kotak General Insurance
Ref No .: GEN / WEL / SG / 0008.3 / 3362337601
Date : 30/04/2024
To ,
M / S . SUDEEP LOGISTICS PRIVATE LIMITED
H NO 4 314 PROGRESIVE MODEL CO
VAIDUWADI HADAPSAR
Pune 411013
TO DOWNLOAD
District : PUNE POLICY WORDING
SCAN HERE
MAHARASHTRA , India
Contact Details 7498345679
Policy number : 3362337601
CKYC ID : 80031420566485
Subject : Risk assumption for Kotak Commercial Vehicle Secure ( Passenger Carrying Vehicle )
Dear M / S . SUDEEP LOGISTICS PRIVATE LIMITED ,
We welcome you to Kotak Mahindra General Insurance Company Limited and thank you for choosing us as your preferred service
provider .
This is with reference to your above mentioned Policy issued under Kotak Commercial Vehicle Secure ( Passenger Carrying Vehicle ) .
Enclosed please find the Policy Schedule outlining the details of your policy . Kindly note that the proposal is underwritten and policy is
issued based on the information submitted to us by you , as well as acceptance of the terms and conditions . Policy schedule must be read
in conjunction with the product brochure and policy wordings . Please visit https://www.kotakgeneral.com/customer-
support / downloads or scan above QR code for detailed policy wording .
We request you to carefully go through the same once again and in case of any disagreement , discrepancy or clarifications , please call us
on our toll free number 1800 266 4545 or write to us at care@kotak.com within 15 days from the date of this letter . Alternatively , you can
also write to us at 8th Floor , Kotak Infinity , Building No. 21 Infinity Park , Off Western Express Highway General AK Vaidya Marg , Malad
( E ) Mumbai - 400 097 , India .
Please note that the information provided by you will be verified at the time of claim and the captioned Policy shall be treated as void in
case of any untrue or incorrect statement , misrepresentation , non - description or non - disclosure in any form whatsoever made by you or by
your agent , on your behalf , at any stage .
In case where premium is not received by us due to cheque dishonour or any other reason , the insurance cover shall be void ab - initio .
As a valued customer , we would like to provide regular updates on your policy through email and SMS . We therefore request you to keep
us updated of any change in your contact details .
Assuring you of our best services at all times .
Thanking you ,
Yours sincerely ,
For Kotak Mahindra General Insurance Company Limited
Suresh Shaka
Authorised Signatory
Kotak Mahindra General Insurance Company Limited
CIN : U66000MH2014PLC260291 , Registered Office : 27 BKC , C 27 , G Block , Bandra Kurla Complex , Bandra East , Mumbai - 400051. Maharashtra , India .
Office : 8th Floor , Zone IV , Kotak Infinity , Building No.21 , Infinity IT Park , Off Western Express Highway , General AK Vaidya Marg , Dindoshi , Malad ( E ) , Mumbai - 400097. India .
Toll Free : 1800 266 4545 Email : care@kotak.com Website : www.kotakgeneral.com IRDAI Reg . No. 152
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Kotak Commercial Vehicle Secure ( Passenger Carrying Vehicle ) UIN : IRDAN152RP0009V02201516 ; Depreciation cover : IRDAN152RP0009V02201516 / A0032V01201819
Kotak Mahindra General Insurance Company Limited
CIN : U66000MH2014PLC260291 , Registered Office : 27 BKC , C 27 , G Block , Bandra Kurla Complex , Bandra East , Mumbai - 400051. Maharashtra , India .
Office : 8th Floor , Zone IV , Kotak Infinity , Building No.21 , Infinity IT Park , Off Western Express Highway , General AK Vaidya Marg , Dindoshi , Malad ( E ) , Mumbai - 400097. India .
