Shriram General Insurance Co.

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DateTime : 06/08/2022 18:52:16 PM
PREMIUM COMPUTATION SHEET

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Department Motor Insured Name Mr. MANOJ KUMAR

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Policy Type Package Policy Insured Code IN-25399761
Product description GCCV Document Date 06/08/2022
Policy Start Date 06/08/2022 Policy End Date 05/08/2023
Document Type Policy Document No. 215066/31/23/P/0005219
Prop No. Zone Zone C
Insured Address ROOM NO 435 SATHE WADI MAHARASHTRA THANE WEST NAGAR DNYANSADHANA COLLEGE ROAD,,WAGLE INDUSTRIAL

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ESTATE,THANE,MAHARASHTRA-400604

SCHEDULE OF PREMIUM
Type Cover Description Sum Insured Premium
(+) Basic OD Premium 116640 1339.03
(-) De-Tariff Discount 1071.22
(-) NCB Discount 120.51
OD Total 147.30
(+) Basic TP Premium 3922.00

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(+) GR36A-PA FOR OWNER DRIVER 1500000 315.00
(+) Legal Liability Coverages For Paid Driver 50.00
TP Total 4287.00

OD Total 147.30
TP Total 4287.00
Total Premium 4434.00

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IGST(0.00%) 0.00
SGST/UTGST(9.00%) 46.00
CGST(9.00%) 46.00
IGST(0.00%) 0.00
SGST/UTGST(6.00%) 235.00
CGST(6.00%) 235.00
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Total Amount 4996.00

RISK DETAILS
Section : Package Policy
Vehicle Details : 841136 / 635389 / MH 04 JQ 1575
Type Cover Description Sum Insured Rate Premium
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(+) Basic OD Premium 116640 1.1480/100 1339.03

(-) De-Tariff Discount 80.00000000000/100 1071.22
(-) NCB Discount 45/100 120.51
(+) Basic TP Premium 3922.00/1 3922.00
(+) GR36A-PA FOR OWNER DRIVER 1500000 315.00/1 315.00
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(+) Legal Liability Coverages For Paid Driver 50.00/1 50.00

Total Amount 4434.00

DEDUCTIBLE / EXCESS :
1 CompulsoryDeductible : 500
2 Voluntary Excess : 0
3 Theft Excess : 0
4 Imposed Excess : 0
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CONDITIONS AND WARRANTIES :

1 Limitation As To Use - Gccv With Trailer Attached
2 IMT-28
3 IMT-40
4 IMT-42
5 IMT-7
6 IMT-21
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E-8,EPIP,SITAPURA INDUSTRIAL AREA,SITAPURA ,JAIPUR,RAJASTHAN,India-302022

Mobile No.: +91 – 141 - 3928400 3951111, 3995700