PREMIUM COMPUTATION SHEET

Department

: MOTOR

Insured's Name

: MR.ROY

Document No

: R/441101/31/2016/9060

Document Date

: 04/10/2016

Policy Start Date

: 14/10/2016

Policy End Date

: 13/10/2017

Product Description : MOTORISED-TWO WHEELERS

Document Type

: Proposal

Policy Type

: PACKAGE POLICY
SCHEDULE OF PREMIUM

Cover Description
BASIC OD COVER
MOTOR OD BASIC - NEW
LESS :UNDERWRITER DISCOUNT
BASIC OD TOTAL
OD TOTAL
LESS :NO CLAIM BONUS-GR27
MOTOR TOTAL OD
BASIC TP COVER
BASIC TP TOTAL
ADD :PA FOR OWNER DRIVER-GR36A
TP TOTAL
TOTAL PREMIUM
ADD :SERVICE TAX
STAMP DUTY
ADD :Swachh Bharat Cess
ADD :Krishi Kalyan Cess
TOTAL AMOUNT

Sum Insured

Premium

19,500.00
19,500.00
0.00
19,500.00
19,500.00
0.00
19,500.00
0.00
1,00,000.00
1,00,000.00
2,00,000.00

343.20
240.20
103.00
240.20
240.00
120.10
120.00
619.00
619.00
50.00
669.00
789.00
110.00
0.50
4.00
4.00
907.00

RISK DETAILS
PACKAGE POLICY
Section :
Vehicle Details : K72471427 / K69383 / KL 08 AM 9937

Sum Insured

Rate

Premium

19,500.00

1.76/100

343.20

UNDERWRITER DISCOUNT

0.00

30/100

103.00

NO CLAIM BONUS-GR27

0.00

50/100

120.10

0.00

619/1

619.00

1,00,000.00

50/1

50.00

Cover Name
BASIC OD COVER

BASIC TP COVER
PA FOR OWNER DRIVER-GR36A
Total

789.10