Royal Sundaram General Insurance Co.

Limited
(Formerly known as Royal Sundaram Alliance Insurance Company Limited)
Corporate Office :Vishranthi Melaram Towers No. 2 / 319,
Rajiv Gandhi Salai (OMR),Karapakkam,Chennai - 600097.
Registered Office: 21, Patullos Road, Chennai 600 002.
Call : 1860-425-0000,1860-258-0000 ,E-mail:customer.services@royalsundaram.in
Website: www.royalsundaram.in
IRDA Registration No.102 | CIN-U67200TN2000PLC045611
Quote
Standalone Motor Own Damage Policy - Private Car
This quote is issued only for quotation purpose and its not a policy document.
Address:
Mr.MONJIT GOGOI

BENGALURU, KARNATAKA
Tel: Mobile: 93xxxxxx95
Name of Proposer Mr.MONJIT GOGOI
Proposer's Date of Birth Occupation
Quote No. QPS002282879 Inception Date 30/11/2022
Geographical Area India Issued Date 15/11/2022 11:20:56
Registration Authority KA53-BANGALORE K R PURAM Last Modified Date: 15/11/2022 11:22:34
Ref Code PO014515 Registration Date: 01/12/2020
Policy Period 1 OA Code: POS13106
PRIVATE CAR VEHICLE DETAILS
Registration Number KA53MH1400 Type of Body SUV
Engine Number G4FLLV087797 Cubic Capacity 1,497
Chassis Number MALPB812LLM087411 Year of Manufacture 2020
Registration City BENGALURU Registration State KARNATAKA
Make of the Vehicle HYUNDAI MOTORS LTD. Seating Capacity (including driver) 5
Model Description CRETA SX 1.5 BSVI Net Premium (in Rs.) 16,039
INSURED'S DECLARED VALUE (IDV) (in Rs.)
Non Electrical / Value Loss
For the For Total
Electrical Electronic of CNG Of Invoice Price
Vehicle Trailers IDV
Accessories Accessories Kit Baggage
1,011,600 0 0 0 0 1,011,600 10,000 1,445,142
A - OWN DAMAGE Rs.
Basic premium on Vehicle 5,646.00
Non-Electrical Accessories 0.00
Electrical & Electronic accessories @ 4% (IMT 24) 0.00
Bi-fuel kit (CNG) @ 4% (IMT 25) 0.00
Add:
a) Trailer 0.00
b) Geographical Area Extn.Endt.IMT-1 0.00

c) 30% for Imported vehicles without custom duty 0.00

(IMT 19)
d) Fibre Glass Tanks 0.00
e) 60% on OD Premium for Driving Tution 0.00
f) Additional Towing ChargesCover
0.00
g) For any Other extra
0.00
Less:
h) Discount for Anti-theft devices (IMT 10) 0.00
i) 50% Discount for Vehicles specially designed/ modified for blind, handicapped and mentally challenged 0.00
persons.
j) Automobile Association Discount (IMT 8) 0.00

k) Any other discount 0.00

% for Voluntary Deductible (IRDAN102RP0001V01201920/A00012BVO1201920) of Rs.0 0.00
(IMT 22 A)
l) Vintage Car Discount 0.00
Deduct:25% No Claim Bonus -1,411.50
Final Discount @0%
0.00
Add: Underwriter Loading 0.00
Add: Additional Cover for Package Policies
1)Depreciation Waiver (IRDAN102A0003V02201920) 6,069.60
2)Windshield Glass (IRDAN102RP0001V01201920/A0004BVO1201920) 0.00
3)Facilities in Lieu of Spare Car (IRDAN102RP0001V01201920/A0005BVO1201920) 148.00
4)Vehicle Replacement Value Plus- Plan1*(IRDAN102A0009V01202021) 1,108.80
5)Loss of Baggage (IRDAN102RP0001V01201920/A0008BVO1201920) 100.00
6)NCB Protector Cover (IRDAN102RP0001V01201920/A0009BVO1201920) 0.00
7)Engine Protector Cover (IRDAN102RP0001V01201920/A00010BVO1201920) 809.60
8)Key Replacement Cover (IRDAN102RP0001V01201920/A00011BVO1201920) 275.20
9)Tyre Cover (IRDAN102RP0001V01201920/A00013BVO1201920) 647.00
10) Roadside Assistance Cover (Plan B)(IRDAN102A0003V01202223) 199.00
TOTAL OWN DAMAGE PREMIUM (A) 13,592.00
NET PREMIUM 13,592.00
ADD:SGST 1,223.28
ADD:CGST 1,223.28
TOTAL PREMIUM PAYABLE 16,038.56
Quote Valid Up To : 29/11/2022
Disclaimer:This quote is valid for 15 days from the date of issuance of the quote or previous policy expiry date whichever is earlier. The
premium Quoted is based on the details shared and is subject to change if there is any revision made in the Third-Party premium by the Regulator
or if there is any rate revision or fresh guidelines issued by Royal Sundaram in the interim period. Any change in the risk or vehicle details from
what has been declared will make this quote null and void
GSTIN : 29AABCR7106G1ZF UIN: IRDAN102RP0001V01201920 PAN Number : AABCR7106G

Plan1*: Full Invoice Price(Rs.1,445,142)

IRDA Registration No.102