input
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Prompt:
You are a specialized text document data extraction specialist. Your role is to extract information in a valid json format from any text document that is provided to you. No explaination or additional information required.
Extract the following 13 key data points from the provided insurance document and return the results in JSON format. If a data point is not present in the document, set its value to "N/A".
Data Points to Extract:
1. policy_type
2. insured_name
3. vehicle_registration_number
4. policy_number
5. policy_start date
6. policy_end date
7. seating_capacity
8. fuel_type
9. cc
10. total_od_premium
11. total_act_premium
12. net_premium
13. gross_premium
Insurance Document:
Full open
deck
KFZ
Goo
J
1
FH
J
Go Digit General Insurance Ltd.
## Digit Commercial Vehicle Package Policy - Goods Carrying Vehicle
Schedule/Certificate
IRDAN158RP0001V01201819
UIN No.:
| Name | GOODRICKE GROUP LTD | Vehicle Registration No. | WB71A1827 |
|------------|-------------------------------------------------------------------------------|----------------------------|------------------------------------------------------------|
| Address | A/C-DANGUAJHAR T G DANGUAJHAR,JALPAIGURI,WEST BENGAL,735101,Jalpaiguri-735101 | Partner Name Partner Code | Salasar Services Insurance Brokers Private Limited 1000090 |
| Mobile | xxxxxxxxx8196 | Partner Email | opsretail@salasarservices.com |
| Email | sxxxxxi@gxxxxxxxe.com | Partner Mobile No. | 8336878521 |
| Aadhar No. | -- | For claims,contact us at | 1800-258-5956 |
## YOUR POLICY DETAILS
| Policy No. | D121982716 / 13112023 | Policy Issue Date | 13-Nov-2023 | Invoice Date | 13-Nov-2023 |
|----------------------------|----------------------------|----------------------|----------------------|----------------|----------------|
| | From | 23-Nov-2023 00:00:01 | 23-Nov-2023 00:00:01 | | |
| To Period of Policy | To Period of Policy | 22-Nov-2024 23:59:59 | 22-Nov-2024 23:59:59 | | |
| NCB %(Current Policy) 50 % | NCB %(Current Policy) 50 % | Policy Type | Policy Type | Public Carrier | Public Carrier |
| 500 Compulsory Deductible | 500 Compulsory Deductible | Voluntary Deductible | Voluntary Deductible | -- | -- |
MAKL
## YOUR VEHICLE DETAILS
100
G0
EX
KFZ
C G01
96
9
22
16
9.
14
Public
N
MAKL Broker Odometer FASTag NUMBER DECLARATION The Policy has been issued subject to your affirmative declaration that a valid FASTag has been affixed on the insured vehicle. YOUR VEHICLE IDV (THE MAXIMUM MONEY YOU CAN GET IN CASE OF A CLAIM) (`) OWN DAMAGE PREMIUM [A] VLE / RAP Name VLE / Mobile Number WB71A1827 TATA LPT 709 2023-11-23 2024-11-22 Digit Commercial Vehicle Comprehensive Policy
MA
K
| Make | TATA | Trailer Reg. No. | | RTO Location | Jalpaiguri,WEST BENGAL |
|--------------------------------------------------|--------------------------------------------------|-------------------------------|-------------------------------|---------------------------|--------------------------|
| LPT 709 / EX 38 Model/Vehicle Variant (Sub-Type) | LPT 709 / EX 38 Model/Vehicle Variant (Sub-Type) | Year of Regn. / Manufacturing | -- 2010 / | Licensed Seating Capacity | 2 |
| Engine No. | 497TC93HZY846811 | MAT386561A8H33255 Chassis No. | MAT386561A8H33255 Chassis No. | Cubic Capacity Policy | 3783 CC |
| Fuel Type | Diesel | Gross Vehicle Weight | 7490KG | Vehicle Body Type | Full deck open metal |
| Goods Type | -- | Permit Type | Public Carrier | Wheels | 6 |
| Odometer | | FASTag Number NA | Financier Details | Comprehensive | |
| Broker FASTag NUMBER DECLARATION | MAKL | | | | |
| Vehicle IDV ( ` ) | IDV of Electrical Accessories ( ` ) | IDV of Non-Electrical Accessories ( ` ) | CNG/LPG KIT IDV ( ` ) Commercial | Trailer IDV ( ` ) | Body IDV ( ` ) | Total IDV ( ` ) |
|-----------------------------------------------------------|-----------------------------------------------------------|-----------------------------------------------------------|-----------------------------------------------------------|-----------------------------------------------------------|-----------------------------------------------------------|-----------------------------------------------------------|
| 181913 | -- | -- | -- | -- | 59042 | 240955.00 |
| (`) LIABILITY PREMIUM [B] (`) OWNDAMAGE PREMIUM [A] Digit | (`) LIABILITY PREMIUM [B] (`) OWNDAMAGE PREMIUM [A] Digit | (`) LIABILITY PREMIUM [B] (`) OWNDAMAGE PREMIUM [A] Digit | (`) LIABILITY PREMIUM [B] (`) OWNDAMAGE PREMIUM [A] Digit | (`) LIABILITY PREMIUM [B] (`) OWNDAMAGE PREMIUM [A] Digit | (`) LIABILITY PREMIUM [B] (`) OWNDAMAGE PREMIUM [A] Digit | (`) LIABILITY PREMIUM [B] (`) OWNDAMAGE PREMIUM [A] Digit |
| Own Damage Premium (`) | Own Damage Premium (`) | 502.10 | Basic Third-Party Liability (`) | | 16049.00 | 16049.00 |
| Add-Ons Premium (`) | Add-Ons Premium (`) | 0.00 | | | | |
| NCB Discount Amount (`) | NCB Discount Amount (`) | -251.05 | PA cover for Owner-Driver (`) | | -- | |
| | | | Legal Liability to Paid (`) Driver (Persons:1) | | 50.00 | |
| | | | 2024-11-22 | | | |
| | | | Legal Liability to Paid (`) Cleaner (Persons:1) | | 50.00 | |
| 251.05 (`) Total OD Premium 2023-11-23 | 251.05 (`) Total OD Premium 2023-11-23 | 251.05 (`) Total OD Premium 2023-11-23 | (`) Total Act Premium | | 16149.00 | |
| (`) Net Premium [A+B] | (`) Net Premium [A+B] | (`) Net Premium [A+B] | | | 16400.05 | |
| CGST @6%=( ` 962.94) + SGST/UTGST @6%=( ` 709 | CGST @6%=( ` 962.94) + SGST/UTGST @6%=( ` 709 | CGST @6%=( ` 962.94) + SGST/UTGST @6%=( ` 709 | 962.94) | | 1925.88 | |
| CGST @9%=( ` 31.59) + SGST/UTGST @9%=( ` 31.59) LPT | CGST @9%=( ` 31.59) + SGST/UTGST @9%=( ` 31.59) LPT | CGST @9%=( ` 31.59) + SGST/UTGST @9%=( ` 31.59) LPT | | | 63.18 | |
| Total Premium | Total Premium | Total Premium | | | | |
| (`) | | | | | 18389.11 | 18389.11 |
| CSC ID |
|---------------------|
| VLE / RAP Name |
| VLE / Mobile Number |
I/We hereby affirmatively warrant/declare that the vehicle body-type is declared accurately and correctly. I/we further understand and acknowledge that, if the body-type is found to be other than what has been declared, shall amount to misrepresentation and Insurer shall have the right to cancel the policy and/or reject any claim in accordance with policy terms and conditions and express clause attached on this policy.
Note : The above total OD premium is inclusive of all applicable loading / discounts viz (automobile association memberships, voluntary excess, anti-theft handicap person, driver tuition, fiber glass, CNG/ LPG unit, geographical extension, imported vehicle etc., wherever applicable).
If the 'Own Damage Cover' under your policy is cancelled during the policy period, then your policy shall be governed by the standard terms and conditions of 'Act only' policy for the Third Party Cover during the remaining period of policy.
In case of an accident to your vehicle, please intimate us immediately for SPOT SURVEY. Failure to intimate in time could prejudice your claim.
Policy No: D121982716 Page No: 1 of 3
Go Digit General Insurance Ltd.
Digit Commercial Vehicle Package Policy - Goods Carrying Vehicle
IRDAN158RP0001V01201819
UIN No.:
## ENDORSEMENT
| Invoice Number | Invoice Date | Net Premium | Igst | Cgst | Sgst | Utgst | Cess | Gross Premium |
|-----------------------------|-----------------------------|-------------------------------------------------|-------------------------------------------------|-------------------------------------------------|-------------------------------------------------|-------------------------------------------------|-------------------------------------------------|-------------------------------------------------|
| IA112763895 | 2023-11-13 | 16400.05 | 0.00 | 994.53 | 994.53 | 0.00 | 0.00 | 18389.11 |
| OTHER DETAILS | | | | | | | | |
| Previous Insurer | Previous Insurer | Future Generali India Insurance Company Limited | Future Generali India Insurance Company Limited | Future Generali India Insurance Company Limited | Future Generali India Insurance Company Limited | Future Generali India Insurance Company Limited | Future Generali India Insurance Company Limited | Future Generali India Insurance Company Limited |
| Previous Policy No. | Previous Policy No. | VA906658 | VA906658 | Previous Policy Expiry Date | Previous Policy Expiry Date | 22-Nov-2023 | 22-Nov-2023 | 22-Nov-2023 |
| IMT - Endorsements | IMT - Endorsements | IMT-21,IMT-23,IMT-28 | IMT-21,IMT-23,IMT-28 | | | | | |
| Invoice Number | Invoice Number | IA112763895 | IA112763895 | | | | | |
| GSTIN/UIN No. | GSTIN/UIN No. | 19AABCG1614Q1ZD | 19AABCG1614Q1ZD | State Code | State Code | 19 | 19 | 19 |
| Payment Mode | Payment Mode | Float | Float | Cheque/Transation No | Cheque/Transation No | | | |
| Bank Name | Bank Name | | | IFSC/MICR No | IFSC/MICR No | -- | -- | -- |
| Premium Payment Details | Premium Payment Details | Receipt No. | RA130239669 | Receipt Date | Receipt Date | | | |
| Nominee Details | Nominee Details | -- | -- | | | | | |
| Details of Existing Damages | Details of Existing Damages | -- | -- | | | | | |
| Other details | Other details | -- | -- | | | | | |
Other details Follow these rules like you follow the rules of the road. Geographical Area -Any accidental loss damage and/or liability caused sustained or incurred within India shall be covered subject to and Conditions, unless specifically agreed and endorsed. Limitation as to use - The policy covers use of the vehicle only under a permit within the meaning of the Motor Vehicles Act 1988 or such a carriage falling under sub-section (3) of Section 66 of the Motor Vehicles Act, 1988. The policy does not cover use for Organised racing, Pace Making, Reliability Trials, Speed Testing, Use whilst drawing a trailer except the towing (other than for reward) of any one disabled Mechanically propelled vehicle (only for Passenger Carrying Vehicle). Person or Class of persons entitled to drive - Any person including the insured 1) Provided that a person driving holds a valid & effective driving license at the time of the accident and is not disqualified from holding or obtaining such a license.2) Provided also that the person holding a valid & effective Learner's license may also drive the vehicle and that such a person satisfies the requirements of Rule 3 of the Central Motor Vehicles Rules, 1989 and any subsequent amendment as applicable. Limits of Liability: 1) Under Section I of the policy - IDV as shown in the schedule. 2) Under Section II - 1 (i) of the policy: Death of or bodily injury - Such amount as is necessary to meet the requirements of the Motor Vehicles Act, 1988. 3) Under Section II - 1 (ii) of the policy: Damage to Third Party Property -` 750000 4) P.A. Cover for Owner Driver under Section III (CSI): ` PUC Declaration: The Policy has been issued subject to valid Pollution Under Control (PUC) Certificate disclosed by you as an insured on or before the date of commencement of the Policy . NCB Declaration: The premium has been charged and policy has been issued subject to NCB declared by you as an insured. In the event of NCB found wrongly declared at any point of time during policy period, all benefits and coverages under the Policy in respect of section I of the Policy will stand forfeited. If there is any disagreement, write to us within 7 days from the date of issuance of policy or before the start date of period of insurance whichever is earlier. Important Note: Please inform the Company in case of change on account of addition of CNG/PNG kit. Break in Insurance: In case of a break-in, the company may conduct pre-inspection of the vehicle and in such a case, Own Damage cover (Section -I) of the policy would not commence unless the pre-inspection of the vehicle has been done and the acceptance of risk is subject to evaluation of the vehicle inspection report. In case of any adverse findings in the report, the Company, at its discretion, may cancel the Policy as per the Motor Tariff. Pre-existing Damages: All types of pre-existing damages or cost of repair of such damage will be excluded at the time of claim settlement. Policy would be void on the ground that it was obtained of material fact or by a representation of fact which was false in some material particular. Cheque dishonor / Non-receipt of payment premium paid through Cheque, the policy is void ab-initio in case of dishonor of Cheque or nonreceipt of payment. Violation of Motor Vehicle Act: This policy is issued in accordance with the provision of Chapter X and Chapter XI of MV act, 1988 and any subsequent amendment as applicable. Any violation will forfeit all benefits and coverages under the Policy. The insured is not indemnified if the vehicle is used or driven otherwise than in accordance with this Schedule. This policy is subject to the standard policy wordings, warranties and conditions applicable for this product in addition to Indian Motor Tariff. Any payment made by the Company by reason of wider terms appearing in Certificate in order to comply with the Motor Vehicle Act, 1988 is recoverable from the insured. See the Clause headed (Avoidance Of Certain Terms And Right Of Recovery) in the policy. Note: The policy is issued in utmost good faith, relying on the information shared by insured at the time of obtaining the policy. The terms and conditions detailed in this policy schedule as well as the policy document sent by Digit shall prevail in case of any dispute. WB71A1827 TATA LPT 709 2023-11-23 2024-11-22 Digit Commercial Vehicle Comprehensive Policy
