Shriram General Insurance Co.

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DateTime : 19/09/2022 16:48:11 PM
PREMIUM COMPUTATION SHEET

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Department Motor Insured Name Mr. SEETHARAM LUODIA

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Policy Type Package Policy Insured Code IN-26233768
Product description Two Wheeler Document Date 19/09/2022
Policy Start Date 21/09/2022 Policy End Date 20/09/2023
Document Type Policy Document No. 10008/31/23/P/0089550
Prop No. Zone Zone A
Insured Address 1-9-16/8,MEDIBAI BASTI,RAMNAGAR,HYDERABAD,,HYDERABAD,HYDERABAD,TELANGANA-500020

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SCHEDULE OF PREMIUM
Type Cover Description Sum Insured Premium
(+) Basic OD Premium 12158 223.22
(+) Motor Protection 450.00
(-) De-Tariff Discount 44.64
OD Total 628.58
(+) Basic TP Premium 714.00

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(+) GR36A-PA FOR OWNER DRIVER 1500000 315.00
TP Total 1029.00

OD Total 628.58
TP Total 1029.00
Total Premium 1658.00
IGST(18.00%) 298.00
SGST/UTGST(0.00%) 0.00

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CGST(0.00%) 0.00
Total Amount 1956.00

RISK DETAILS
Section : Package Policy
Vehicle Details : AP09CM4315 / MBLHA10ALCHG57998 / AP 09 CM 4315
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Type Cover Description Sum Insured Rate Premium
(+) Basic OD Premium 12158 1.8360/100 223.22
(+) Motor Protection 450.00
(-) De-Tariff Discount 20.00000000000/100 44.64
(+) Basic TP Premium 714.00/1 714.00
(+) GR36A-PA FOR OWNER DRIVER 1500000 315.00/1 315.00
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Total Amount 1658.00

DEDUCTIBLE / EXCESS :
1 CompulsoryDeductible : 100
2 Voluntary Excess : 0
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3 Theft Excess : 0
4 Imposed Excess : 500
CONDITIONS AND WARRANTIES :
1 Limitation As To Use - Two Wheeler
2 IMT-15
3 IMT-22
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E-8,EPIP,SITAPURA INDUSTRIAL AREA,SITAPURA ,JAIPUR,RAJASTHAN,India-302022

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