Sheet1

UNITED

Date
Proposer's Name

Cover Note No. 0 645750

IDV of body 0
Vehicle Made & Model. IDV of the Trailer 0
GVW Total IDV. 645750
1.812% Manufacturing Year
Rs. Liability Premium. (B) Rs.
Vehicle Basic Premium. 11701 Liability Premium 43037
GVW 3510 Liability Premium 0
Non Electrical Accessiories 0 Discount For Restricted TPPD
15211 Net liability After Discount. 43037
CNG 0 Liability Premium for Trailer 0.00
Net OD 15211 PA Premium To Owner Driver 275.00
Discount 40.00% 6084 LL to Geographical 0
9127 LL Premium To Driver. 50.00
IMT 23 0.00% 0 LL to Cleaner 0 0.00
9127
ZD 0 PA Premium To CLEANER 1
No Claim Discount. 50% 4563 PA Premium To Driver 1 0.00
4563
Unedrwriting Loding 0
Total OD Premium. 4563 Total Liability Premium. 43362.00
Total Premium Before Service Tax (A+B) 4888
Service Tax 18.00% 880
TOTAL PREMIUM 43037
REVISE 12% GST 5164.44
TOTAL PREMIUM 53969.6305

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