PREMIUM COMPUTATION SHEET

Department : MOTOR Insured's Name : Guest User

Document No : R/441592/31/2022/42272274/8 Document Date : 03/05/2021

Policy Start Date : 03/05/2021 Policy End Date : 02/05/2022

Product Description : MOTORISED TWO WHEELERS-(5 Document Type : Proposal

Years)
Policy Type : LIABILITY ONLY POLICY

SCHEDULE OF PREMIUM
Cover Description Sum Insured Premium

BASIC TP COVER 0.00 3,285.00

BASIC TP TOTAL 16,00,000.00 4,892.00
ADD :PA FOR OWNER DRIVER-GR36A 15,00,000.00 1,607.00
TP TOTAL 16,00,000.00 4,892.00
TOTAL PREMIUM 4,892.00
ADD :CGST 440.00
ADD :SGST 440.00
ADD :Kerala Cess 49.00
STAMP DUTY 0.50
TOTAL AMOUNT 5,821.00

RISK DETAILS

Section : LIABILITY ONLY POLICY

Vehicle Details : F486522135 / MB8CF4CAAB8161214 / NEW

Cover Name Sum Insured Rate Premium

BASIC TP COVER 0.00 3285/1 3,285.00

PA FOR OWNER DRIVER-GR36A 15,00,000.00 1607/1 1,607.00

Total 4,892.00