Toll Free : 1800 266 4545 Email : care@kotak.com Website : www.kotakgeneral.com IRDAI Reg . No. 152
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Kotak Commercial Vehicle Secure ( Passenger Carrying Vehicle )
Comprehensive Policy
Certificate cum Policy Schedule
Policy / Certificate No : 3362337601
For any assistance please call 1800 266 4545 or visit www.kotakgeneral.com
INSURED DETAILS POLICY DETAILS
Name : M / S . SUDEEP LOGISTICS PRIVATE LIMITED Policy Issuing Office : Mansurali Tower 1St Floor , Plot
No.6 Boat Club Road Pune Maharashtra 411001 .
Address : H NO 4 314 PROGRESIVE MODEL CO VAIDUWADI
HADAPSAR Pune - 411013 District : PUNE Period of Insurance :
MAHARASHTRA ( 27 ) , India
From : 30/05/2024 00:00 to : 29 / 05 / 2025 Midnight
Place of Supply : MAHARASHTRA
Policy issued
Supply State Code : 27 Cover Note No : NA
on : 30/04/2024
Phone : ÎΑ
Hypothecated to : CHOLAMANDALAM INVESTMENT &
Mobile : 7498345679 FINANCE CO LTD
Email : AMOL12RANSHUR@GMAIL.COM
GSTIN : 27AATCS2867F1ZS
VEHICLE DETAILS
Registration Manufacturer Model Variant Year of RTO Location Engine Vehicle Chassis / Licensed Seating Gross
Number Manufacture Number Trailer Chassis No. Carrying Capacity Vehicle
Capacity Weight
MH12VF5375 EICHER 2065 SCHOOL BUS 2023 PUNE E336CDPD06 MC2FBERTOPD528340 31 31 0
31 + 1STR BSVI 6182
IDV of Body IDV of Chassis Non - Electrical Electrical & Electronic Trailer CNG LPG Kit Total
( in ) ( in ) Accessories fitted to the Accessories fitted to the ( in ) Value of
(
in
)
Vehicle ( in ) Vehicle ( in ) the
Vehicle
( in )
0 20,47,478 0 0 0 0 20,47,478
Category School Bus
PREMIUM COMPUTATION TABLE ( IN * )
Section I Section II
Liability
Basic TP Including TPPD Premium 35,287.00
Own Damage Legal Liability to Paid Driver 100.00
Basic Own Damage 2,669.91 Total Liability Premium ( B ) 35,387.00
Add :
Cover for Lamps Tyres Tubes Mudguards Bonnet Side parts 400.49 Section III
Less : Personal Accident
No Claim Bonus Percent 20 % 614.08
Total Own Damage Premium ( A ) 2,456.32
Total Personal Accident Premium ( C ) 0.00
Taxable value of Services ( A + B + C ) 37,843.32
CGST @ 9 % 3,405.90
SGST @ 9 % 3,405.90
Total Premium ( in * ) 44,655.00
Geographical Area INDIA Additional Excess 0 Compulsory Deductible 1,000
Voluntary Deductible for Depreciation
No. of Claims for Depreciation Cover Total Deductible 1,000
Cover
Kotak Commercial Vehicle Secure ( Passenger Carrying Vehicle ) UIN : IRDAN152RP0009V02201516 ; Depreciation cover : IRDAN152RP0009V02201516 / A0032V01201819
Kotak Mahindra General Insurance Company Limited
CIN : U66000MH2014PLC260291 , Registered Office : 27 BKC , C 27 , G Block , Bandra Kurla Complex , Bandra East , Mumbai - 400051. Maharashtra , India .
Office : 8th Floor , Zone IV , Kotak Infinity , Building No.21 , Infinity IT Park , Off Western Express Highway , General AK Vaidya Marg , Dindoshi , Malad ( E ) , Mumbai - 400097. India .
Toll Free : 1800 266 4545 Email : care@kotak.com Website : www.kotakgeneral.com IRDAI Reg . No. 152
---PAGE END---S kotak General Insurance
INTERMEDIARY DETAILS
Intermediary Code 8179400000 Intermediary Name BHAGYASHRI ASHOK SHEWANTE
Intermediary's Mobile No. 9326689009 Intermediary's Landline No.
CUSTOMER DECLARATION FOR CNG / PNG KIT
I / We agree and undertake to immediately inform the Company in case of change on account of addition of CNG / PNG kit and obtain necessary endorsement in the
Policy .