Policy No: D121982716 Page No: 2 of 3
## Go Digit General Insurance Ltd.
Digit Commercial Vehicle Package Policy - Goods Carrying Vehicle
In case of claim or any other query, please contact our 24-hour Call Centre at 1800-258-5956 or email us at hello@godigit.com or visit our website www.godigit.com.
## Schedule/Certificate
IRDAN158RP0001V01201819
UIN No.:
For & On Behalf of Go Digit General Insurance Ltd.
Praveen Bhat Senior Vice President - Customer Experience praveen.bhat@godigit.com Authorized Signatory Printed, Signed, and Executed at Bengaluru Consolidated Stamp Duty has been paid as per Letter of Authorization No.67-B/04/2017-18 Date: 30th May 2017 issued by Department of Stamps and Registration , Bengaluru- 560009 - KARNATAKA. Hey,our document is now digitally signed Click here to view the certificate. For instant resolution, you can ping us 'Hi' on WhatsApp at 702 606 1234
Response:
{"cc": "3783", "fuel_type": "Diesel", "gross_premium": "18389.11", "insured_name": "GOODRICKE GROUP LTD", "net_premium": "16400.00", "policy_end_date": "22-Nov-2024", "policy_number": "D121982716 / 13112023", "policy_start_date": "23-Nov-2023", "policy_type": "Digit Commercial Vehicle Package Policy - Goods Carrying Vehicle", "seating_capacity": "2", "total_act_premium": "16149.00", "total_od_premium": "251.05", "vehicle_registration_number": "WB71A1827"}
|
Prompt:
You are a specialized text document data extraction specialist. Your role is to extract information in a valid json format from any text document that is provided to you. No explaination or additional information required.
Extract the following 13 key data points from the provided insurance document and return the results in JSON format. If a data point is not present in the document, set its value to "N/A".
Data Points to Extract:
1. policy_type
2. insured_name
3. vehicle_registration_number
4. policy_number
5. policy_start date
6. policy_end date
7. seating_capacity
8. fuel_type
9. cc
10. total_od_premium
11. total_act_premium
12. net_premium
13. gross_premium
Insurance Document:
PB
J
G
M P
1
30
MA
4.5
fal
45
10
B
A
A
CG
5803
1 A
1
A
116
124 6
11 1
1
200
030
## YOUR DETAILS
## PARTNER DETAILS
D122819723 / 08112023
sxxxxxi@gxxxxxxxe.com Email:
xxxxxxxxx8196
WB74AN5916
MS GOODRICKE GROUP LTD
Mobile Number:
Policy Number:
Registration Number:
Name:
opsretail@salasarservices.com
8336878521
1000090
Salasar Services Insurance Brokers Private Limited
Partner Email :
Partner Mobile Number:
Partner Code :
Partner Name:
| Policy Issue Date | 08-Nov-2023 | Invoice No. | IA113327659 | Invoice Date | 08-Nov-2023 Car |
|--------------------------------------------|---------------|---------------|---------------|----------------------------------|-------------------|
| Period of Policy for Own Damage Cover | From | 09-Nov-2023 | 00:00:01 | NCB %(Current Policy) Private | 50% |
| Period of Policy for Own Damage Cover | To | 08-Nov-2024 | 23:59:59 | Additional Excess ( ` ) | -- |
| Period of Policy for Third Party Liability | From | 09-Nov-2023 | 00:00:01 | Voluntary Deductible ( ` ) Digit | 0.00 |
| Period of Policy for Third Party Liability | To | 08-Nov-2024 | 23:59:59 | Compulsory Deductible ( ` ) | 1000 |
| Period of Policy for PA Owner-Driver | From | -- | -- | 2024-11-08 | |
| Period of Policy for PA Owner-Driver | To | -- | -- | | |
| RTO Location | Siliguri,WEST BENGAL | Make | MARUTI SUZUKI | Model/Vehicle Variant (Sub- Type) | VITARA BREZZA/VDi |
|---------------------------|------------------------|--------|-------------------|-------------------------------------|---------------------|
| Seating Capacity 5 | Fuel Type BREZZA | Diesel | | Year of Regn./ Manufacturing | 2016/-- |
| Engine No. D13A5340040 | Chassis No. | | MA3NYFB1SGK163227 | Cubic Capacity | 1248 CC |
| Odometer | FASTag Number. VITARA | | NA | Financier Details | |
| FASTag NUMBER DECLARATION | | | | | |
YOUR POLICY DETAILS Policy Issue Date 08-Nov-2023 Address USER PARTHOTOSH CHATTERJEE,MARGARET SHOPE TEA ESTATE,DARJEELING,WEST BENGAL,734,224,Darjeeling-734224 YOUR VEHICLE DETAILS RTO Location Siliguri,WEST BENGAL Make Model/Vehicle Variant (SubType) VITARA BREZZA/VDi Seating Capacity 5 Diesel Year of Regn./ Manufacturing 2016/-Engine No. D13A5340040 MA3NYFB1SGK163227 Cubic Capacity 1248 CC Odometer Number. NA Financier Details FASTag NUMBER DECLARATION The Policy has been issued subject to your affirmative declaration that a valid FASTag has been affixed on the insured vehicle. Call us at 1800-258-5956 to update your contact details. This will help us give you a smooth claim process. YOUR VEHICLE IDV WB74AN5916 MARUTI SUZUKI VITARA BREZZA 2023-11-09 2024-11-08 Digit Private Car Policy
| Year | Vechicle IDV (`) | Non-Electrical Accessories IDV (`) | Electrical Accessories IDV (`) | CNG/LPG IDV (`) | Trailer IDV (`) | Total IDV (`) | PA Owner Driver |
|--------|--------------------|--------------------------------------|----------------------------------|-------------------|-------------------|-----------------|-------------------|
| Year 1 | 346320 | -- | -- | -- | -- | 346320 | -- |
| Year 2 | 0 | 0 | 0 | 0 | 0 | 0 | -- |
| Year 3 | 0 | 0 | 0 | 0 | 0 | 0 | -- |
10
PB
## Go Digit General Insurance Ltd.
## Schedule/Certificate
Digit Private Car Policy
## UIN No.: IRDAN158RP0005V01201718
## OWN DAMAGE PREMIUM [A] (')
| Total Basic Own Damage Premium (') | 11605.00 | Basic Third-Party Liability (') | 3416.00 |
|---------------------------------------------------|------------|----------------------------------------|-----------|
| NCB Discount Amount (') | -5803.00 | PA cover for Owner-Driver (') | -- |
| Others (') | -4641.48 | Legal Liability to Employees (') | |
| Own Damage Premium (') | 1160.52 | Legal Liability to Paid Driver ( ' ) | 50.00 |
| Add-Ons Premium (') | 0.00 | PA cover for 5 passengers 200000 ( ' ) | 500.00 |
| | | ( ' ) CNG/LPG Premium | |
| | | PA cover for Paid Driver ( ' ) | |
| (') Total OD Premium | 1160.52 | (') Total Act Premium | 3966.00 |
| (') Net Premium | | 5126.52 | 1,161 |
| CGST @9%=( ' 461.39) + SGST/UTGST @9%=( ' 461.39) | | 922.78 | 500 |
| Final Premium (') | | 6049.30 | |
LIABILITY PREMIUM [B]
(')
Note: The above total OD premium is inclusive of all applicable loading / discounts viz (automobile association memberships, voluntary excess, anti-theft handicap person, driver tuition, fiber glass, CNG/ LPG unit, geographical extension, imported vehicle etc., wherever applicable). GDD
| Invoice Number | Invoice Date | Net Premium | Igst | Cgst | Sgst Utgst | Cess | Gross Premium |
|-----------------------------|-----------------------------|---------------------------------|---------------------------------|---------------------------------|----------------------------------------|-------------|-----------------|
| IA113327659 | 2023-11-08 | 5126.52 | 0.00 | 461.39 | 461.39 | 0.00 0.00 | 6049.30 |
| OTHER DETAILS | | | | | Digit | | |
| Previous Insurer | Previous Insurer | United India Insurance Co. Ltd. | United India Insurance Co. Ltd. | United India Insurance Co. Ltd. | | | |
| Previous Policy No. | Previous Policy No. | 0303003122P107683548 | 0303003122P107683548 | 0303003122P107683548 | Previous Policy Expiry Date 2024-11-08 | 08-Nov-2023 | |
| IMT - Endorsements | IMT - Endorsements | IMT-16,IMT-22,IMT-28 | IMT-16,IMT-22,IMT-28 | IMT-16,IMT-22,IMT-28 | | | |
| GSTIN/UIN No. | GSTIN/UIN No. | 19AABCG1614Q1ZD | 19AABCG1614Q1ZD | 19AABCG1614Q1ZD | State Code | 19 | |
| Payment Mode | Payment Mode | Float | Float | Float | Cheque/Transation No | -- | |
| Bank Name | Bank Name | | | | IFSC/MICR No | -- | |
| Premium Payment Details | Premium Payment Details | Receipt Number | RA131250690 | RA131250690 | Receipt Date | -- | |
| Nominee Details | Nominee Details | -- | BREZZA 2023-11-09 | BREZZA 2023-11-09 | | | |
| Other Details | Other Details | -- | | | | | |
| Details of Existing Damages | Details of Existing Damages | -- | | | | | |
In case of an accident to your vehicle, please intimate us immediately for SPOT SURVEY. Failure to intimate in time could prejudice your claim. If the 'Own Damage Cover' under your policy is cancelled during the policy period, then your policy shall be governed by the standard terms and conditions of 'Act only' policy for the Third Party Cover during the remaining period of policy . ENDORSEMENT Geographical Area: Any accidental loss, damage and/or liability caused, sustained or incurred within India shall be covered subject to Policy Terms and Conditions, unless specifically agreed and endorsed.. Limitation as to use The policy covers use of the vehicle for any purpose other than hire or reward, racing, pace making, reliability trial, speed testing and use for any purpose in connection with the Motor Trade. Person or Class of persons entitled to drive: Any person including the insured 1) Provided that a person driving holds a valid & effective driving license at the time of the accident and is not disqualified from holding or obtaining such a license. 2) Provided also that the person holding a valid & effective Learner's License may also drive the vehicle and that such a person satisfies the requirements of Rule 3 of the Central Motor Vehicles Rules, 1989 and any subsequent amendment as applicable. Limits of Liability: 1) Under Section I of the policy _ IDV as shown in the schedule. 2) Under Section II - 1 (i)of the policy: Death of or bodily injury _ Such amount as is necessary to meet the requirements of the Motor Vehicles Act, 1988. 3) Under Section II _ 1 (ii)of the policy: Damage to Third Party Property _ `750000 4) P.A. Cover for Owner Driver under Section III (CSI) - ` NCB Declaration: The premium has been charged and policy has been issued subject to NCB declared by you as an insured. In the event of NCB found wrongly declared at any point of time during policy period, all benefits and coverages under the Policy in respect of section I of the Policy will stand forfeited. If there is any disagreement, write to us within 7 days from the date of issuance of policy or before the start date of period of insurance whichever is earlier.PUC Declaration: The Policy has been issued subject to valid Pollution Under Control (PUC) Certificate disclosed by you as an insured on or before the date of commencement of the Policy . Cheque dishonor / Non-receipt of payment premium paid through Cheque, the policy is void ab-initio in case of dishonor of Cheque or non-receipt of payment. Violation of Motor Vehicle Act: This policy is issued in accordance with the provision of Chapter X and Chapter XI of MV act, 1988 and any subsequent amendment as applicable. Any violation will forfeit all benefits and coverages under the Policy. The insured is not indemnified if the vehicle is used or driven otherwise than in accordance with this Schedule. Any payment made by the Company by reason of wider terms appearing in Certificate in order to comply with the Motor Vehicle Act, 1988 is recoverable from the insured. See the Clause headed (Avoidance Of Certain Terms And Right Of Recovery) in the policy. Pre-existing Damages: All types of pre-existing damages or cost of repair of such damage will be excluded at the time of claim settlement,as per the attached images. Important Notice: The company may cancel the policy by sending 7 days notice in case of fraud, misrepresentation, non disclosure of material fact or non co-operation of the insured. This policy is subject to the standard policy wordings, warranties and conditions applicable for this product in addition to Indian Motor Tariff. Break in Insurance: In case of a break-in, the company may conduct pre-inspection of the vehicle and in such a case, Own Damage cover (Section -I) of the policy would not commence unless the pre-inspection of the vehicle has been done and the acceptance of risk is subject to evaluation of the vehicle inspection report. In case of any adverse findings in the report, the Company, at its discretion, may cancel the Policy as per the Motor Tariff. Note: The policy is issued in utmost good faith, relying on the information shared by insured at the time of obtaining the policy. The terms and conditions detailed in this policy schedule as well as the policy document sent by Digit shall prevail in case of any dispute. Follow these rules like you follow the rules of the road. WB74AN5916 MARUTI SUZUKI VITARA BREZZA 2023-11-09 2024-11-08 Digit Private Car Policy
