Quotation
Agent Name: Mr. Vishvendra Bahadur Singh
Agent Number/Tieup: CO000015/CO000083
Agent Mobile: 9319695615
Branch: CO
Insured Motor Vehicle Details
Date of
Registration No Product Manufacturing Manufacturer/Model/Variant Policy Type First Inception Expiration Registration Registration
Year Registration Date Date State City
MP 17 CA 9812 PCP 2014 MARUTI/SWIFT DZIRE/VXI Comprehensive 2014-03-14
2023-10- 2024-10- MADHYA REWA
14 13 PRADESH
Claim on Previous
Owner Serial No Discount ITGI Total Previous Policies Discount Zip Code Cibil Score NCB Existing Policy
Discount Discount Discount Policy Expiration
Date
2 50 0 No 2023-10-13
Coverages
Own Damage Premium(Rs.) Third Party Premium(Rs.)
IDV Basic IDV Basic
OD1: 5026.5 TP1: 3416
Sum Insured 300000 Sum Insured 300000
No Claim Bonus PA Owner / Driver
OD1: -1005.3 TP1: 330
Sum Insured 20 Sum Insured Y
PA to Passenger
Sum Insured 100000 TP1: 200
Number 4
Legal Liability to Driver
Sum Insured Y TP1: 50
Number 1
Premium Details
Premium (₹) 8017.2
Total Tax (₹) 1443.1
Net Payable Premium (₹) 9460.3
** Actual premium may differ from above mentioned premium upon purchase
of policy. ** 11-10-2023 16:31:03
