Uploaded by Siddhant Kankani

Kia New

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Kotak Car Secure - Bundled
Comprehensive Policy
Endorsement Schedule
Policy / Certificate No: PBW/000000205756
Ref No.: GEN/END/SG/0061.1/PBW/000000205756
Endorsement Number:
2915071500001
Endorsement Effective Date: 27/01/2023 00:00
Endorsement Issue Date:
07/02/2023
Policy Status: Active
Insured Name:
Mr. Siddhant Kankani Huf
Period of Insurance:
Address:
76 PONNURANGAM ROAD WEST, RS
PURAM, COIMBATORE 641002
Coimbatore - 641002 District:
COIMBATORE
TAMIL NADU(33), India
For Own Damage Section :
From: 27/01/2023 00:00
to: 26/01/2024 Midnight
For Third Party Liability Section and
Optional PA Covers:
From: 27/01/2023 00:00
to: 26/01/2026 Midnight
to: 26/01/2024 Midnight
Place of Supply:
TAMIL NADU
Supply State Code:
33
For Compulsory PA for Owner- Driver:
From : 27/01/2023 00:00
Policy Issuance Office:
201-204, 301 Chintamani Classique
Vishweshwar Nagar, Off Aarey Road
Mumbai Maharashtra 400063.
Hypothecated To: KOTAK MAHINDRA BANK
Coimbatore
VEHICLE DETAILS
Registration
Number
Manufacturer
Model
NEW
KIA
SONET
Variant
Engine
Number
Chassis
Number
Cubic
Capacity
Seating
Capacity
NCB %
998
5
0
HTK PLUS TURBO IMT G3LCNV050032 MZBFB811LPN255194
Insured Declared Value
(IDV) of the Vehicle
(in ₹)
Non - Electrical
Accessories fitted to the
Vehicle (in ₹)
Electrical & Electronic
Accessories fitted to the
Vehicle (in ₹)
Trailer (in ₹)
CNG / LPG Kit
(in ₹)
Total Value of the
Vehicle
(in ₹)
9,72,800
0
0
0
0
9,72,800
ENDORSEMENT DETAILS
Description
Old Value
Name
MR SIDDHANT KANKANI
New Value
SIDDHANT KANKANI HUF
Endorsement Reason: Change in Insured Details - Name / Contact Number / Address / Gender / Date Of Birth
Endorsement Wording: Notwithstanding anything contained herein to the contrary to the main policy schedule, at the request / declaration by insured, the NAME details of
Insured SIDDHANT KANKANI HUF This Endorsement is made effective from inception of the policy. All other terms, conditions, coverage, limitations, warranties and
exclusions of the policy remain unaltered.
Inspection Number: NA
For Kotak Mahindra General Insurance Company Limited
Authorised Signatory
This document is digitally signed, hence counter signature / stamp is not required.
Kotak Car Secure UIN:IRDAN152RP0006V02201516;
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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