PB
## Go Digit General Insurance Ltd.
## Digit Private Car Policy
## Schedule/Certificate
## UIN No.: IRDAN158RP0005V01201718
For & On Behalf of Go Digit General Insurance Ltd.
In case of claim or any other query, please contact our 24-hour Call Centre at 1800-258-5956 or email us at hello@godigit.com or visit our website www.godigit.com.
Praveen Bhat Senior Vice President - Customer Experience praveen.bhat@godigit.com Authorized Signatory Printed, Signed, and Executed at Bengaluru Consolidated Stamp Duty has been paid as per Letter of Authorization No.67-B/04/2017-18 Date: 30th May 2017 issued by Department of Stamps and Registration , Bengaluru- 560009 KARNATAKA. Hey, our document is now digitally signed Click here to view the certificate. For instant resolution, you can ping us 'Hi' on WhatsApp at 702 606 1234
Go Digit General Insurance Ltd. Address: Atlantis, 95, 4th B Cross Road, Koramangala Industrial Layout, 5th Block, Bengaluru, Karnataka 560095. IRDAI Reg No. 158 CIN U66010PN2016PLC167410, GST Reg. No.: 19AACCO4128Q1ZX HSN: 997134/General Insurance Services, GSTIN Address:Kolkata Business Centre,Ground Floor, Block C, Apeejay House, 15 Park Street,Kolkata,West Bengal,PIN-700016
| Workshop Name | Address | Address |
|---------------------|-----------|------------------------------------------------------------------------------------------|
| SGMG AUTOMOBILE | | BESIDE COSMOSS VALLEY RESIDENTIAL COMPLEX,BSF ROAD,SALUGARA,SILIGURI,WESTBENGAL 734008 |
| MUMAUTO WORKS | | NEAR DELHI PUBLIC SCHOOL DAGAPUR SILIGURI WEST BENGAL 734003 |
| SAUKAT AUTOMOBILE | | PRAKASH NAGAR, NEAR CHITRAKUT AHSRAM, SEVOKE ROAD, P.O. SALUGARA, JALPAIGURI, 2023-11-09 |
| DINODIA AUTOMOBILES | | 255, KHAPRIAL ROAD, OPP. LEXICON MOTORS,MATIGARA, SILIGURI ? 734010 734010 |
· Complete cashless facility · 6 Months warranty on repairs · Complimentary Pick-up & Drop *Facilities mentioned above are offered by the garages. List of garages is subject to change in future. Please call on 1800-258-5956 in case you require further help. We hope that you do not get in a situation when you have to file a claim. However, if that happens, we are always there for you. That's a promise! Stay Calm and just relax! We will take care of everything! You can take your car to any of the listed network garages in case anything happens, and we assure you a hassle-free claim process. This is the end of the document and the beginning of a wonderful relationship. WB74AN5916 MARUTI SUZUKI VITARA BREZZA 2023-11-09 2024-11-08 Digit Private Car Policy
Response:
{"cc": "1248", "fuel_type": "Diesel", "gross_premium": "6049.30", "insured_name": "MS GOODRICKE GROUP LTD", "net_premium": "5126.52", "policy_end_date": "08-Nov-2024", "policy_number": "D122819723 / 08112023", "policy_start_date": "09-Nov-2023", "policy_type": "Digit Private Car Policy ", "seating_capacity": "5", "total_act_premium": "3966.00", "total_od_premium": "1160.52", "vehicle_registration_number": "WB74AN5916"}
|
Prompt:
You are a specialized text document data extraction specialist. Your role is to extract information in a valid json format from any text document that is provided to you. No explaination or additional information required.
Extract the following 13 key data points from the provided insurance document and return the results in JSON format. If a data point is not present in the document, set its value to "N/A".
Data Points to Extract:
1. policy_type
2. insured_name
3. vehicle_registration_number
4. policy_number
5. policy_start date
6. policy_end date
7. seating_capacity
8. fuel_type
9. cc
10. total_od_premium
11. total_act_premium
12. net_premium
13. gross_premium
Insurance Document:
https
N
PB
125
0 MA
G0
IU
Prime
MAK
PB
G01
320
C
28
A A
A
C
64.
A
321.7
A
## Go Digit General Insurance Ltd.
Digit Two-Wheeler Package Policy
## Schedule/Certificate
UIN No.:
IRDAN158RP0006V01201718
| Name | BIPLAB CHATTERJEE | Vehicle Registration No. | WB68AA3022 |
|------------|---------------------------------------------------------------------|----------------------------|-------------------------------|
| Address | RANIPUR,KUSTHALIA,SALTORA,BANKURA WEST BENGAL,722133,Bankura-722133 | Partner Name: | Limited 1000090 |
| | | Partner Code: | |
| Mobile | xxxxxxxxx1364 | Partner Mobile No. | 8336878521 |
| Email | txxxxxx6@gxxxl.com | Partner Email | opsretail@salasarservices.com |
| Aadhar No. | | For Claims,contact us at | 1800-258-5956 |
## YOUR POLICY DETAILS
| Policy No. | D142789036 / 05042024 Policy Issue | D142789036 / 05042024 Policy Issue | Date 05-Apr-2024 | IA130038390 | Invoice Date 05-Apr-2024 | |
|---------------------------|--------------------------------------|-----------------------------------------|-----------------------------------------|-----------------------------|----------------------------|----|
| Period of Policy | Period of Policy | Own Damage Cover and Add On(s) if Opted | Own Damage Cover and Add On(s) if Opted | Third Party Liability Cover | PA Owner Driver | |
| From | From | 07-Apr-2024 10:49:39 | 07-Apr-2024 10:49:39 | 07-Apr-2024 10:49:39 | 07-Apr-2024 10:49:39 | |
| To | To | 06-Apr-2025 23:59:59 | 06-Apr-2025 23:59:59 | 06-Apr-2025 23:59:59 | 23:59:59 06-Apr-2025 | |
| Compulsory Deductible (`) | Compulsory Deductible (`) | 100 | 100 | NCB %(Current Policy) | 0 % | |
| Voluntary Deductible (`) | Voluntary Deductible (`) | 0.00 | 0.00 | Additional Excess (`) | Additional Excess (`) | |
| Coverages Opted | Coverages Opted | Digit Two-Wheeler Package Policy | Digit Two-Wheeler Package Policy | | | |
## YOUR VEHICLE DETAILS
| RTO Location | Bankura,WEST BENGAL JA05EGJ9K21957 | Make | HERO MOTOCORP MBLJAR036J9K23284 | Model/Vehicle Variant (Sub- Type) | SUPER SPLENDOR/SELF BSIV |
|--------------------|--------------------------------------|-------------------|-----------------------------------|-------------------------------------|----------------------------|
| Engine No. | | Chassis No. | | | |
| Body Type | Motor Cycle | Fuel Type | Petrol | Year of Regn/Year of Mfg. | 2019/-- |
| Seating Capacity 2 | Seating Capacity 2 | Cubic Capacity | 125 CC | Odometer | |
| FASTag Number | FASTag Number | Financier Details | | | |
## YOUR VEHICLE IDV
| Year | Vehicle IDV | Non-Electrical Accessories IDV | Electrical Accessories | IDV | CNG/LPG IDV | Total IDV | PA Owner Driver |
|---------------------------------------------------|---------------------------------------------------|---------------------------------------------------|---------------------------------------------------|-------------------------------------|-------------------------------------|-------------------------------------|---------------------------|
| Year 1 | 32000 | -- | -- | -- | | 32000 | 1500000 |
| Year 2 | -- | -- | -- | | -- | 0 | -- |
| Year 3 | -- | -- | -- | | -- | 0 | -- |
| Year 4 | -- | -- | -- | -- | | 0 | -- |
| Year 5 | -- | -- | -- | -- | | 0 | -- |
| OWNDAMAGE PREMIUM [A] (`) | OWNDAMAGE PREMIUM [A] (`) | OWNDAMAGE PREMIUM [A] (`) | OWNDAMAGE PREMIUM [A] (`) | LIABILITY PREMIUM [B] (`) | LIABILITY PREMIUM [B] (`) | LIABILITY PREMIUM [B] (`) | LIABILITY PREMIUM [B] (`) |
| Own Damage Premium (`) | Own Damage Premium (`) | Own Damage Premium (`) | 321.79 | Basic Third-Party Liability (`) | Basic Third-Party Liability (`) | Basic Third-Party Liability (`) | 714.00 |
| Add-Ons Premium (`) | Add-Ons Premium (`) | Add-Ons Premium (`) | 0.00 | PA cover for Owner-Driver (`) | PA cover for Owner-Driver (`) | PA cover for Owner-Driver (`) | 375.00 |
| NCB Discount Amount (`) | NCB Discount Amount (`) | NCB Discount Amount (`) | -0.00 | Legal Liability to Employees (`) | Legal Liability to Employees (`) | Legal Liability to Employees (`) | -- |
| 0 | 0 | 0 | Legal | Liability to Paid Driver (`) | Liability to Paid Driver (`) | Liability to Paid Driver (`) | -- |
| 321.79 | 321.79 | 321.79 | PA cover | for 2 unnamed passengers each ( ` ) | for 2 unnamed passengers each ( ` ) | for 2 unnamed passengers each ( ` ) | -- |
| | | | | PA cover for Paid Driver ( ` ) | PA cover for Paid Driver ( ` ) | PA cover for Paid Driver ( ` ) | -- |
| Total OD Premium (`) | Total OD Premium (`) | Total OD Premium (`) | 321.79 | (`) Total Act Premium | (`) Total Act Premium | (`) Total Act Premium | 1089.00 |
| (`) Net Premium | (`) Net Premium | (`) Net Premium | | 1410.79 | 1410.79 | 1410.79 | 1410.79 |
| CGST @9%=( ` 126.97) + SGST/UTGST @9%=( ` 126.97) | CGST @9%=( ` 126.97) + SGST/UTGST @9%=( ` 126.97) | CGST @9%=( ` 126.97) + SGST/UTGST @9%=( ` 126.97) | CGST @9%=( ` 126.97) + SGST/UTGST @9%=( ` 126.97) | 253.94 | 253.94 | 253.94 | 253.94 |
## Final Premium
1664.73
(`)
Note: The above total OD premium is inclusive of all applicable loading / discounts viz (automobile association memberships, voluntary excess, anti-theft handicap person, driver tuition, fiber glass, CNG/ LPG unit, imported vehicle etc., wherever applicable).