DISCLAIMER
For complete details on terms and conditions governing the coverage and NCB please read the Policy Wordings . This document is to be read with the Policy
Wordings ( which are also available on the Company website i.e. www.kotakgeneral.com ) . Please refer to the claim form for necessary documents to be submitted for
processing the claim .
PUC DECLARATION
This policy has been issued subject to valid Pollution Under Control ( PUC ) Certificate / Fitness Certificate disclosed to our representative / declared by You prior to
commencement of risk under this policy and further undertaking to renew and maintain a valid PUC throughout the duration of the Policy .
LIMITS OF LIABILITY
Under Section II - 1 ( i ) of the policy - > Death of or bodily injury : Such amounts is necessary to meet their requirements of Motor Vehicles Act , 1988 .
Under Section II - 1 ( ii ) of the policy - > Damage to Third Party Property ₹ 7,50,000 ; PA Cover under Section III : for Owner Driver CSI O
LIMITATIONS AS TO USE
Passengers Carrying Vehicle : The policy covers use only under a permit within the meaning of the Motor Vehicles Act , 1988 or such a carriage falling under sub-
section ( 3 ) of Section 66 of the Motor Vehicles Act , 1988. The policy does not cover use for : a ) Organized racing b ) Pace Making c ) Reliability trials d ) Speed testing e )
Use whilst drawing a trailer except the towing ( other than for reward ) of any one disabled Mechanically propelled vehicle .
DRIVER'S CLAUSES
Any person including the insured : Provided that a person driving hold an effective Driving License at the time of accident and is not disqualified from holding or obtaining
such a license . Provided also that the person holding an effective Learners ' License may also drive the Vehicle and that such a person satisfies the requirements of Rule
3 of the Central Motor vehicles Rules 1989 .
NO CLAIM BONUS SCALE
Number of Claims % of Discount on Own Damage Premium
No claim made or pending during the preceding full year of insurance 20 %
No claim made or pending during the preceding 2 consecutive years of insurance 25 %
No claim made or pending during the preceding 3 consecutive years of insurance 35 %
No claim made or pending during the preceding 4 consecutive years of insurance 45 %
No claim made or pending during the preceding 5 consecutive years of insurance 50 %
IMPORTANT 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 Policy 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 .
Subject to I.M.T. Endt . Nos . & Memorandum 21 , 28 , 7 , 23 Printed / herein / attached hereto Under Hire Purchase Agreement with NA
Kotak Commercial Vehicle Secure ( Passenger Carrying Vehicle ) UIN : IRDAN152RP0009V02201516 ; Depreciation cover : IRDAN152RP0009V02201516 / A0032V01201819
Kotak Mahindra General Insurance Company Limited
CIN : U66000MH2014PLC260291 , Registered Office : 27 BKC , C 27 , G Block , Bandra Kurla Complex , Bandra East , Mumbai - 400051. Maharashtra , India .
Office : 8th Floor , Zone IV , Kotak Infinity , Building No.21 , Infinity IT Park , Off Western Express Highway , General AK Vaidya Marg , Dindoshi , Malad ( E ) , Mumbai - 400097. India .
Toll Free : 1800 266 4545 Email : care@kotak.com Website : www.kotakgeneral.com IRDAI Reg . No. 152
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TAX DETAILS
Service Tax / GST Registration No. 2 7 AAF CK 7 0 1 6 C 1 Z T Category : General Insurance Services
SAC Code 997134 Description Motor vehicle insurance services
Invoice Number 3362337601
DECLARATION
I / We hereby certify that the policy to which the certificate relates as well as the certificate of insurance are issued in accordance with the provision of chapter X , XI of
M.V.Act 1988 .
