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I/we hereby declare that the statement made by me/us in this proposal form is true to the best of my/our knowledge and belief and I/we hereby agree that this declaration shall form the basis of the contract between me/us and Oriental insurance company Ltd. I/we also hereby declare that if any additions or alterations are carried out after the submission of this proposal form then the same would be conveyed to the insurer immediately. I/we also understand that if any incorrect details are entered, the claim may not be awarded.I confirm that the delivery of the vehicle has not been taken(Applicable for New Policies and not applicable in case of Renewal).
I/we undertake that I/we have a valid PUC existing as on date of this transaction
PROHIBITION OF REBATES (Section 41 of the Insurance Act 1938 provides) No person shall allow, or offer to allow, either directly or indirectly, as an inducement to any person to take out or renew or continue an insurance in respect of any kind of risk relating to lives or property in India, any rebate of the whole or part of the commission payable or any rebate of the premium shown on the policy, nor shall any person taking out or renewing or continuing a policy accept any rebate except such rebate as may be allowed in accordance with the published prospectus or tables of the Insurer. Any person making default in complying with the provisions of this section shall be liable for a penalty which may extend to ten lakh rupees.
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I/we hereby agree that Oriental insurance company Ltd. can store the personal information/contact details given by me /us in this Basic information form and register me on the portal.
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Other Details
Start date of new policy
07/06/2023
End date of new policy
06/06/2024
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Declaration
PROHIBITION OF REBATES (Section 41 of the Insurance Act 1938 provides) No person shall allow, or offer to allow, either directly or indirectly, as an inducement to any person to take out or renew or continue an insurance in respect of any kind of risk relating to lives or property in India, any rebate of the whole or part of the commission payable or any rebate of the premium shown on the policy, nor shall any person taking out or renewing or continuing a policy accept any rebate except such rebate as may be allowed in accordance with the published prospectus or tables of the Insurer. Any person making default in complying with the provisions of this section shall be liable for a penalty which may extend to ten lakh rupees.
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