In case of an accident to your vehicle, please intimate us immediately for SPOT SURVEY. Failure to intimate in time could prejudice your claim.
If the 'Own Damage Cover' under your policy is cancelled during the policy period, then your policy shall be governed by the standard terms and conditions of 'Act only' policy for the Third Party Cover during the remaining period of policy
## ENDORSEMENT
| Invoice Number | Invoice Date | Net Premium | Igst | Cgst | Sgst | Utgst | Cess | Gross Premium |
|------------------|----------------|---------------|--------|--------|-----------|---------|--------|-----------------|
| | | | 0 | 0 | 0.00 0.00 | 0 | 0 | 0 |
Policy No: D142789036 Page No: 1 of 3
https
## Go Digit General Insurance Ltd.
## Digit Two-Wheeler Package Policy
## Schedule/Certificate
UIN No.:
IRDAN158RP0006V01201718
## OTHER DETAILS
| Previous Insurer | -- | Previous Policy No. | -- |
|--------------------|----------------------------------------------|-----------------------------|------|
| IMT - Endorsements | IMT-22 | Previous Policy Expiry Date | -- |
| GSTIN/UIN No. | Unregistered | State Code | 19 |
| Receipt No. | RA157365327 | Receipt Date | -- |
| Nominee Details | Father Harendranath Chatterjee . 01-Sep-2000 | | |
| Other Details | | | |
## Follow these rules like you follow the rules of the road.
Geographical Area: Any accidental loss, damage and/or liability caused, sustained or incurred within India shall be covered subject to Policy Terms and Conditions, unless specifically agreed and endorsed. Limitation as to use The policy covers use of the vehicle for any purpose other than hire or reward, racing, pace making, reliability trial, speed testing and use for any purpose in connection with the Motor Trade. Person or Class of persons entitled to drive: Any person including the insured 1) Provided that a person driving holds a valid & effective driving license at the time of the accident and is not disqualified from holding or obtaining such a license. 2) Provided also that the person holding a valid & effective Learner's License may also drive the vehicle and that such a person satisfies the requirements of Rule 3 of the Central Motor Vehicles Rules, 1989 and any subsequent amendment as applicable. Limits of Liability: 1) Under Section I of the policy_ IDV as shown in the schedule. 2) Under Section II - 1 (i)of the policy: Death of or bodily injury _ Such amount as is necessary to meet the requirements of the Motor Vehicles Act, 1988 and any subsequent amendment as applicable. 3) Under Section II _ 1 (ii)of the policy: Damage to Third Party Property( ` 100000) 4) P.A. Cover for Owner Driver under Section III (CSI) (per annum) - ( ` 1500000)
## Big Legal words
NCB Declaration: The premium has been charged and policy has been issued subject to NCB declared by you as an insured. In the event of NCB found wrongly declared at any point of time during policy period, all benefits and coverages under the Policy in respect of section I of the Policy will stand forfeited. If there is any disagreement, write to us within 7 days from the date of issuance of policy or before the start date of period of insurance whichever is earlier. PUC Declaration : The Policy has been issued subject to valid Pollution Under Control (PUC) Certificate disclosed by you as an insured on or before the date of commencement of the Policy . Cheque dishonor / Non-receipt of payment : If premium paid through Cheque, the policy is void ab-initio in case of dishonor of Cheque or non-receipt of payment. This policy is subject to the standard policy wordings, warranties and conditions applicable for this product in addition to coverages and exclusions specified in the motor vehicle tariff published by IRDAI. The insured is not indemnified if the vehicle is used or driven otherwise than in accordance with this Schedule. Any payment made by the Company by reason of wider terms appearing in Certificate in order to comply with the Motor Vehicle Act, 1988 is recoverable from the insured. See the Clause headed 'AVOIDANCE OF CERTAIN TERMS AND RIGHT OF RECOVERY'. Pre-existing Damages: All types of pre-existing damages or cost of repair of such damage will be excluded at the time of claim settlement. Violation of Motor Vehicle Act: This policy is issued in accordance with the provision of Chapter X and Chapter XI of MV act, 1988 and any subsequent amendment as applicable. Any violation will forfeit all benefits and coverages under the Policy. Important Notice: The company may cancel the policy by sending 7 days notice in case of fraud, misrepresentation, non disclosure of material fact or non co-operation of the insured. This policy is subject to the standard policy wordings, warranties and conditions applicable for this product in addition to Indian Motor Tariff. Break in Insurance: In case of a break-in, the company may conduct pre-inspection of the vehicle and in such a case, Own Damage cover (Section -I) of the policy would not commence unless the pre-inspection of the vehicle has been done and the acceptance of risk is subject to evaluation of the vehicle inspection report. In case of any adverse findings in the report, the Company, at its discretion, may cancel the Policy as per the Motor Tariff.
Note: The policy is issued in utmost good faith, relying on the information shared by insured at the time of obtaining the policy. The terms and conditions detailed in this policy schedule as well as the policy document sent by Digit shall prevail in case of any dispute.
For & On Behalf of Go Digit General Insurance Ltd.
Praveen Bhat
Senior Vice President - Customer Experience praveen.bhat@godigit.com Authorized Signatory Printed, Signed, and Executed at Bengaluru Consolidated Stamp Duty has been paid as per Letter of Authorization No.67-B/04/2017-18 Date: 30th May 2017 issued by Department of Stamps and Registration , Bengaluru- 560009 - KARNATAKA. Hey, our document is now digitally signed Click here to view the certificate. For instant resolution, you can ping us 'Hi' on WhatsApp at 702 606 1234
Policy No: D142789036 Page No: 2 of 3
Wish to go through your detailed policy wordings, click here. In case of claim or any other query, please contact our 24-hour Call Centre at 1800-258-5956 or email us at hello@godigit.com or visit our website Digit Insurance: Car, Bike, Health & Travel Insurance Online . For instant resolution, you can ping us 'Hi' on WhatsApp at 702 606 1234
For Claims Notification and Procedure click here.
## Schedule/Certificate
UIN No.:
IRDAN158RP0006V01201718
## A LESSER KNOWN FACT!
1 in 4 fliers have lost their checked-in baggage in the last 3 years* and the trouble of flight delays is whole other story.
## Travel Smarter With Travel Insurance!
Flight Delay Protection
Natural Disaster Coverage
Baggage Loss Reimbursement
Explore Travel Insurance
"Source conducted by LocalCircles in 2022 Bengalun 560095 | Registered Otfice Address: nanto 411005 Maharashtra Digit_ belongs Digit Infoworks Services Private Limited and provided Go Digit General Insurance Ltd under license | Toll Free No (1800 258 5956/1800-103-4448) | AD Code G0G/2023-24/247
nown nvestos shoutu ony stote secun secunties
Policy No: D142789036 Page No: 3 of 3
Response:
{"cc": "125", "fuel_type": "Petrol", "gross_premium": "1664.73", "insured_name": "BIPLAB CHATTERJEE ", "net_premium": "1410.79", "policy_end_date": "06-Apr-2025", "policy_number": "D142789036 / 05042024", "policy_start_date": "07-Apr-2024", "policy_type": "Digit Two-Wheeler Package Policy", "seating_capacity": "2", "total_act_premium": "1089.00", "total_od_premium": "321.79", "vehicle_registration_number": "WB68AA3022"}
|
Prompt:
You are a specialized text document data extraction specialist. Your role is to extract information in a valid json format from any text document that is provided to you. No explaination or additional information required.
Extract the following 13 key data points from the provided insurance document and return the results in JSON format. If a data point is not present in the document, set its value to "N/A".
Data Points to Extract:
1. policy_type
2. insured_name
3. vehicle_registration_number
4. policy_number
5. policy_start date
6. policy_end date
7. seating_capacity
8. fuel_type
9. cc
10. total_od_premium
11. total_act_premium
12. net_premium
13. gross_premium
Insurance Document:
PB
J
G
8240
P
M 10
1
9.8
71
MA
74
4.5
fal
13
P
1A
CG
9717
A
1 A
A
A A
1
A
145
15
14 94
1 9
1003
4906
## PARTNER DETAILS
opsretail@salasarservices.com
8336878521
1000090
Salasar Services Insurance Brokers Private Limited
Partner Email :
Partner Mobile Number:
Partner Code :
Partner Name:
## YOUR DETAILS
D139013714 / 22032024
dxxxxxxd@rxxxe.com Email:
xxxxxxxxx4175
WB02AN7481
RAHEE INFRATECH LTD
Mobile Number:
Policy Number:
Registration Number:
Name:
## YOUR POLICY DETAILS
| Policy Issue Date | 22-Mar-2024 | Invoice No. | IA127186345 | Invoice Date | 22-Mar-2024 |
|--------------------------------------------|---------------|---------------|---------------|-----------------------------------|---------------|
| Period of Policy for Own Damage Cover | From | 01-Apr-2024 | 00:00:01 | NCB %(Current Policy) | 50% |
| Period of Policy for Own Damage Cover | To | 31-Mar-2025 | 23:59:59 | Additional Excess ( ` ) | -- |
| Period of Policy for Third Party Liability | From | 01-Apr-2024 | 00:00:01 | Voluntary Deductible ( ` ) Policy | 0.00 |
| Period of Policy for Third Party Liability | To | 31-Mar-2025 | 23:59:59 | Compulsory Deductible ( ` ) | 2000 |
| Period of Policy for PA Owner-Driver | From | -- | -- | Car | |
| Period of Policy for PA Owner-Driver | To | -- | -- | | |
5TH FLOOR, 10/D/2, KEMWELL MANOR, HO CHI MINH SARANI, KOLKATA, KOLKATA, WEST BE,NGAL, 700071,Kolkata700071
| AddOn Cover | AddOn Coverage Details | UIN |
|-----------------------------------------------|-----------------------------------------------------------------------------------------------------------------|----------------------------------------|
| Digit Private Car Consumable Cover | Cover Unlimited Claims | IRDAN158RP0005V01201718/A0008V01201718 |
| Digit Private Car Breakdown Assistance | | IRDAN158RP0005V01201718/A0014V02201718 |
| Digit Private Car Tyre Protect | The benefits can be utilized only for a maximum of four [4]tyre[s] of the Insured Vehicle 2024-04-01 2025-03-31 | IRDAN158RP0005V01201718/A0013V01201718 |
| Digit Private Car Engine and Gear Box Protect | Maximum of one claim would be payable | IRDAN158RP0005V01201718/A0010V01201718 |
| Digit Private Car Parts Depreciation Protect | Cover Unlimited Claims | IRDAN158RP0005V01201718/A0009V01201718 |
| Digit Private Car Loss of Personal Belongings | Cover Only 1 Claims Per Year/Max SI-30000 | IRDAN158RP0005V01201718/A0069V01202021 |
| Digit Private Car Key & Lock Protect | Cover Only 1 Claims Per Year/Max SI-30000 | IRDAN158RP0005V01201718/A0068V01202021 |
| RTO Location | Kolkata,WEST BENGAL HYUNDAI | Make | HYUNDAI | Model/Vehicle Variant (Sub- Type) | VERNA/1.6 VTVT SX (AT) |
|------------------|-------------------------------|----------------|-------------------|-------------------------------------|-----------------------------|
| Seating Capacity | 5 | Fuel Type | Petrol | Year of Regn./ Manufacturing | 2019/-- |
| Engine No. | G4FGJU539707 | Chassis No. | MALC841CLKM113978 | Cubic Capacity | 1591 CC |
| Odometer | | FASTag Number. | NA | Financier Details | HINDUJA LEYLAND FINANCE LTD |
Address YOUR VEHICLE DETAILS RTO Location HYUNDAI Chassis No. MALC841CLKM113978 FASTag NUMBER DECLARATION WB02AN7481 HYUNDAI VERNA 2024-04-01 2025-03-31 Digit Private Car Policy
The Policy has been issued subject to your affirmative declaration that a valid FASTag has been affixed on the insured vehicle.