In Witness whereof this Policy has been signed for and behalf of Mansurali Tower 1St Floor , Plot No.6 Boat Club Road Pune Maharashtra 411001. at Mumbai this 30 day
of April of 2024
Stamp Duty of 0.50 is paid as provided under Article 47 ( B ) of Indian Stamp Act , 1899 and included in Consolidated Stamp Duty Paid to the Government of Maharashtra
Treasury vide Order of Addl . Controller Of Stamps , Mumbai at General Stamp Office , Fort , Mumbai - 400001. , vide this Order No. ( LOA / ENF - 2 / CSD / 17 / 2023 / Validity
Period Dt . 12/12/2023 To Dt . 31/12/2025 ( O / w.No . 5072 ) / Date : 12/12/2023 ) .
For Kotak Mahindra General Insurance Company Limited
Suresh Shaka
Authorised Signatory
This document is digitally signed , hence counter signature / stamp is not required .
Kotak Commercial Vehicle Secure ( Passenger Carrying Vehicle ) UIN : IRDAN152RP0009V02201516 ; Depreciation cover : IRDAN152RP0009V02201516 / A0032V01201819
Kotak Mahindra General Insurance Company Limited
CIN : U66000MH2014PLC260291 , Registered Office : 27 BKC , C 27 , G Block , Bandra Kurla Complex , Bandra East , Mumbai - 400051. Maharashtra , India .
Office : 8th Floor , Zone IV , Kotak Infinity , Building No.21 , Infinity IT Park , Off Western Express Highway , General AK Vaidya Marg , Dindoshi , Malad ( E ) , Mumbai - 400097. India .
Toll Free : 1800 266 4545 Email : care@kotak.com Website : www.kotakgeneral.com IRDAI Reg . No. 152
---PAGE END--- C kotak General Insurance
Transcript of Online Proposal
Guideline
1. This is a transcript of the details provided by you and is basis of underwriting the policy . Request you to review the complete information & come -get back to us within
15 days of issuance of this document in case there is any discrepancy found .
2. The policy is subject to premium receipt and would incept from the date specified in the policy schedule .
3. This document has to be read in conjunction with the policy document .
4. Refund if any , would be processed in the same source ( net banking / credit card / debit card ) from which the premium payment has been made .
5. The policy is subject to the underwriting guidelines of the Company .
6. Online premium payment should be made by the policyholder himself . No third party payment should be made using this mode of payment .
Proposal No : 202404300131480
Proposal for Renewal Policy
44,655.00 Premium Amount ( Inclusive of all applicable taxes )
Type of cover : Comprehensive Policy
Registration No. Vehicle Make / Model / Variant Type of body Fuel Type
MH12VF5375 EICHER / 2065 / SCHOOL BUS 31 + 1STR BSVI SCHOOL BUS Diesel
Licensed Carrying
Capacity ( LCC ) ( for
Year of Manufacture IDV of Body IDV of Chassis Engine Number Chassis Number
Passenger Carrying
Vehicle )
2023 0 20,47,478 E336CDPD06 6182 MC2FBERTOPD528340 31
Special conditions :
PROPOSER / OWNER'S DETAILS
1. Title and Name of the Insured : SUDEEP LOGISTICS PRIVATE LIMITED
2. Insured Permanent Address * H NO 4 314 PROGRESIVE MODEL CO VAIDUWADI HADAPSAR District : PUNE 411013 MAHARASHTRA ( 27 ) , India
If Correspondence Address different from
H NO 4 314 PROGRESIVE MODEL CO VAIDUWADI HADAPSAR Pune - 411013 District : PUNE MAHARASHTRA , India
Permanent Address , please provide * :
3.Phone 4.Mobile * 7498345679 5.Email ID * AMOL12RANSHUR@GMAIL.COM
6.Gender 7.Date Of Birth * 8. Nationality
Proposal Date & Time : 30/04/2024 22:26
Policy Start Date : 30/05/2024 00:00
Policy End Date :
29/05/2025 at midnight
( Comprehensive )
Policy End Date :
29/05/2025 at midnight
( Compulsory PA )
Limitations as to use ( PCV ) :
The Policy does not cover use of the vehicle for the purpose of Carriage of goods ( other than samples or personal luggage ) , organized racing , Pace making , speed testing ,
reliability trails , any purpose in connection with Motor Trade and Use whilst drawing a trailer except the towing ( other than for reward ) of any one disabled Mechanically
propelled vehicle . The Policy covers use only under a permit within the meaning of the Motor Vehicle Act , 1988 or such a carriage falling under Sub - section 3 of Section 66
of the Motor Vehicles Act 1988
Driver's Clauses : Any person including insured : Provided that a person driving hold an effective Driving Licence at the time of accident and is not disqualified from holding
or obtaining such a licence . Provided also that the person holding an effective Learners ' Licence may also drive the Vehicle and that such a person satisfies the
requirement of Rule 3 of the Central Motor Vehicle Rules , 1989 .
