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Quotation

Agent Name: Mr. Vishvendra Bahadur Singh

Agent Number/Tieup: CO000015/CO000083

Agent Mobile: 9319695615

Branch: CO

Insured Motor Vehicle Details

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

MP 17 CA 9812 PCP 2014 MARUTI/SWIFT DZIRE/VXI Comprehensive 2014-03-14


2023-10- 2024-10- MADHYA REWA
14 13 PRADESH

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

2 50 0 No 2023-10-13

Coverages

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

IDV Basic IDV Basic


OD1: 5026.5 TP1: 3416
Sum Insured 300000 Sum Insured 300000

No Claim Bonus PA Owner / Driver


OD1: -1005.3 TP1: 330
Sum Insured 20 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 (₹) 8017.2

Total Tax (₹) 1443.1

Net Payable Premium (₹) 9460.3

** Actual premium may differ from above mentioned premium upon purchase
of policy. ** 11-10-2023 16:31:03

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