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