02100001 above belongs Ventures Private Limited and used by Reliance General Insurance Company Limited under License . RGV / MCOM / CO / PCV / PS / Ver . 1.3 / 310118 Page 11 of 13 inc ---PAGE END--- any Stian GENERAL reliancegeneral.co.in relio RELIANCE Smart INSURANCE General 022 4890 3009 Insence Limited 74004 22200 bany Reliance GENERAL DECLARATION : DECeral I understand that as per the new AML / CFT Guidelines issued Reliance General Insurance Co. Ltd will be verifying my details pertaining to KYC and PAN provided at Vrance ano the time of proposal . I further do hereby agree and consent that in the case of the event of a mismatch of information by me in the proposal form , identification proof , and , proof at the time of issuance of the policy . I request Reliance General Insurance Company Limited to issue the policy with the details appearing as per my proposal form . I will be solely responsible for any consequences arising out of the difference in detail given by me during the verification of supporting documents provided by me at the time of issuance of the policy or otherwise . PEP Declaration : Are you a Politically Exposed Person ( PEP ) ? S No Li f yes , e mention the position held Avanc Is any of your close relation or a PEP ? Yes No If yes , please mention the name and relation and the position cetera by such close relative / family member . thoman I hereby declare that in future if me , any of my close s or any of my family mem r attains a position of PEP I shall confirm the same to Reliance General Insurance Co. Ltd as a mandate . I understand that this is a crucial information under the PMLA Rules and AML / CFT Guidelines and shall confirm that the answers given by me is true . In case the company comes to know that this is a misrepresentation and concealment of then the policy shall put on hold for e scrutiny by the company and I shall be responsible for the same . Note : " Politically Exposed Persons " ( PEPs ) individuals who have been entrusted with prominent public functions in foreign count e.g. , Heads of Revanc are are or a States / Governments , senior politicians , senior government / judicial / military officers , senior executives of state - owned corporations , important political party officials cale , etc ( As per sub clause ( xii ) of 3 ( b ) of Chapter I of Master Direction – Know Your Customer ( KYC ) Direction , 2016 issued by Reserve Bank of India ( RBI ) . Declaration by Proposer I / We hereby declare that the statements made by me / us in this Proposal Form are true to the best of my / our knowledge and belief and I / We hereby agree that this declaration shall form the basis of the contract between me / us and RELIANCE General Insurance Company Limited . I / We also declare that , if any additions or alterations are carried out after the submission of this proposal form , then the same would be conveyed to the insurers immediately . I / We hereby declare that the contents of the form and documents have been fully explained to me / us and that I / We have fully understood the significance of the proposed contract . I / We agree to accept a policy subject to the condition prescribed by the company . ⚫ I have read and understood the brochure , prospectus , sales literature & Policy wordings and confirm to abide by the same . • I / We declare that the rate of NCB stated above by me / us is correct and that no claim has arisen in the expiring policy ( copy of the policy enclosed ) . I / We further undertake that , if this declaration is found to be incorrect , all benefits under the policy in respect of section I of the policy will stand forfeited . ⚫ I / We further understand and agree that RELIANCE General Insurance will seek confirmation of above stated details from my / our previous insurers . Pending receipt of necessary confirmation , I / We agree that , though coverage under the policy will be available to me / us , RELIANCE General Insurance will be liable to release the payment towards any claims under section I of the policy only after a confirmation in this regard is received . In the event this declaration is found to be incorrect , any and all coverage available under section I of the policy from the date of commencement of the policy shall stand automatically forfeited . Further , any survey arranged / allowed by RELIANCE General Insurance of the motor vehicle , pending confirmation of the declaration from my / our previous insurers , shall be without prejudice to any of the rights and remedies available to RELIANCE General Insurance as contained herein and under the relevant laws and regulations . • I / We acknowledge and agree that , Pending receipt of confirmation of the declaration from my / our previous insurers , the " cash - less repair facility " provided by RELIANCE General Insurance shall stand suspended . • I / We also shall endeavour to procure the renewal