Kotak Commercial Vehicle Secure ( Passenger Carrying Vehicle ) UIN : IRDAN152RP0009V02201516 ; Depreciation cover : IRDAN152RP0009V02201516 / A0032V01201819
Kotak Mahindra General Insurance Company Limited
CIN : U66000MH2014PLC260291 , Registered Office : 27 BKC , C 27 , G Block , Bandra Kurla Complex , Bandra East , Mumbai - 400051. Maharashtra , India .
Office : 8th Floor , Zone IV , Kotak Infinity , Building No.21 , Infinity IT Park , Off Western Express Highway , General AK Vaidya Marg , Dindoshi , Malad ( E ) , Mumbai - 400097. India .
Toll Free : 1800 266 4545 Email : care@kotak.com Website : www.kotakgeneral.com IRDAI Reg . No. 152
---PAGE END---S kotak General Insurance
STATUTORY WARNING PROHIBITION OF REBATES ( Under Section 41 of Insurance Act 1938 )
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 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 Policy accept any rebate , except such rebate as may be allowed in accordance with the published prospectuses or
tables of the Insurer .
2 ) Any person making default in complying with the provisions of this section shall be punishable with fine , which may extend to 1,000,000 / -
VEHICLE DETAILS
Date of CNG / LPG / Bi Lease / Hire / Hypothecation ( Name and Color of
Registration Authority and RTO Location No of Wheels
Registration Fuel address of concerned parties ) Vehicle
CHOLAMANDALAM INVESTMENT &
PUNE 30/05/2023 Diesel 4
FINANCE CO LTD
* Electrical &
* Non - Electrical
Electronic
IDV of Body IDV of Chassis Accessories * Trailer * CNG LPG Kit * Total Value
Accessories
( in INR ) ( in INR ) fitted to the Vehicle ( in INR ) ( in INR ) ( in INR )
fitted to the Vehicle
( in INR )
( in INR )
0 20,47,478 0 0 0 20,47,478
PUC - YES
OPTIONAL ADD - ON COVERS
#If Depreciation cover is selected : Voluntary Deductible offered under the
1. Depreciation Cover # 2 . Engine Protect
" Depreciation Cover " , which would be applied over and above the Compulsory
3. Return to Invoice 4 . Consumable Cover Deductible ? No
6 . Key Replacement
5. Road Side Assistance
Sum Insured
7.Tyre Cover 8. NCB Protect
9. Additional PA Cover for Owner Driver 10. Additional PA Cover for Passengers
Sum Insured Sum Insured
11. Hospital Cash Benefit 12. EMI Protect
Max No. of days Select .. Monthly Amount
Per day benefit Select .. No of EMIS Select ..
14. Loss of Income
13. Additional Towing Charges
Max No. of days Select ..
Sum Insured
Per day benefit Select ..
Kotak Commercial Vehicle Secure ( Passenger Carrying Vehicle ) UIN : IRDAN152RP0009V02201516 ; Depreciation cover : IRDAN152RP0009V02201516 / A0032V01201819
Kotak Mahindra General Insurance Company Limited
CIN : U66000MH2014PLC260291 , Registered Office : 27 BKC , C 27 , G Block , Bandra Kurla Complex , Bandra East , Mumbai - 400051. Maharashtra , India .
Office : 8th Floor , Zone IV , Kotak Infinity , Building No.21 , Infinity IT Park , Off Western Express Highway , General AK Vaidya Marg , Dindoshi , Malad ( E ) , Mumbai - 400097. India .
