Insurance Purchase Statement

Mentioned below are the transaction details for your Kotak General Insurance policy purchased on Coverfox.com. A policy
document will be issued against these details.

Personal Details Policy Details

Name: Anwesh Pradhan Policy No.: CWP/201000124664

Mobile: +91 8093815906 Policy Type: Comprehensive

Email: anweshpradhan3@gmail.com Policy Issue Date: 27/08/2020

Address: Mig2 16/31, Bda Colony Cspur, Khorda, Policy Start Date: 30/08/2020
Odisha, 751016
Policy End Date: 29/08/2021

Total Premium: 1111.63

Payment Date: 27/08/2020

Vehicle Details

YAMAHA YZF R15 VERSION 2.0 149 (Petrol) Registration No.: OD-02-X-8973

Engine No.: G3C7E0042717 Chassis No.: ME1RG0617F0042660

Registration Date: 03/09/2015 Financier: NA

Category: Private

Coverage

Vehicle IDV: 64800 Owner Driver Cover: NA

Value of CNG/LPG Kit: NA Passenger Cover (per 0

passenger):
Electrical Accessories: NA
Voluntary Deductible: 0
Non Electrical NA
Accessories:

No Claim Bonus: 50%

Note:
This is only a transaction confirmation receipt and cannot be used for filing claims.
Have questions, suggestions or complaints? Connect with our Customer Service Unit:
Toll free no.: 1800 209 9930 (Mon to Sat, 9am-9pm) Email: help@coverfox.com

Coverfox Insurance Broking Pvt. Ltd. : Unit B2-601, Boomerang, Chandivali Farm Road, Near Chandivali Studio, Andheri East,
Mumbai - 400072
IRDAI Direct Broker Code : IRDA/ DB 556/ 13, Valid till: 26/12/2022