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Quotation

Agent Name: Mr. Jaiprakash Mishra

Agent Number/Tieup: 0000000/0000000

Agent Mobile: 7828767057

Branch: 88

Insured Motor Vehicle Details

Date of
Manufacturing Inception Expiration Registration Registration
Registration No Product Manufacturer/Model/Variant Policy Type First
Year Date Date State City
Registration

HYUNDAI/CRETA/1.4 CRDI S 2024-06- MADHYA


MP 20 CG 3896 PCP 2017 Comprehensive 2017-06-06 06/16/2023 JABALPUR
PLUS 15 PRADESH

Previous
Claim on
ITGI Total Zip Code Cibil Score Policy
Owner Serial No Discount Previous Policies Discount NCB Existing
Discount Discount Discount Expiration
Policy
Date

1 60 25 No 2023-06-15

Coverages

Own Damage Premium(Rs.) Third Party Premium(Rs.)

IDV Basic IDV Basic


OD1: 6888.53 TP1: 3416
Sum Insured 510186 Sum Insured 510186
No Claim Bonus PA Owner / Driver
OD1: -2410.99 TP1: 330
Sum Insured 35 Sum Insured Y
PA to Passenger

Sum Insured 100000 TP1: 200

Number 4
Legal Liability to Driver

Sum Insured Y TP1: 50

Number 1

Premium Details

Premium (₹) 8473.54

Total Tax (₹) 1525.24

Net Payable Premium (₹) 9998.78

** Actual premium may differ from above mentioned premium upon purchase of policy. **
16-06-2023 15:18:22

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