Toll Free : 1800 266 4545 Email : care@kotak.com Website : www.kotakgeneral.com IRDAI Reg . No. 152
---PAGE END---S kotak General Insurance
RISK INCLUSION / EXCLUSION
* Name of Appointee ( if Relationship to the
Personal Accident Cover of INR 15,00,000 * Nominee Name and Age * Relationship
1. * nominee is a minor ) Nominee
for the Owner Driver
2. Do you wish to include Personal Accident Name CSI Opted ( Rs ) * Nominee Name Relationship
cover for the Named passenger ? No
Please give details mentioned aside :
No. of Persons
3. Do you wish to include Personal Accident cover for the Un - named Passengers / hirer / pillion C. S. I. ( Per Person )
As Per Seating Capacity
passenger ? No
Please give details mentioned aside :
# The maximum CSI available per person is ₹ 2,00,000 , each in multiples of 10,000 .
4. Do you wish to restrict Third Party Property Damage of 7.5 Lakh to the statutory TPPD liability limit of 6,000 / - only ? No
5. Legal liability against Third Party Risks : Do you wish to cover legal liability ? A ) Paid Driver and / or Conductor and / or Cleaner Yes No If Yes , no of person ( 2 )
B ) Other Employees Yes ☑No If Yes , no . of Person : C ) Unnamed Passengers Yes No If Yes , no . of Person : 0
Compulsory Personal Accident ( PA ) Cover for owner - driver ( PA Cover for Owner -Driver is compulsory for individual vehicle owners )
I hereby declare that the Owner Driver does not require Compulsory Personal Accident Cover as
|| Owner Driver has a separate existing Personal Accident cover against Death and Permanent Disability ( Total and Partial ) for Sum Insured of atleast 15
lacs.Tenure years | to |
| The Vehicle to be insured is not owned by an individual
The Owner Driver does not have an effective driving license .
( Note : Where the owner driver owns more than one vehicle , compulsory PA cover can be granted for any one vehicle as opted by him / her ) . Personal Accident cover for
owner driver is compulsory for Sum Insured of 15 lacs for Two - wheeler , Private Car and Commercial Vehicles . Compulsory PA Cover for Owner Drivers cannot be granted
where the vehicle is owned by a company , a partnership firm or a similar body corporate .
PREVIOUS INSURANCE DETAILS
1. Name and address of the previous insurer KOTAK - MANSURALI TOWER , 1ST FLOOR , PLOT NO.6
2. Previous Policy Type Comprehensive 3. Previous Policy Number 3362337600 4. Existing bonus 0 %
5. Period of Insurance 30/05/2023 To 29/05/2024
6. Details of Claims made : No
Whether you are entitled to No Claim Bonus ? Yes [ NO
DETAILS OF DEPRECIATION
Table 1 : Schedule of depreciation for arriving at IDV :
The Insured's declared value ( IDV ) of the vehicle will be deemed to be the ' Sum insured ' and it will be fixed at commencement of each policy period for each insured vehicle
Age of The Vehicle % of Depreciation for fixing IDV Age of The Vehicle % of Depreciation for fixing IDV
Not exceeding 6 Months 5 % Exceeding 2 years but not exceeding 3 years 30 %
Exceeding 6 months but not exceeding 1 year 15 % Exceeding 3 years but not exceeding 4 years 40 %
Exceeding 1 year but not exceeding 2 years 20 % Exceeding 4 years but not exceeding 5 years 50 %
Note : IDV of obsolete models of vehicles ( i.e. Models which the manufacturers have discontinued to manufacture ) and vehicles beyond 5 years of age will be determined
on the basis of an understanding between the insurer and the insured .
PAYMENT DETAILS
Payment Mode : CHEQUE
Payment Reference No : 027525
Payment Amount : 6,55,175.00
Payment / Transaction Date : 29/04/2024
Bank Details : AXIS BANK LTD . , WANAWADI ( PUNE ) , UTIB0000110
I confirm that the premium is paid out of my legitimate sources of fund and the Company has the right to call for documents to establish sources of funds . The Company
has the right to cancel the policy in case I am / have been found guilty by any competent authority or court of law .