Call us at 1800-258-5956 to update your contact details. This will help us give you a smooth claim process.
Policy No: D139013714
Page No: 1 of 4
D08
10
Go Digit General Insurance Ltd.
Digit Private Car Policy
Call us in case of a benefits from our claim; and get special network garages!
6 Months Warranty on repairs with genuine & original parts
Complimentary Pick-up & Drop for your car
Cashless Claim Settlement across 1400+ garages
## YOUR VEHICLE IDV
| Year | Vechicle IDV (`) | Non-Electrical Accessories IDV (`) | Electrical Accessories IDV (`) | Electrical Accessories IDV (`) | CNG/LPG IDV (`) | Trailer IDV (`) | Total IDV (`) | PA Owner Driver |
|---------------------------------------------------------------------|---------------------------------------------------------------------|---------------------------------------------------------------------|----------------------------------|-----------------------------------------------------------|-----------------------------------------------------------|-----------------------------------------------------------|-----------------------------------------------------------|-----------------------------------------------------------|
| Year 1 | 564928 | -- | -- | -- | -- | -- | 564928.00 | -- |
| Year 2 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | -- |
| Year 3 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | -- |
| OWNDAMAGE PREMIUM [A] (') | OWNDAMAGE PREMIUM [A] (') | OWNDAMAGE PREMIUM [A] (') | LIABILITY PREMIUM [B] (') | LIABILITY PREMIUM [B] (') | LIABILITY PREMIUM [B] (') | LIABILITY PREMIUM [B] (') | LIABILITY PREMIUM [B] (') | LIABILITY PREMIUM [B] (') |
| Total Basic Own Damage Premium (') | Total Basic Own Damage Premium (') | Total Basic Own Damage Premium (') | 19434.00 | Basic Third-Party Liability (') | Basic Third-Party Liability (') | Basic Third-Party Liability (') | Basic Third-Party Liability (') | 7897.00 |
| NCB Discount Amount (') | NCB Discount Amount (') | NCB Discount Amount (') | -9717.00 | PA cover for Owner-Driver (') | PA cover for Owner-Driver (') | PA cover for Owner-Driver (') | PA cover for Owner-Driver (') | -- |
| Others (') | Others (') | Others (') | -8259.49 | Legal Liability to Employees (') | Legal Liability to Employees (') | Legal Liability to Employees (') | Legal Liability to Employees (') | 50.00 |
| Own Damage Premium (') | Own Damage Premium (') | Own Damage Premium (') | 1457.51 | Legal Liability to Paid Driver ( ` ) | Legal Liability to Paid Driver ( ` ) | Legal Liability to Paid Driver ( ` ) | Legal Liability to Paid Driver ( ` ) | |
| Add-Ons Premium (') | Add-Ons Premium (') | Add-Ons Premium (') | 8349.44 | PA cover for 5 passengers 0 ( ` ) | PA cover for 5 passengers 0 ( ` ) | PA cover for 5 passengers 0 ( ` ) | PA cover for 5 passengers 0 ( ` ) | -- |
| Total OD | (') Premium | | 9806.95 | | (') | | | 7947.00 |
| CGST @9%=( ` 1597.86) + SGST/UTGST @9%=( ` 1597.86) (') Net Premium | CGST @9%=( ` 1597.86) + SGST/UTGST @9%=( ` 1597.86) (') Net Premium | CGST @9%=( ` 1597.86) + SGST/UTGST @9%=( ` 1597.86) (') Net Premium | | 3195.72 17753.95 1457.51 1,458 1457.51 50 7897 Car Policy | 3195.72 17753.95 1457.51 1,458 1457.51 50 7897 Car Policy | 3195.72 17753.95 1457.51 1,458 1457.51 50 7897 Car Policy | 3195.72 17753.95 1457.51 1,458 1457.51 50 7897 Car Policy | 3195.72 17753.95 1457.51 1,458 1457.51 50 7897 Car Policy |
| Final Premium (') | Final Premium (') | Final Premium (') | | 20949.67 Private | 20949.67 Private | 20949.67 Private | 20949.67 Private | 20949.67 Private |
| Digit | Digit | Digit | Digit | Digit | Digit | Digit | Digit | Digit |
Note: The above total OD premium is inclusive of all applicable loading / discounts viz (automobile association memberships, voluntary excess, anti-theft handicap person, driver tuition, fiber glass, CNG/ LPG unit, geographical extension, imported vehicle etc., wherever applicable). GDD
In case of an accident to your vehicle, please intimate us immediately for SPOT SURVEY. Failure to intimate in time could prejudice your claim.
If the 'Own Damage Cover' under your policy is cancelled during the policy period, then your policy shall be governed by the standard terms and conditions of 'Act only' policy for the Third Party Cover during the remaining period of policy .
| Invoice Number Invoice | Date Net Premium VERNA | Igst | Sgst | Utgst | Cess | Gross Premium |
|------------------------------------|------------------------------------|------------------------------------|-----------------------------|-------------|--------|-----------------|
| IA127186345 2024-03-22 | 17753.95 | 0.00 | 1597.86 1597.86 | 0.00 | 0.00 | 20949.67 |
| OTHER DETAILS | | | | | | |
| Previous Insurer | Go Digit General Insurance Limited | Go Digit General Insurance Limited | | | | |
| Previous Policy No. HYUNDAI | D088490184 | | Previous Policy Expiry Date | 31-Mar-2024 | | |
| IMT - Endorsements | IMT-22,IMT-29,IMT-7 | | | | | |
| GSTIN/UIN No. | 19AABCR2809Q1ZV | | State Code | 19 | | |
| Payment Mode | Float | | Cheque/Transation No | -- | | |
| Bank Name | | | IFSC/MICR No | -- | | |
| Premium Payment Details WB02AN7481 | Receipt Number | RA152434129 | Receipt Date | -- | | |
| Nominee Details | -- | | | | | |
| Other Details | -- | | | | | |
| Details of Existing Damages | -- | | | | | |
For any 24X7 on-the-spot help/support that you require while on road, please call us on 1800-258-5956. ENDORSEMENT WB02AN7481 HYUNDAI VERNA 2024-04-01 2025-03-31 Digit Private Car Policy
PB
## Digit Private Car Policy
## Schedule/Certificate UIN No.: IRDAN158RP0005V01201718
## Follow these rules like you follow the rules of the road.
Geographical Area: Any accidental loss, damage and/or liability caused, sustained or incurred within India shall be covered subject to Policy Terms and Conditions, unless specifically agreed and endorsed.. Limitation as to use The policy covers use of the vehicle for any purpose other than hire or reward, racing, pace making, reliability trial, speed testing and use for any purpose in connection with the Motor Trade. Person or Class of persons entitled to drive: Any person including the insured 1) Provided that a person driving holds a valid & effective driving license at the time of the accident and is not disqualified from holding or obtaining such a license. 2) Provided also that the person holding a valid & effective Learner's License may also drive the vehicle and that such a person satisfies the requirements of Rule 3 of the Central Motor Vehicles Rules, 1989 and any subsequent amendment as applicable. Limits of Liability: 1) Under Section I of the policy _ IDV as shown in the schedule. 2) Under Section II - 1 (i)of the policy: Death of or bodily injury _ Such amount as is necessary to meet the requirements of the Motor Vehicles Act, 1988. 3) Under Section II _ 1 (ii)of the policy: Damage to Third Party Property _ `750000 4) P.A. Cover for Owner Driver under Section III (CSI) - `
NCB Declaration: The premium has been charged and policy has been issued subject to NCB declared by you as an insured. In the event of NCB found wrongly declared at any point of time during policy period, all benefits and coverages under the Policy in respect of section I of the Policy will stand forfeited. If there is any disagreement, write to us within 7 days from the date of issuance of policy or before the start date of period of insurance whichever is earlier.PUC Declaration: The Policy has been issued subject to valid Pollution Under Control (PUC) Certificate disclosed by you as an insured on or before the date of commencement of the Policy . Cheque dishonor / Non-receipt of payment premium paid through Cheque, the policy is void ab-initio in case of dishonor of Cheque or non-receipt of payment. Violation of Motor Vehicle Act: This policy is issued in accordance with the provision of Chapter X and Chapter XI of MV act, 1988 and any subsequent amendment as applicable. Any violation will forfeit all benefits and coverages under the Policy. The insured is not indemnified if the vehicle is used or driven otherwise than in accordance with this Schedule. Any payment made by the Company by reason of wider terms appearing in Certificate in order to comply with the Motor Vehicle Act, 1988 is recoverable from the insured. See the Clause headed (Avoidance Of Certain Terms And Right Of Recovery) in the policy. Pre-existing Damages: All types of pre-existing damages or cost of repair of such damage will be excluded at the time of claim settlement,as per the attached images. Important Notice: The company may cancel the policy by sending 7 days notice in case of fraud, misrepresentation, non disclosure of material fact or non co-operation of the insured. This policy is subject to the standard policy wordings, warranties and conditions applicable for this product in addition to Indian Motor Tariff. Break in Insurance: In case of a break-in, the company may conduct pre-inspection of the vehicle and in such a case, Own Damage cover (Section -I) of the policy would not commence unless the pre-inspection of the vehicle has been done and the acceptance of risk is subject to evaluation of the vehicle inspection report. In case of any adverse findings in the report, the Company, at its discretion, may cancel the Policy as per the Motor Tariff. Note: The policy is issued in utmost good faith, relying on the information shared by insured at the time of obtaining the policy. The terms and conditions detailed in this policy schedule as well as the policy document sent by Digit shall prevail in case of any dispute.
For & On Behalf of Go Digit General Insurance Ltd.
Wish to go through your detailed policy wordings, click here. In case of claim or any other query, please contact our 24-hour Call Centre at 1800-258-5956 or email us at hello@godigit.com or visit our website Digit Insurance: Car, Bike, Health & Travel Insurance Online .
For instant resolution, you can ping us 'Hi' on WhatsApp at 702 606 1234
For Claims Notification and Procedure click here. Stay Calm and just relax! We will take care of everything! WB02AN7481 HYUNDAI VERNA 2024-04-01 2025-03-31 Digit Private Car Policy
Praveen Bhat Senior Vice President - Customer Experience praveen.bhat@godigit.com Authorized Signatory
Printed, Signed, and Executed at Bengaluru Consolidated Stamp Duty has been paid as per Letter of Authorization No.67-B/04/2017-18 Date: 30th May 2017 issued by Department of Stamps and Registration , Bengaluru- 560009 KARNATAKA.
Hey, our document is now digitally signed Click here to view the certificate.
For instant resolution, you can ping us 'Hi' on WhatsApp at 702 606 1234
Go Digit General Insurance Ltd. Address: Atlantis, 95, 4th B Cross Road, Koramangala Industrial Layout, 5th Block, Bengaluru, Karnataka 560095. IRDAI Reg No. 158 CIN U66010PN2016PLC167410, GST Reg. No.: 19AACCO4128Q1ZX HSN: 997134/General Insurance Services, GSTIN Address:Kolkata Business Centre,Ground Floor, Block C, Apeejay House, 15 Park Street,Kolkata,West Bengal,PIN-700016
## This is the end of the document and the beginning of a wonderful relationship.
We hope that you do not get in a situation when you have to file a claim. However, if that happens, we are always there for you. That's a promise!
You can take your car to any of the listed network garages in case anything happens, and we assure you a hassle-free claim process.
- • Complete cashless facility • 6 Months warranty on repairs • Complimentary Pick-up & Drop
*Facilities mentioned above are offered by the garages. List of garages is subject to change in future. Please call on 1800-258-5956 in case you require further help.
Policy No: D139013714
Page No: 3 of 4
## Schedule/Certificate
## A LESSER KNOWN FACT!
1 in 4 fliers have lost their checked-in baggage in the last 3 years* and the trouble of flight delays is a whole other story.
