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Review & Confirm

Premium Calculation

Registration Details Vehicle Details

City where the Vehicle is registered (RTO) : KAPURTHALA Manufacturer : HYUNDAI

Purchase Date/Registration Date : 13-Jan-2017 Model : CRETA 1.6 CRDI SX

Current Registration Type : Individual Year of Manufacture : 2016

More Than One Vehicle : NO

Additional Covers Discount Details

PA for Unnamed Passenger : 50000 ARAI approved anti-theft device : YES

Zero depreciation cover : NO Driver is a member of Automobile Association : NO

Road Side Assistance Cover : No Membership number : N/A

Value of electrical accessories :0 Voluntary Deductibles : NO

Value of Non-electrical accessories :0

Value of LPG/CNG kit : No

Value of Factory Fitted LPG/CNG kit : No

Geographical Extension : No

Additional Covers
Vehicle used for private
: NO Inclusion of IMT-23 : NO
use(IMT-34)

Liability to Paid Driver : YES Liability to Non Fare Paying Passenger : NO

PA to Paid
: NO Over Turning Applicable : NO
Driver/Cleaner/Conductor

Vehicle has Trailer : NO Geographical Extension : NO

Previous Policy Details

Previous policy type : Package Claims made in previous policy ? : NO

Previous policy end-date : 27-Jan-2021 NCB % on previous policy : 35

Policy Details

Additional Vehicle Details Insured Details

Vehicle registration number : PB09AC3063 Insured Name : DALJIT KAUR
Engine number : D4FBGM188284
Address : VILL BULEWAL, PO BHOLATH,
Chassis Number : MALC381ULGM169043
: KAPURTHALA
Loan/Hypothecation Details
: KAPURTHALA
This car is under : Loan/Hypothecation
: PUNJAB
: KOTAK MAHINDRA PRIME
Financier Name
LTD : 144601
Financier Branch : KAPURTHALA Email : 9mannu@gmail.com

Previous Policy Details Mobile Number : 7973010903

: RELIANCE GENERAL
Previous policy provider
INSURANCE COMPANY LTD.

Previous policy number : 200422023110002969

SP Details
Alternate RM Code : GROUP Customer Reference Number : 7973010903

Channel Name : RLG Primary RM Code : 347496

Secondary RM Code : 347496 Banca Field 01 : 3747

Banca Field 02 : NADALA Banca Field 03 : NADALA

Policy Summary

Basic Premium : 19546 :

Discounts : 5248 Insured declared Value (IDV) : 810000

Additional Covers : 175 Policy Start Date : 29-Jan-2021

GST : 2605 Policy End Date : 28-Jan-2022

No Claim Bonus (%) : 45

Total Premium Payable : Rs.17078

Send me a Hard Copy: Yes No

I agree to receive one page motor insurance policy in physical form : Yes No

I/We do hereby declare that I/we have read and understood the entire text,
features, disclosures, benefits, terms and conditions of the policy and I/we further
declare that the information furnished above are true to the best of my/our
knowledge and no material information, which may be relevant, has been
withheld or not disclosed. In case any of the information above is found false
during verification at a later date, the company would have the right to cancel the
policy and premium amount paid will be forfeited.
I/We also declare that any additions or alterations are carried out after the
submission of this proposal form then the same would be conveyed to the
insurers immediately.
Click below to confirm that the above details are true for issuance of the policy as
given above and to make payment via your credit/debit card or net banking.
I Accept the Terms & Conditions
Date : 29-Jan-2021