Intermediary Code : 8179400000
Kotak Commercial Vehicle Secure ( Passenger Carrying Vehicle ) UIN : IRDAN152RP0009V02201516 ; Depreciation cover : IRDAN152RP0009V02201516 / A0032V01201819
Kotak Mahindra General Insurance Company Limited
CIN : U66000MH2014PLC260291 , Registered Office : 27 BKC , C 27 , G Block , Bandra Kurla Complex , Bandra East , Mumbai - 400051. Maharashtra , India .
Office : 8th Floor , Zone IV , Kotak Infinity , Building No.21 , Infinity IT Park , Off Western Express Highway , General AK Vaidya Marg , Dindoshi , Malad ( E ) , Mumbai - 400097. India .
Toll Free : 1800 266 4545 Email : care@kotak.com Website : www.kotakgeneral.com IRDAI Reg . No. 152
---PAGE END---C kotak General Insurance
TAX INVOICE
Details of Receiver ( Billed To ) Details of Supplier ( billed by )
Kotak Mahindra General Insurance
GSTIN / UIN 27AATCS2867F1ZS Name :
Company Limited
Customer ID 1011509791 GSTIN : 27AAFCK7016C1ZT
M / S . SUDEEP LOGISTICS PRIVATE
Customer Name Pan Number : AAFCK7016C
LIMITED
Email ID AMOL12RANSHUR@GMAIL.COM CIN : U66000MH2014PLC260291
Mansurali Tower 1 St Floor , Plot No.6Boat
Contact No 7498345679 Address :
Club RoadPune Maharashtra 411001 .
H NO 4 314 PROGRESIVE MODEL CO ,
Address VAIDUWADI HADAPSAR , PUNE , 411013 , Date of Invoice 30/04/2024
MAHARASHTRA , India
IMD Code 8179400000 Invoice No 3362337601
Receipt No 1202500162106 Proposal No 202404300131480
Partner Application No 3362337600
State Code 27 State Code : 27
Place Of Supply Name MAHARASHTRA - 27 State Name MAHARASHTRA
IRN
HSN / SAC Total Value of Supply Taxable value of Supply CGST CGST Amt SGST SGST Amt
HSN / SAC Description
Code ( Rs . ) ( Rs . ) Rate ( Rs . ) Rate ( Rs . )
Motor vehicle insurance 997134 37843.32 37843.32 9 % 3,405.90 9 % 3,405.90
services
Total 37843.32 37843.32 3405.9 3405.9
Total Invoice Value ( In
44,655.00
Figure )
Total Invoice Value ( In
Forty Four Thousand Six Hundred Fifty Five
Words )
Whether Tax Payable on a Reverse Basis or Not No
For : Kotak Mahindra General Insurance Company Limited
Suresh Shaka
Authorized Signatory
" I / We hereby declare that though our aggregate turnover in any preceding financial year from 2017 -18 onwards is more than the aggregate turnover notified
under sub - rule ( 4 ) of rule 48 , we are not required to prepare an invoice in terms of the provisions of the said sub - rule . "
Kotak Commercial Vehicle Secure ( Passenger Carrying Vehicle ) UIN : IRDAN152RP0009V02201516 ; Depreciation cover : IRDAN152RP0009V02201516 / A0032V01201819
Kotak Mahindra General Insurance Company Limited
CIN : U66000MH2014PLC260291 , Registered Office : 27 BKC , C 27 , G Block , Bandra Kurla Complex , Bandra East , Mumbai - 400051. Maharashtra , India .
Office : 8th Floor , Zone IV , Kotak Infinity , Building No.21 , Infinity IT Park , Off Western Express Highway , General AK Vaidya Marg , Dindoshi , Malad ( E ) , Mumbai - 400097. India .
Toll Free : 1800 266 4545 Email : care@kotak.com Website : www.kotakgeneral.com IRDAI Reg . No. 152
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