notice and pass on the same to RELIANCE General Insurance immediately upon the receipt of such renewal notice . Mode of Payment Secure your payment by cheque / DD favouring Reliance General Insurance CO.Ltd This policy shall be voidable at the option of the Company in : . th event of mis - representation , mis - description of nondisclosure of any material particulars by the Proposer . Any person who , knowingly and with intent to defraud the Insurance Company or other persons , files a proposal fo insurance containing any false information , or conceals for the purpose of misleading , information , information concerning any fact material thereto , commits a fraudulent act which will render the policy voidable at the company's sole discretion and result in a denial of insurance benefits . • I / We here by state that the above mentioned address shall be taken as address on record for the purpose of GST . ⚫ I / We hereby confirm that the contents of the com proposal form and have fully explained to and Wei understood the Onificance s of the proposed contract ected melus . been Refully This proposal form completed by documents You can support our Go Green Initiative by saying " No " to Policy kit , Renewal Notice and Communications hard copy . We will be sending you a digitally signed soft copy on your registered Email ID & Mobile number . Go Green Hard copy required No Relianc Name mpany Date : 04 Feb 2025 04 Feb 2025 04:14 Limited dance Signature Signature of Proposer & Company Seal pany Relianceneral Prohibition of Rebates - Section 41 of the Insurance Act , 1938 as amended by Insurance Laws ( Amendment ) Act , 2015 1. No person shall allow or offer to allow , either directly or indirectly , as an inducement to any person to take out or renew or continue an insurance in respect of an any kind of risk relating to lives or property in India any rebate of the whole or part of the commission payable or any rebate of the premium shown on the policy , nor shall any person taking out or renewing or continuing a accept any rebate , except rebate as may be allowed in accordance with the published prospectuses or tables of the insurer . Reneral Reliance General Insurance Company Limited . IRDAI Registration No. 103 An ISO 9001 : 2015 Certified Company Registered & Corporate Office : Reliance General Insurance Company Limited , 6th Trade Oberoi Commerz International Business Park Oberoi Garden City Off , , , , Western Express Highway , Goregaon ( East ) , Mumbai - 400 063 . IRDAN103RP0012 . 01 Caporate Identification No. U66603MH2000PLC128300 UIN : logo displayed above belongs to Anil L Ambani . Ventures Private Limited and used by Reliance General Insurance Company Limited under License . RGI / MCOM / CO / PCV / PS / Ver . 1.3 / 310118 Page 12 of 13 anc ---PAGE END--- RELIANCE 2 . INSURANCE GENERAL I confirm Supporting Any Place Name the person mal insce Live ( In Date case of IRDAI above Confirmation default Smart * Mandatory of Agent signature The Direct in Vide policy / Broker tobe of complying Relianc0164 GSR does details Business of the Agent to nsura registered / with pany Limited not be , Name Broker ( cover filled the f ) ☐ dated liability & Signature Mr. owner / SM provisions 25.02.2022 for ☐ of / CSO of death of Mrs. the this CSO vehicle section w , Reliance General Insurance . e bodily parimite / SM proposed Reliance General . f shall 01.4.2022 injury to be be or taken for liable ) damage ) insurance for a as excluded penalty Reliance General Insurance Company Limited under Reliance Section Generance which may extend reliancegeneral.co.in 022 any 150 to ten 74004 4890 ( 2 lakh ) ( ii 3009 ) rupees 22200 Reliance General Insurance Company Limited and Signature Compa mited Stian Reliance General urat ( iii ) . : b and of C of IRDAI the Agent Motor / General Insurance Company % Vehicles nite Broker Reliance General Insurance Company Limited Reliance Relac Act 1988 ( Inserted Reliance General Insurance Company Limited Reliance General Insurance Company Limited Relianc Registered Reliance Corporate Western General Ventures Express & Private Identification Corporate Insurance Highway surance Company Limited Reliance General Insurance Company Limited Relianc Limited Office Company , and No. Goregaon : Reliance used U66603MH2000PLC128300 by Reliance ( East ) , General Limited . Mumbai Insurance General Limited Reliance General Insurance Company Limited Relianc - 400 Insurance . UIN 063 Company IRDAI . : Registration Company IRDAN103RP0012V02100001 Limited , 6th Limited Floor No. General Insurance Company Limited Relianc , 103 under Oberoi License . Trade Commerz . RGI logo , International / MCOM displayed 8 Company Limited Relianc / CO / above Business An PCV ISO / PS belongs / Park 9001 Ver : 2015 . , 1.3 to Oberoi / 310118 Anil Certified Dhirubhai Garden Relianc Ambani City Company , Off Page 13 of 13 anc ---PAGE END---