New PolicyPolicy No: 17060031156160000191 Package (Private Car) RTA

[Issued on 29-May-2015] Regional Transport Officer, Muzaffarpur BiharTHE INSURED: Name : MR.PRAMOD KUMAR

Address : S/O SRI MOJE LAL SAH, AT- B.HASSAN, PO- V.PANDAY, MUZAFFARPURPincode : 843111 Profession / Business : Businessmen

Period of Insurance From : 31/05/2015 00:00:00 to midnight on : 30/05/2016Vehicle Make: Hyundai i10 1.2 Kappa Magna MTGeographical

AreaEngine- no Chassis- no Type of Body CC Mfg.

YearSeatingCapacity

/ G.V.W.Registration No.

INDIA G4LABM623741 MALAM51CLBM87 2023*C Saloon 1197 2011 5 BR-06-Y-6003INSURED DECLARED VALUE Extension : No Extension

Vehicle Non ElectricalAccessories

ElectricalAccessories

CNG/LPG Kit IDV of Trailer Total IDV

Rs. 2,70,394 Rs. 0 Rs. 0 Rs. 0 Rs. 0 Rs. 2,70,394Schedule of Premium

Net Premium : Rs. 7,199Service Tax @ 12.36 % Rs. 890Total Premium : Rs.8,089

NOTE:1. Warranted that in case of dishonour of the premium cheque, this document stands automatically cancelled 'AB-INITIO'.2. Consolidated Stamp duty paid.

Compulsory Excess: Rs. 1,000 Imposed Excess : Rs. 0 Voluntary Excess : Rs. 0 StampDuty : Re. 1

Nominee Details of Compulsory PA:Nominee Name Relationship Nominee Age Name of Appointee Relation of Appointee ANJU DEVI Spouse 32

Limitations as to use : The Policy covers use of the Vehicle for any purpose other than a) Hire or Reward b) Carriage of Goods(other thansamples or personal luggage) c) Organized racing d) Pace making e) Speed Testing and Reliability Trials f) Use in connection with MotorTradeDrivers Clause : Any person including Insured Provided that a person driving holds an effective driving licence at the time of the accident andis not disqualified from holding or obtaining such a licence. Provided also that the person holding an effective Learner''s Licence may alsodrive the vehicle and such a person satisfies the requirements of Rule 3 of Central Motor Vehicles Rules, 1989.Limits of Liability Clause: Under section II 1 (i)of the policy-Death or bodily injury.Such amount as is necessary to meet the requirements of themotor vehicle act 1988.under section II 1 (ii)of the policy -Damage to third party property is Rs.7,50,000 PA Cover under section 3 forowner-driver is Rs. 2.0 lakhs.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 pendingduring the preceeding year(s),as follows : The preceding year/20%, preceeding two consecutive years/25%, preceeding three consecutiveyears/35%, preceeding four consecutive years/45%, preceeding five consecutive years/50% of NCB on OD Premium. No Claim bonus only beallowed provided the policy is renewed within 90 days of the expiry date of the previous policy.Financier Name Others Financier's Pin Code 842001Financier's Branch Details MAGMA FINCORP LTD. MUZAFFARPURFinancier Type Hypothecation

Subject to I.M.T Endt. printed herein/attached hereto : 7, 22, 28The Insured is not indemnified if the vehicle is used or drivenotherwise than in accordance with this schedule.Any paymentmade by the company by reasons of wider terms appearing inthe certificate in order to comply with the Motor VehiclesAct,1988 is recoverable from the insured.See the clauseheaded "AVOIDANCE OF CERTAIN TERMS AND RIGHT OFRECOVERY".For legal interpretation, english version will holdgood

CIN No: U10200WB1906GOI001713, IRDA Regn. No:58

I/We hereby certify that this Certificate cum Schedule of Insuranceissued in accordance with the provisions of chapter X and chapter XI of MotorVehicles Act,1988 For & On behalf of the National Insurance CompanyLimited

Authorised Signatory

Collection Number : 17060081158000000208 Collection Date : 29-May-2015Service Tax Registration No : AAACN 4165 CST 178

Registered Office3, Middleton Street, Post Box No. 9229, Kolkata - 700 071

Policy Issuing Office Muzaffarpur Division ,P and T Chowk, Gaushala Road, Muzaffarpur, Bihar, Pin : 842002Tel: 0621 2244711 (D) 2245357 (G) , 2240661 Fax: 06212244711 Email:

CERTIFICATE OF INSURANCE CUM POLICY SCHEDULE

balaji_hyundai 29/05/2015 10:31:38 A.M. - 1 -Visit us at www.nationalinsuranceindia.com for information on Products, Services and Grievance Redressal.