## Travel Smarter With Travel Insurance!
Flight Delay Protection
Natural Disaster Coverage
Baggage Loss Reimbursement
## Explore Travel Insurance
'Source As per survey conducted by LocalCircles 2022 This is a consumer avareness initiative by Digit Insurance | Go Digit General Insurance Limited Benguluru 560095 Registered Office Address 411005Maharashtra | Trade logo of Go Digit Genera Insurance Ltd displayed above belongs to Go Digit Infoworks Services Private Limited and is provided and used by suoiect exchonges Stock Exchonges Capral HDFCPon Potential investors Equity Shores are only being offered ond sold henng Auqu
Response:
{"cc": "1591", "fuel_type": "Petrol", "gross_premium": "20949.67", "insured_name": "RAHEE INFRATECH LTD", "net_premium": "17753.95", "policy_end_date": "31-Mar-2025", "policy_number": "D139013714 / 22032024", "policy_start_date": "01-Apr-2024", "policy_type": "Digit Private Car Policy ", "seating_capacity": "5", "total_act_premium": "7947.00", "total_od_premium": "9806.95", "vehicle_registration_number": "WB02AN7481"}
|
Prompt:
You are a specialized text document data extraction specialist. Your role is to extract information in a valid json format from any text document that is provided to you. No explaination or additional information required.
Extract the following 13 key data points from the provided insurance document and return the results in JSON format. If a data point is not present in the document, set its value to "N/A".
Data Points to Extract:
1. policy_type
2. insured_name
3. vehicle_registration_number
4. policy_number
5. policy_start date
6. policy_end date
7. seating_capacity
8. fuel_type
9. cc
10. total_od_premium
11. total_act_premium
12. net_premium
13. gross_premium
Insurance Document:
PB
J
G
8629
P
M 10
1
9.8
30
MA
77
4.5
fal
16
P
1A
CG
6747
A
1 A
A
A A
1
A
101
14
10 92
1 6
1003
4906
## PARTNER DETAILS
opsretail@salasarservices.com
8336878521
1000090
Salasar Services Insurance Brokers Private Limited
Partner Email :
Partner Mobile Number:
Partner Code :
Partner Name:
## YOUR DETAILS
D139023677 / 22032024
dxxxxxxd@rxxxe.com Email:
xxxxxxxxx4175
WB02AN8790
RAHEE INFRATECH LIMITED
Mobile Number:
Policy Number:
Registration Number:
Name:
## YOUR POLICY DETAILS
| Policy Issue Date | 22-Mar-2024 | Invoice No. | IA127190840 | Invoice Date | 22-Mar-2024 |
|--------------------------------------------|---------------|---------------|---------------|--------------------------------|---------------|
| Period of Policy for Own Damage Cover | From | 01-Apr-2024 | 00:00:01 | NCB %(Current Policy) | 35% |
| Period of Policy for Own Damage Cover | To | 31-Mar-2025 | 23:59:59 | Additional Excess ( ` ) Policy | -- |
| Period of Policy for Third Party Liability | From | 01-Apr-2024 | 00:00:01 | Voluntary Deductible ( ` ) Car | 0.00 |
| Period of Policy for Third Party Liability | To | 31-Mar-2025 | 23:59:59 | Compulsory Deductible ( ` ) | 1000 |
| Period of Policy for PA Owner-Driver | From | -- | -- | Private | |
| Period of Policy for PA Owner-Driver | To | -- | -- | | |
| AddOn Cover | AddOn Coverage Details | UIN |
|-----------------------------------------------|------------------------------------------------------|----------------------------------------|
| Digit Private Car Consumable Cover | Cover Unlimited Claims | IRDAN158RP0005V01201718/A0008V01201718 |
| Digit Private Car Breakdown Assistance | | IRDAN158RP0005V01201718/A0014V02201718 |
| Digit Private Car Engine and Gear Box Protect | Maximum of one claim would be payable | IRDAN158RP0005V01201718/A0010V01201718 |
| Digit Private Car Parts Depreciation Protect | Cover Unlimited Claims | IRDAN158RP0005V01201718/A0009V01201718 |
| Digit Private Car Loss of Personal Belongings | Cover Only 1 Claims Per Year/Max SI-30000 2024-04-01 | IRDAN158RP0005V01201718/A0069V01202021 |
| Digit Private Car Key & Lock Protect | Cover Only 1 Claims Per Year/Max SI-30000 | IRDAN158RP0005V01201718/A0068V01202021 |
| RTO Location | Kolkata,WEST BENGAL | Make | MARUTI SUZUKI | Model/Vehicle Variant (Sub- Type) | CIAZ/Alpha Smart hybrid |
|------------------|-----------------------|----------------|-------------------|-------------------------------------|---------------------------|
| Seating Capacity | 5 MARUTI | Fuel Type | Petrol | Year of Regn./ Manufacturing | 2018/-- |
| Engine No. | K15BN1020288 | Chassis No. | MA3EXGL1S00372229 | Cubic Capacity | 1462 CC |
| Odometer | | FASTag Number. | NA | Financier Details | KOTAK MAHINDRA PRIME LTD |
Address 5TH FLOOR, 10/D/2, KEMWELL MANOR, HO CHI MINH SARANI, KOLKATA, KOLKATA, WEST BE,NGAL, 700071,Kolkata700071 YOUR VEHICLE DETAILS RTO Location Seating Capacity Engine No. K15BN1020288 Odometer FASTag NUMBER DECLARATION The Policy has been issued subject to your affirmative declaration that a valid FASTag has been affixed on the insured vehicle. WB02AN8790 MARUTI SUZUKI CIAZ 2024-04-01 2025-03-31 Digit Private Car Policy
Call us at 1800-258-5956 to update your contact details. This will help us give you a smooth claim process.
D08
Policy No: D139023677
Page No: 1 of 4
10
Go Digit General Insurance Ltd.
Digit Private Car Policy
Call us in case of a benefits from our claim; and get special network garages!
6 Months Warranty on repairs with genuine & original parts
Complimentary Pick-up & Drop for your car
Cashless Claim Settlement across 1400+ garages
## YOUR VEHICLE IDV
For any 24X7 on-the-spot help/support that you require while on road, please call us on 1800-258-5956. Note: The above total OD premium is inclusive of all applicable loading / discounts viz (automobile association memberships, voluntary excess, anti-theft handicap person, driver tuition, fiber glass, CNG/ LPG unit, geographical extension, imported vehicle etc., wherever applicable). GDD In case of an accident to your vehicle, please intimate us immediately for SPOT SURVEY. Failure to intimate in time could prejudice your claim. If the 'Own Damage Cover' under your policy is cancelled during the policy period, then your policy shall be governed by the standard terms and conditions of 'Act only' policy for the Third Party Cover during the remaining period of policy . ENDORSEMENT WB02AN8790 MARUTI SUZUKI CIAZ 2024-04-01 2025-03-31 Digit Private Car Policy
| Year | Vechicle IDV (`) | Non-Electrical Accessories IDV (`) | Electrical Accessories IDV (`) | Electrical Accessories IDV (`) | CNG/LPG IDV (`) | Trailer IDV (`) | Total IDV (`) | PA Owner Driver |
|-----------------------------------------------------|-----------------------------------------------------|-----------------------------------------------------|----------------------------------|---------------------------------------------------------------------|---------------------------------------------------------------------|---------------------------------------------------------------------|---------------------------------------------------------------------|---------------------------------------------------------------------|
| Year 1 | 559283 | -- | -- | -- | -- | -- | 559283.00 | -- |
| Year 2 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | -- |
| Year 3 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | -- |
| OWNDAMAGE PREMIUM [A] (') | OWNDAMAGE PREMIUM [A] (') | OWNDAMAGE PREMIUM [A] (') | LIABILITY PREMIUM [B] (') | LIABILITY PREMIUM [B] (') | LIABILITY PREMIUM [B] (') | LIABILITY PREMIUM [B] (') | LIABILITY PREMIUM [B] (') | LIABILITY PREMIUM [B] (') |
| Total Basic Own Damage Premium (') | Total Basic Own Damage Premium (') | Total Basic Own Damage Premium (') | 19278.00 | Basic Third-Party Liability (') | Basic Third-Party Liability (') | Basic Third-Party Liability (') | Basic Third-Party Liability (') | 3416.00 |
| NCB Discount Amount (') | NCB Discount Amount (') | NCB Discount Amount (') | -6747.00 | PA cover for Owner-Driver (') | PA cover for Owner-Driver (') | PA cover for Owner-Driver (') | PA cover for Owner-Driver (') | -- |
| Others (') | Others (') | Others (') | -10651.35 | Legal Liability to Employees (') | Legal Liability to Employees (') | Legal Liability to Employees (') | Legal Liability to Employees (') | 50.00 |
| Own Damage Premium (') | Own Damage Premium (') | Own Damage Premium (') | 1879.65 | Legal Liability to Paid Driver ( ` ) | Legal Liability to Paid Driver ( ` ) | Legal Liability to Paid Driver ( ` ) | Legal Liability to Paid Driver ( ` ) | |
| Add-Ons Premium (') | Add-Ons Premium (') | Add-Ons Premium (') | 8738.57 | PA cover for 5 passengers 0 ( ` ) ( ` ) CNG/LPG Premium | PA cover for 5 passengers 0 ( ` ) ( ` ) CNG/LPG Premium | PA cover for 5 passengers 0 ( ` ) ( ` ) CNG/LPG Premium | PA cover for 5 passengers 0 ( ` ) ( ` ) CNG/LPG Premium | -- |
| (') Total OD Premium | (') Total OD Premium | (') Total OD Premium | 10618.22 | (') Total Act Premium Policy | (') Total Act Premium Policy | (') Total Act Premium Policy | (') Total Act Premium Policy | 3466.00 |
| CGST @9%=( ` 1267.58) + SGST/UTGST @9%=( ` 1267.58) | CGST @9%=( ` 1267.58) + SGST/UTGST @9%=( ` 1267.58) | CGST @9%=( ` 1267.58) + SGST/UTGST @9%=( ` 1267.58) | | 16619.38 2535.16 14084.22 1879.65 1,880 1012.12 50 3416 Private Car | 16619.38 2535.16 14084.22 1879.65 1,880 1012.12 50 3416 Private Car | 16619.38 2535.16 14084.22 1879.65 1,880 1012.12 50 3416 Private Car | 16619.38 2535.16 14084.22 1879.65 1,880 1012.12 50 3416 Private Car | 16619.38 2535.16 14084.22 1879.65 1,880 1012.12 50 3416 Private Car |
| | | | | Digit | Digit | Digit | Digit | Digit |
| Invoice Number Invoice | Date Net Premium | Igst | Sgst | Utgst | Cess | Gross Premium |
|------------------------------------|------------------------------------|------------------------------------|-----------------------------|-------------|--------|-----------------|
| IA127190840 2024-03-22 | 14084.22 | 0.00 | 1267.58 1267.58 | 0.00 | 0.00 | 16619.38 |
| OTHER DETAILS | SUZUKI | | | | | |
| Previous Insurer | Go Digit General Insurance Limited | Go Digit General Insurance Limited | | | | |
| Previous Policy No. MARUTI | D088288380 | | Previous Policy Expiry Date | 31-Mar-2024 | | |
| IMT - Endorsements | IMT-22,IMT-29,IMT-7 | | | | | |
| GSTIN/UIN No. | 19AABCR2809Q1ZV | | State Code | 19 | | |
| Payment Mode | Float | | Cheque/Transation No | -- | | |
| Bank Name | | | IFSC/MICR No | -- | | |
| Premium Payment Details WB02AN8790 | Receipt Number | RA152446088 | Receipt Date | -- | | |
