TATA AIG GENERAL INSURANCE COMPANY LIMITED

PR/23/6200849672
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Proposal Review For Auto Secure - Standalone Own Damage Private Car Policy
18/04/2023
Customer Details
R Producer Details
Customer Name DAYALAN V
PR Producer Code 1568630000
Customer Contact 9840619334 Producer Name ARSHIYA MOBEEN
Customer Email 81DAYALAN@GMAIL.COM Producer Contact 8925514301
NO 112 VIGNESHWARA NAGAR Producer Email marvelmotorsolutions05@gmail.com
Customer Address POLIVAKKAM THIRUVALLUR
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CHENNAI undefined TAMIL NADU Vehicle Details
Nominee/Appointee Name N/A Vehicle Registration Number TN 18 BD 7219
FORD / ECOSPORT / TITANIUM 1.5L
Proposal Details Make & Model
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TDCI / DIESEL
Plan Name Standalone OD
Date of Purchase/Registration 20/04/2021
Policy Start Date 19/04/2023
Date of First Registration(in Case of
N/A
Policy End Date 18/04/2024 Used Car)
A
Premium Amount 10,527.12 Mfg Year 2021
LP
Cubic Capacity/KW 1498
IDV Details
Engine No. MP24421
IDV of Vehicle 850,000
Chassis No. MAJAXXMRKAMP24421
Bi-Fuel/CNG/LPG Kit 0
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Electrical Accessories IDV 0 Financer Details

Non-Electrical Accessories IDV 0 Financer Type Hypothecation
Trailer IDV 0 Financer Name HDFC BANK LTD
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Loan Account Number N/A

Addon Details
Addon Bundle Name PEARL choice1
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PREMIUM BREAK UP
Section - I OWN DAMAGE (A)
Own Damage Premium on Vehicle & Accessories
ON

Basic OD Premium 5,581.10

Discounts under Own Damage Section
Less: No claim bonus ( 25%) 1,395.28
TOTAL OWN DAMAGE PREMIUM (A) 4,185.83
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Section - II ADD ON COVERS (B)

Add: Depreciation Reimbursement (TA 01) 4,250.00
Add: Loss of personal belongings (TA 09) 110.00
Sum Insured: 10000
Add: Emergency transport and hotel expenses (TA 10)
Any One Accident : 5000 110.00
Any One Year : 10000
Add: Key Replacement (TA 15) 265.00
Sum Insured: 25000 per occurrence limit 50% of SI
Add : Repair of Glass, Rubber & Plastic Parts (TA08) 0.00
TOTAL ADD ON PREMIUM (B) 4,735.00
NET PREMIUM (A+B) 8,921.00
SGST/UGST @ 9% 803.00
CGST @ 9% 803.00
TOTAL POLICY PREMIUM 10527.00

Road Side Assistance 136.88

(Inclusive of All Applicable Taxes)

Note: Above mentioned Premium is subject to Positive vehicle inspection, if required as per Underwriting Gruidelines.

POSP AADHAR NUMBER : N/A POSP PAN NUMBER : BJMPA8628Q

TATA AIG General Insurance Company Limited,
Regd. Office: 15th floor, Tower A, Peninsula Business Park, Ganpatrao Kadam Marg,Off Senapati Bapat Marg, Lower Parel, Mumbai- 400 013.
IRDAI Regn. No.108, CIN No.: U85110MH2000PLC128425, PAN: AABCT3518Q, UIN No.: IRDAN108RP0001V01201920
Website : www tataaig com 24X7 Tollfree Helpline 1800 266 7780 E mail: customersupport@tataaig com
 Website : www.tataaig.com 24X7 Tollfree Helpline 1800-266-7780 E-mail: customersupport@tataaig.com

TATA AIG GENERAL INSURANCE COMPANY LIMITED

Important Note :
Insurance is subject matter of the solicitation. For more details on benefits/exclusions, risk factors, terms and conditions please refer policy wordings/sales brochure
carefully before concluding a sale. You are requested to visit our website www.tataaig.com for policy wording.
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This is a system generated Proposal Review worksheet and does not require signature .

Premium and Risk period may change at the time of issuance of Policy.
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This document is only a proposal which can not be considered as authorized Policy Schedule. Kindly visit our website or contact TATA AIG authorized
dealers/Agents to opt for the Policy Schedule. For more terms and condition please refer sales brochure/ policy wordings carefully, before concluding a sale.
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POSP AADHAR NUMBER : N/A POSP PAN NUMBER : BJMPA8628Q

TATA AIG General Insurance Company Limited,
Regd. Office: 15th floor, Tower A, Peninsula Business Park, Ganpatrao Kadam Marg,Off Senapati Bapat Marg, Lower Parel, Mumbai- 400 013.
IRDAI Regn. No.108, CIN No.: U85110MH2000PLC128425, PAN: AABCT3518Q, UIN No.: IRDAN108RP0001V01201920
Website : www tataaig com 24X7 Tollfree Helpline 1800 266 7780 E mail: customersupport@tataaig com