PREMIUM COMPUTATION SHEET

Department : MOTOR Insured's Name : SUDIPTA SOUMYADARSHAN

Document No : R/345895/31/2018/1157 Document Date : 29/04/2018

Policy Start Date : 23/05/2018 Policy End Date : 22/05/2019

Product Description : MOTORISED-TWO WHEELERS Document Type : Proposal

Policy Type : PACKAGE POLICY

SCHEDULE OF PREMIUM
Cover Description Sum Insured Premium

BASIC OD COVER 20,250.00 356.40

LESS :Underwriter's Discount 0.00 214.00
MOTOR OD BASIC - NEW 20,250.00 142.40
BASIC OD TOTAL 20,250.00 142.40
OD TOTAL 20,250.00 142.00
LESS :NO CLAIM BONUS-GR27 0.00 49.84
ADD :OD Round off Loading 0.00 7.44
MOTOR TOTAL OD 20,250.00 100.00
BASIC TP COVER 0.00 720.00
BASIC TP TOTAL 1,00,000.00 720.00
ADD :PA FOR OWNER DRIVER-GR36A 1,00,000.00 50.00
TP TOTAL 2,00,000.00 770.00
TOTAL PREMIUM 870.00
ADD :CGST 78.00
ADD :SGST 78.00
STAMP DUTY 0.50
TOTAL AMOUNT 1,026.00

RISK DETAILS

Section : PACKAGE POLICY

Vehicle Details : JC36E9209858 / ME4JC366E88119204 / OR 02 AT 5994

Cover Name Sum Insured Rate Premium

BASIC OD COVER 20,250.00 1.76/100 356.40

Underwriter's Discount 0.00 60/100 214.00
NO CLAIM BONUS-GR27 0.00 35/100 49.84
OD Round off Loading 0.00 7.44
BASIC TP COVER 0.00 720/1 720.00
PA FOR OWNER DRIVER-GR36A 1,00,000.00 50/1 50.00

Total 870.00