PREMIUM COMPUTATION SHEET

Department : MOTOR Insured's Name : SH. R N THAKUR

Document No : R/252100/31/2021/3444 Document Date : 30/08/2021

Policy Start Date : 31/08/2021 Policy End Date : 30/08/2022

Product Description : MOTORISED-TWO WHEELERS Document Type : Proposal

Policy Type : PACKAGE POLICY

SCHEDULE OF PREMIUM
Cover Description Sum Insured Premium

BASIC OD COVER 16,655.00 300.12

LESS :Underwriter's Discount 0.00 60.00
MOTOR OD BASIC - NEW 16,655.00 240.12
BASIC OD TOTAL 16,655.00 240.12
OD TOTAL 16,655.00 240.00
LESS :NO CLAIM BONUS-GR27 0.00 120.06
MOTOR TOTAL OD 16,655.00 120.00
BASIC TP COVER 0.00 752.00
BASIC TP TOTAL 1,00,000.00 752.00
ADD :PA FOR OWNER DRIVER-GR36A 15,00,000.00 360.00
TP TOTAL 16,00,000.00 1,112.00
TOTAL PREMIUM 1,232.00
ADD :CGST 111.00
ADD :SGST 111.00
STAMP DUTY 0.50
TOTAL AMOUNT 1,454.00

RISK DETAILS

Section : PACKAGE POLICY

Vehicle Details : GG15139 / GG34694 / UP-14-BL-2256

Cover Name Sum Insured Rate Premium

BASIC OD COVER 16,655.00 1.802/100 300.12

Underwriter's Discount 0.00 20/100 60.00
NO CLAIM BONUS-GR27 0.00 50/100 120.06
BASIC TP COVER 0.00 752/1 752.00
PA FOR OWNER DRIVER-GR36A 15,00,000.00 360/1 360.00

Total 1,232.06