| Nominee Details | -- | | | | | |
| Other Details | -- | | | | | |
| Details of Existing Damages | -- | | | | | |
PB
## Digit Private Car Policy
## Schedule/Certificate UIN No.: IRDAN158RP0005V01201718
## Follow these rules like you follow the rules of the road.
Geographical Area: Any accidental loss, damage and/or liability caused, sustained or incurred within India shall be covered subject to Policy Terms and Conditions, unless specifically agreed and endorsed.. Limitation as to use The policy covers use of the vehicle for any purpose other than hire or reward, racing, pace making, reliability trial, speed testing and use for any purpose in connection with the Motor Trade. Person or Class of persons entitled to drive: Any person including the insured 1) Provided that a person driving holds a valid & effective driving license at the time of the accident and is not disqualified from holding or obtaining such a license. 2) Provided also that the person holding a valid & effective Learner's License may also drive the vehicle and that such a person satisfies the requirements of Rule 3 of the Central Motor Vehicles Rules, 1989 and any subsequent amendment as applicable. Limits of Liability: 1) Under Section I of the policy _ IDV as shown in the schedule. 2) Under Section II - 1 (i)of the policy: Death of or bodily injury _ Such amount as is necessary to meet the requirements of the Motor Vehicles Act, 1988. 3) Under Section II _ 1 (ii)of the policy: Damage to Third Party Property _ `750000 4) P.A. Cover for Owner Driver under Section III (CSI) - `
NCB Declaration: The premium has been charged and policy has been issued subject to NCB declared by you as an insured. In the event of NCB found wrongly declared at any point of time during policy period, all benefits and coverages under the Policy in respect of section I of the Policy will stand forfeited. If there is any disagreement, write to us within 7 days from the date of issuance of policy or before the start date of period of insurance whichever is earlier.PUC Declaration: The Policy has been issued subject to valid Pollution Under Control (PUC) Certificate disclosed by you as an insured on or before the date of commencement of the Policy . Cheque dishonor / Non-receipt of payment premium paid through Cheque, the policy is void ab-initio in case of dishonor of Cheque or non-receipt of payment. Violation of Motor Vehicle Act: This policy is issued in accordance with the provision of Chapter X and Chapter XI of MV act, 1988 and any subsequent amendment as applicable. Any violation will forfeit all benefits and coverages under the Policy. The insured is not indemnified if the vehicle is used or driven otherwise than in accordance with this Schedule. Any payment made by the Company by reason of wider terms appearing in Certificate in order to comply with the Motor Vehicle Act, 1988 is recoverable from the insured. See the Clause headed (Avoidance Of Certain Terms And Right Of Recovery) in the policy. Pre-existing Damages: All types of pre-existing damages or cost of repair of such damage will be excluded at the time of claim settlement,as per the attached images. Important Notice: The company may cancel the policy by sending 7 days notice in case of fraud, misrepresentation, non disclosure of material fact or non co-operation of the insured. This policy is subject to the standard policy wordings, warranties and conditions applicable for this product in addition to Indian Motor Tariff. Break in Insurance: In case of a break-in, the company may conduct pre-inspection of the vehicle and in such a case, Own Damage cover (Section -I) of the policy would not commence unless the pre-inspection of the vehicle has been done and the acceptance of risk is subject to evaluation of the vehicle inspection report. In case of any adverse findings in the report, the Company, at its discretion, may cancel the Policy as per the Motor Tariff. Note: The policy is issued in utmost good faith, relying on the information shared by insured at the time of obtaining the policy. The terms and conditions detailed in this policy schedule as well as the policy document sent by Digit shall prevail in case of any dispute.
For & On Behalf of Go Digit General Insurance Ltd.
Wish to go through your detailed policy wordings, click here. In case of claim or any other query, please contact our 24-hour Call Centre at 1800-258-5956 or email us at hello@godigit.com or visit our website Digit Insurance: Car, Bike, Health & Travel Insurance Online .
Praveen Bhat
Authorized Signatory
For instant resolution, you can ping us 'Hi' on WhatsApp at 702 606 1234 For Claims Notification and Procedure click here. Senior Vice President - Customer Experience praveen.bhat@godigit.com Printed, Signed, and Executed at Bengaluru Consolidated Stamp Duty has been paid as per Letter of Authorization No.67-B/04/2017-18 Date: 30th May 2017 issued by Department of Stamps and Registration , Bengaluru- 560009 KARNATAKA. Hey, our document is now digitally signed Click here to view the certificate. For instant resolution, you can ping us 'Hi' on WhatsApp at 702 606 1234 Go Digit General Insurance Ltd. Address: Atlantis, 95, 4th B Cross Road, Koramangala Industrial Layout, 5th Block, Bengaluru, Karnataka 560095. IRDAI Reg No. 158 CIN U66010PN2016PLC167410, GST Reg. No.: 19AACCO4128Q1ZX HSN: 997134/General Insurance Services, GSTIN Address:Kolkata Business Centre,Ground Floor, Block C, Apeejay House, 15 Park Street,Kolkata,West Bengal,PIN-700016 · Complete cashless facility · 6 Months warranty on repairs · Complimentary Pick-up & Drop *Facilities mentioned above are offered by the garages. List of garages is subject to change in future. Please call on 1800-258-5956 in case you require further help. We hope that you do not get in a situation when you have to file a claim. However, if that happens, we are always there for you. That's a promise! Stay Calm and just relax! We will take care of everything! You can take your car to any of the listed network garages in case anything happens, and we assure you a hassle-free claim process. This is the end of the document and the beginning of a wonderful relationship. WB02AN8790 MARUTI SUZUKI CIAZ 2024-04-01 2025-03-31 Digit Private Car Policy
Policy No: D139023677
Page No: 3 of 4
## Schedule/Certificate
## A LESSER KNOWN FACT!
1 in 4 fliers have lost their checked-in baggage in the last 3 years* and the trouble of flight delays is a whole other story.
## Travel Smarter With Travel Insurance!
Flight Delay Protection
Natural Disaster Coverage
Baggage Loss Reimbursement
## Explore Travel Insurance
'Source As per survey conducted by LocalCircles 2022 This is a consumer avareness initiative by Digit Insurance | Go Digit General Insurance Limited Benguluru 560095 Registered Office Address 411005Maharashtra | Trade logo of Go Digit Genera Insurance Ltd displayed above belongs to Go Digit Infoworks Services Private Limited and is provided and used by suoiect exchonges Stock Exchonges Capral HDFCPon Potential investors Equity Shores are only being offered ond sold henng Auqu
Response:
{"cc": "1462", "fuel_type": "Petrol", "gross_premium": "16619.38", "insured_name": "RAHEE INFRATECH LIMITED", "net_premium": "14084.22", "policy_end_date": "31-Mar-2025", "policy_number": "D139023677 / 22032024", "policy_start_date": "01-Apr-2024", "policy_type": "Digit Private Car Policy ", "seating_capacity": "5", "total_act_premium": "3466.00", "total_od_premium": "10618.22", "vehicle_registration_number": "WB02AN8790"}
|
Prompt:
You are a specialized text document data extraction specialist. Your role is to extract information in a valid json format from any text document that is provided to you. No explaination or additional information required.
Extract the following 13 key data points from the provided insurance document and return the results in JSON format. If a data point is not present in the document, set its value to "N/A".
Data Points to Extract:
1. policy_type
2. insured_name
3. vehicle_registration_number
4. policy_number
5. policy_start date
6. policy_end date
7. seating_capacity
8. fuel_type
9. cc
10. total_od_premium
11. total_act_premium
12. net_premium
13. gross_premium
Insurance Document:
Full open
deck
KFZ
Goo
J
1
FH
J
Go Digit General Insurance Ltd.
Digit Commercial Vehicle Package Policy - Goods Carrying Vehicle
Schedule/Certificate
IRDAN158RP0001V01201819
UIN No.:
| Name | MERINO INDUSTRIES LIMITED | Vehicle Registration No. | TN70R2944 |
|------------|-------------------------------------------------------------------------------|----------------------------|------------------------------------------------------------|
| Address | BANGALUR ROAD KALAHASTHPURAM HOSUR, AVALAPALLI,, - 635109.,Krishnagiri-635109 | Partner Name Partner Code | Salasar Services Insurance Brokers Private Limited 1000090 |
| Mobile | xxxxxxxxx6669 | Partner Email | opsretail@salasarservices.com |
| Email | axxxxxxxxxxl@mxxxxxxxxxa.com | Partner Mobile No. | 8336878521 |
| Aadhar No. | -- | | |
Claim
Check Claim
Policy
Renew
Chat With
MAKL
P
MAKL r 2 urrent Policy) 100 rime Broke (C NCB %
G8
CA
KFZ
G80
IG
32
I do
18
61
27
6.
28
Public
Carrie
N
MA
K
| | Policy No. | Policy Issue Date |
|---------------------------------------|---------------------------------------|---------------------|
| | | |
| To Period of Policy | To Period of Policy | |
| MAKL2 Broker NCB %(Current Policy) 50 | MAKL2 Broker NCB %(Current Policy) 50 | |
| Compulsory Deductible | Compulsory Deductible | |
| Make | EICHER MOTORS | EICHER MOTORS | Trailer Reg. No. | Trailer Reg. No. | RTO Location | Hosur,TAMIL NADU |
|----------------------------------|----------------------------------|---------------------------|----------------------------------------------------|----------------------------------------------------|---------------------------|----------------------|
| Model/Vehicle Variant (Sub-Type) | Model/Vehicle Variant (Sub-Type) | 10.90 F / CAB AND CHASSIS | -- 2015 / Year of Regn. / Manufacturing Commercial | -- 2015 / Year of Regn. / Manufacturing Commercial | Licensed Seating Capacity | 2 |
| Engine No. | Engine No. | E413CDFF036510 | MC2C2FRC0FF318837 Chassis No. | MC2C2FRC0FF318837 Chassis No. | Cubic Capacity | 3956 CC |
| Fuel Type | Fuel Type | Diesel | 8720KG Gross Vehicle Weight | 8720KG Gross Vehicle Weight | Vehicle Body Type | Full deck open metal |
| -- Goods Type | -- Goods Type | Permit Type | Public | Carrier | Wheels | 4 |
| Odometer | Odometer | FASTag Number NA | Financier Digit | Details | | |
FASTag NUMBER DECLARATION
| Vehicle IDV ( ` ) | IDV of Electrical Accessories ( ` ) | IDV of Non-Electrical Accessories ( ` ) | CNG/LPG KIT IDV ( ` ) | Trailer IDV ( ` ) | Body IDV ( ` ) | Total IDV ( ` ) |
|----------------------------------|---------------------------------------|-------------------------------------------------|-------------------------------------------------|-------------------------------------------------|-------------------------------------------------|---------------------------|
| 328128 | -- | -- F | -- | -- | 80000 | 408128.00 |
| (') OWN DAMAGE PREMIUM [A] 10.90 | (') OWN DAMAGE PREMIUM [A] 10.90 | (') LIABILITY PREMIUM [B] | (') LIABILITY PREMIUM [B] | (') LIABILITY PREMIUM [B] | (') LIABILITY PREMIUM [B] | (') LIABILITY PREMIUM [B] |
| Own Damage Premium (`) | Own Damage Premium (`) | 680.36 | Basic Third-Party Liability (`) | Basic Third-Party Liability (`) | Basic Third-Party Liability (`) | 27186.00 |
| Add-Ons Premium (`) | Add-Ons Premium (`) | 0.00 -340.18 | PA cover for Owner-Driver (`) | PA cover for Owner-Driver (`) | PA cover for Owner-Driver (`) | -- |
| NCB Discount Amount (`) MOTORS | NCB Discount Amount (`) MOTORS | Legal Liability to Paid (`) Driver (Persons:1) | Legal Liability to Paid (`) Driver (Persons:1) | Legal Liability to Paid (`) Driver (Persons:1) | Legal Liability to Paid (`) Driver (Persons:1) | 50.00 |
| EICHER | EICHER | Legal Liability to Paid (`) Cleaner (Persons:1) | Legal Liability to Paid (`) Cleaner (Persons:1) | Legal Liability to Paid (`) Cleaner (Persons:1) | Legal Liability to Paid (`) Cleaner (Persons:1) | 50.00 |
| (') Total OD Premium | (') Total OD Premium | 340.18 | (') Total Act Premium | (') Total Act Premium | (') Total Act Premium | 27286.00 |
| (') Net Premium [A+B] | (') Net Premium [A+B] | | | | | 27626.18 |
| IGST @12%=( ` 3262.32) | IGST @12%=( ` 3262.32) | | | | | 3262.32 |
| IGST @18%=( ` 79.23) | IGST @18%=( ` 79.23) | | | | | 79.23 |
| Total Premium | (') | | | | | 30967.73 |
| CSC ID | | | | | | |
| VLE / RAP Name | | | | | | |
Compulsory Deductible YOUR POLICY DETAILS Engine No. YOUR VEHICLE DETAILS Goods Type Gross Vehicle Weight Permit Type FASTag Number NA The Policy has been issued subject to your affirmative declaration that a valid FASTag has been affixed on the insured vehicle. YOUR VEHICLE IDV (THE MAXIMUM MONEY YOU CAN GET IN CASE OF A CLAIM) TN70R2944 EICHER MOTORS 10.90 F 2024-08-26 2025-08-25 Digit Commercial Vehicle Comprehensive Policy
Policy No: D156108946
Go Digit General Insurance Ltd.
