Servicing Office:

IFFCO TOKIO GEN INS CO LTD H 1 B, DURGA CITY CENTER NANITAL ROAD HALDWANI UTTRANCHAL 263139 INDIA Phone # 5946-284066-67

IFFCO-TOKIO GENERAL INSURANCE CO. LTD

Regd. Office: IFFCO Sadan C1 Distt. Centre, Saket, New Delhi - 110017 TWO WHEELER POLICY CERTIFICATE OF INSURANCE CUM SCHEDULE

Agent Name: 29000030 29000030 29000030 Agent #: Agent Mobile #: 9837407007 Policy # : 1-HGC5E7 P400 Policy # :75779918

Insured's Name : HIMANSHU ARORA Address: S/O KEVAL ARORA R/O AMAJ MANDI GADARPUR UTTRANCHAL UDHAM SINGH INDIA Phone #: 9837058068

Pin Code 263152 Cover Note # : 71684679

Date of Issuance : Period of Insurance Geographical Area :

09/03/2011 From: 27/02/2011 : 00:00:00 To : Midnight on 26/02/2012 : 00:00:00 Within India Only

Insured Motor Vehicle Details & Premium Calculation Registration Mark & No. Year of Org. Sale/Year of Manuf. 2008 Type of Body Make of Vehicle BAJAJ PULSAR 150 CC Coverage IDV in Rs. Engine No. 27332 Chassis No. 27068 Seating Capacity 2

UK12ER6421

150

Package

39,775.00

Registration Authority : Two Wheeler 39,775.00 Side Car 0.00 Accessories 0.00 A. Own Damage (Rs.) Basic Premium Side Car Premium Electrical Accessories (IMT 24) Accessories (IMT 33) Bi Fuel Kit (IMT 25) Add : Rallies (IMT 31) Foreign Vehicle Loading (IMT 19) Geographical Area Extension (IMT 1) Elec./Elect. Acc. 0.00 Bi-Fuel Kit 0.00 Total Value 39,775.00 B. Third Party (Rs.) 666.63 Basic Premium 0.00 Bi Fuel Kit (IMT 25) 0.00 PA Owner:Driver CSI Rs 100000 0.00 0.00 Add : 0.00 Legal Liability to Driver (IMT 28) 0.00 Legal Liability to Employee (IMT 29) 0.00 PA to Passenger (IMT 16) Rallies (IMT 31) Geographical Area Extension (IMT 1) Less : 0.00 Third Party Property Damage (IMT 20) 0.00 Limit of Liability Under Section II-I (ii) 0.00 0.00 0.00 -233.32 -93.16 Any Other Loading Discount 340.15 Net (B) Total Premium (A + B) Service Tax/GST Premium Paid Rs. 300.00 0.00 50.00 Net Premium Rs. 690.15

0.00 0.00 0.00 0.00 0.00 0.00 100,000.00

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 Any Other Loading/Discount Net (A) Co-Insurance Details Co-Insurer 1 Co-Insurer 2 Co-Insurer 3 Co-Insurer 4

( 35% ) ( -21.5% )

0.00 350.00 Rs. 690.15 71.09 Rs. 761.23

Agent No./Share No Co-Insurer! No Co-Insurer! No Co-Insurer! No Co-Insurer! NA

Under Hire Purchase /Hypothecated/Lease Aggreement with Subject to IMT Endorsement Nos. Limitation as to use :

Printed herein / attached hereto Driver Clause :

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

Use only for social domestic and pleasure purpose and for the insured's business or profession. The policy does not cover use for hire or reward, tution, racing, pacemaking,reliability trails, speed testing, carriage of goods(other than samples or personal luggage) in connection with any trade or business or use for any purpose in connection with Motors Trade.

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

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

Receipt Particulars Cash / Cheque No : CASH 761.00 Premium : Bank Details :

S.Tax.No. D-III/ST/R-IV/GEN.INS./01/03 Dated :

For IFFCO-TOKIO General Insurance Co. Ltd.

Authorised Signatory

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