Digit Commercial Vehicle Package Policy - Goods Carrying Vehicle
Schedule/Certificate
IRDAN158RP0001V01201819
UIN No.:
## VLE / Mobile Number
I/We hereby affirmatively warrant/declare that the vehicle body-type is declared accurately and correctly. I/we further understand and acknowledge that, if the body-type is found to be other than what has been declared, shall amount to misrepresentation and Insurer shall have the right to cancel the policy and/or reject any claim in accordance with policy terms and conditions and express clause attached on this policy.
Note : The above total OD premium is inclusive of all applicable loading / discounts viz (automobile association memberships, voluntary excess, anti-theft handicap person, driver tuition, fiber glass, CNG/ LPG unit, geographical extension, imported vehicle etc., wherever applicable).
If the 'Own Damage Cover' under your policy is cancelled during the policy period, then your policy shall be governed by the standard terms and conditions of 'Act only' policy for the Third Party Cover during the remaining period of policy.
In case of an accident to your vehicle, please intimate us immediately for SPOT SURVEY. Failure to intimate in time could prejudice your claim. In case of Total Loss and/or Theft claim, applicable subsidy amount availed as per government policy will be reduced from IDV for claim settlement.
## ENDORSEMENT
| Invoice Number | Invoice Date | Net Premium | Igst | Cgst | Sgst | Utgst | Cess | Gross Premium |
|-----------------------------|-----------------------------|---------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|---------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|---------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|---------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|---------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|---------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|---------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|
| IA140139019 | 2024-08-22 | 27626.18 | 3341.55 | 0.00 | 0.00 | 0.00 | 0.00 | 30967.73 |
| IA144882498 | 2024-08-22 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 |
| OTHER DETAILS | | | | | | | | |
| Previous Insurer | Previous Insurer | Bajaj Allianz General Insurance Co. Ltd. | Bajaj Allianz General Insurance Co. Ltd. | Bajaj Allianz General Insurance Co. Ltd. | Bajaj Allianz General Insurance Co. Ltd. | | Policy | |
| Previous Policy No. | Previous Policy No. | OG-24-2401-1803-00003011 | OG-24-2401-1803-00003011 | Previous Policy Expiry Date | Previous Policy Expiry Date | 25-Aug-2024 | 25-Aug-2024 | |
| IMT - Endorsements | IMT - Endorsements | IMT-21,IMT-23,IMT-28 | IMT-21,IMT-23,IMT-28 | IMT-21,IMT-23,IMT-28 | IMT-21,IMT-23,IMT-28 | Comprehensive | | |
| Invoice Number | Invoice Number | IA144882498 | IA144882498 | IA144882498 | IA144882498 | | | |
| GSTIN/UIN No. | GSTIN/UIN No. | 33AAACC9186C1ZU | 33AAACC9186C1ZU | State Code | | 33 | | |
| Payment Mode | Payment Mode | Float | Float | Cheque/Transation No | Cheque/Transation No | | | |
| Bank Name | Bank Name | | | IFSC/MICR No | | -- | | |
| Premium Payment Details | Premium Payment Details | -- Receipt No. | -- Receipt No. | Receipt Date Vehicle | Receipt Date Vehicle | | | |
| Nominee Details | Nominee Details | -- -- Commercial | -- -- Commercial | -- -- Commercial | -- -- Commercial | -- -- Commercial | -- -- Commercial | -- -- Commercial |
| Details of Existing Damages | Details of Existing Damages | -- | -- | -- | -- | -- | -- | -- |
| Other details | Other details | I do hereby confirm that the details provided for this endorsement are true and correct to the best of my knowledge. I understand that in the event of any discrepancy found later on in this regard, the Company shall remain entitled to take appropriate action against me, including legal action.10;Following are the non-financial endorsements changes :10;GSTIN: 33AAACC9186C1ZU10; Digit | I do hereby confirm that the details provided for this endorsement are true and correct to the best of my knowledge. I understand that in the event of any discrepancy found later on in this regard, the Company shall remain entitled to take appropriate action against me, including legal action.10;Following are the non-financial endorsements changes :10;GSTIN: 33AAACC9186C1ZU10; Digit | I do hereby confirm that the details provided for this endorsement are true and correct to the best of my knowledge. I understand that in the event of any discrepancy found later on in this regard, the Company shall remain entitled to take appropriate action against me, including legal action.10;Following are the non-financial endorsements changes :10;GSTIN: 33AAACC9186C1ZU10; Digit | I do hereby confirm that the details provided for this endorsement are true and correct to the best of my knowledge. I understand that in the event of any discrepancy found later on in this regard, the Company shall remain entitled to take appropriate action against me, including legal action.10;Following are the non-financial endorsements changes :10;GSTIN: 33AAACC9186C1ZU10; Digit | I do hereby confirm that the details provided for this endorsement are true and correct to the best of my knowledge. I understand that in the event of any discrepancy found later on in this regard, the Company shall remain entitled to take appropriate action against me, including legal action.10;Following are the non-financial endorsements changes :10;GSTIN: 33AAACC9186C1ZU10; Digit | I do hereby confirm that the details provided for this endorsement are true and correct to the best of my knowledge. I understand that in the event of any discrepancy found later on in this regard, the Company shall remain entitled to take appropriate action against me, including legal action.10;Following are the non-financial endorsements changes :10;GSTIN: 33AAACC9186C1ZU10; Digit | I do hereby confirm that the details provided for this endorsement are true and correct to the best of my knowledge. I understand that in the event of any discrepancy found later on in this regard, the Company shall remain entitled to take appropriate action against me, including legal action.10;Following are the non-financial endorsements changes :10;GSTIN: 33AAACC9186C1ZU10; Digit |
All types of pre-existing damages or cost of repair of such damage will be excluded at the time of claim settlement.
Bank Name Payment Mode Invoice Number Previous Insurer IMT - Endorsements GSTIN/UIN No. Nominee Details Previous Policy No. Premium Payment Details OTHER DETAILS Details of Existing Damages Other details I do hereby confirm that the details provided for this endorsement are true and correct to the best of my knowledge. I understand that in the event of any discrepancy found later on in this regard, the Company shall remain entitled to take appropriate action against me, including legal action.10;Following are the non-financial endorsements changes :10;GSTIN: 33AAACC9186C1ZU10; Follow these rules like you follow the rules of the road. Geographical Area -Any accidental loss damage and/or liability caused sustained or incurred within India shall be covered subject to and Conditions, unless specifically agreed and endorsed. Limitation as to use - The policy covers use of the vehicle only under a permit within the meaning of the Motor Vehicles Act 1988 or such a carriage falling under sub-section (3) of Section 66 of the Motor Vehicles Act, 1988. The policy does not cover use for Organised racing, Pace Making, Reliability Trials, Speed Testing, Use whilst drawing a trailer except the towing (other than for reward) of any one disabled Mechanically propelled vehicle (only for Passenger Carrying Vehicle). Person or Class of persons entitled to drive - Any person including the insured 1) Provided that a person driving holds a valid & effective driving license at the time of the accident and is not disqualified from holding or obtaining such a license.2) Provided also that the person holding a valid & effective Learner's license may also drive the vehicle and that such a person satisfies the requirements of Rule 3 of the Central Motor Vehicles Rules, 1989 and any subsequent amendment as applicable. Limits of Liability: 1) Under Section I of the policy - IDV as shown in the schedule. 2) Under Section II - 1 (i) of the policy: Death of or bodily injury - Such amount as is necessary to meet the requirements of the Motor Vehicles Act, 1988. 3) Under Section II - 1 (ii) of the policy: Damage to Third Party Property -` 750000 4) P.A. Cover for Owner Driver under Section III (CSI): ` PUC Declaration: The Policy has been issued subject to valid Pollution Under Control (PUC) Certificate disclosed by you as an insured on or before the date of commencement of the Policy . NCB Declaration: The premium has been charged and policy has been issued subject to NCB declared by you as an insured. In the event of NCB found wrongly declared at any point of time during policy period, all benefits and coverages under the Policy in respect of section I of the Policy will stand forfeited. If there is any disagreement, write to us within 7 days from the date of issuance of policy or before the start date of period of insurance whichever is earlier. Important Note: Please inform the Company in case of change on account of addition of CNG/PNG kit. Break in Insurance: In case of a break-in, the company may conduct pre-inspection of the vehicle and in such a case, Own Damage cover (Section -I) of the policy would not commence unless the pre-inspection of the vehicle has been done and the acceptance of risk is subject to evaluation of the vehicle inspection report. In case of any adverse findings in the report, the Company, at its discretion, may cancel the Policy as per the Motor Tariff. Pre-existing Damages: Policy would be void on the ground that it was obtained of material fact or by a representation of fact which was false in some material particular. TN70R2944 EICHER MOTORS 10.90 F 2024-08-26 2025-08-25 Digit Commercial Vehicle Comprehensive Policy
Cheque dishonor / Non-receipt of payment premium paid through Cheque, the policy is void ab-initio in case of dishonor of Cheque or nonreceipt of payment.
Policy No: D156108946
Page No: 2 of 3
Go Digit General Insurance Ltd.
Digit Commercial Vehicle Package Policy - Goods Carrying Vehicle
Schedule/Certificate
IRDAN158RP0001V01201819
UIN No.:
Violation of Motor Vehicle Act: This policy is issued in accordance with the provision of Chapter X and Chapter XI of MV act, 1988 and any subsequent amendment as applicable. Any violation will forfeit all benefits and coverages under the Policy. The insured is not indemnified if the vehicle is used or driven otherwise than in accordance with this Schedule. This policy is subject to the standard policy wordings, warranties and conditions applicable for this product in addition to Indian Motor Tariff. Any payment made by the Company by reason of wider terms appearing in Certificate in order to comply with the Motor Vehicle Act, 1988 is recoverable from the insured. See the Clause headed (Avoidance Of Certain Terms And Right Of Recovery) in the policy.
Note: The policy is issued in utmost good faith, relying on the information shared by insured at the time of obtaining the policy. The terms and conditions detailed in this policy schedule as well as the policy document sent by Digit shall prevail in case of any dispute.
For & On Behalf of Go Digit General Insurance Ltd.
Praveen Bhat Senior Vice President - Customer Experience praveen.bhat@godigit.com Authorized Signatory Printed, Signed, and Executed at Bengaluru Consolidated Stamp Duty has been paid as per Letter of Authorization No.67-B/04/2017-18 Date: 30th May 2017 issued by Department of Stamps and Registration , Bengaluru- 560009 - KARNATAKA. Hey,our document is now digitally signed Click here to view the certificate. For instant resolution, you can ping us 'Hi' on WhatsApp at 702 606 1234
Wish to go through your detailed policy wordings, click here. In case of claim or any other query, please contact our 24-hour Call Centre at 1800-258-5956 or email us at hello@godigit.com or visit our website Digit Insurance: Car, Bike, Health & Travel Insurance Online .
For instant resolution, you can ping us 'Hi' on WhatsApp at 702 606 1234
For Claims Notification and Procedure click here.
provided and used by dated Varch 30,2023
TN70R2944 EICHER MOTORS 10.90 F 2024-08-26 2025-08-25 Digit Commercial Vehicle Comprehensive Policy
Policy No: D156108946
Page No: 3 of 3
Response:
{"cc": "3956", "fuel_type": "Diesel", "gross_premium": "30967.73", "insured_name": "MERINO INDUSTRIES LIMITED", "net_premium": "27626.18", "policy_end_date": "25-Aug-2025", "policy_number": "D156108946 / 22082024", "policy_start_date": "26-Aug-2024", "policy_type": "Digit Commercial Vehicle Package Policy - Goods Carrying Vehicle", "seating_capacity": "4", "total_act_premium": "27286.00", "total_od_premium": "340.18", "vehicle_registration_number": "TN70R2944"}
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