PREMIUM COMPUTATION SHEET

Department : MOTOR Insured's Name : NIKHIL K. POOJARI

Document No : R/131400/31/2019/36990 Document Date : 31/01/2020

Policy Start Date : 06/02/2020 Policy End Date : 05/02/2021

Product Description : MOTORISED-TWO WHEELERS Document Type : Proposal

Policy Type : PACKAGE POLICY

SCHEDULE OF PREMIUM
Cover Description Sum Insured Premium

BASIC OD COVER 16,200.00 290.47

LESS :Underwriter's Discount 0.00 174.00
MOTOR OD BASIC - NEW 16,200.00 116.47
BASIC OD TOTAL 16,200.00 116.47
OD TOTAL 16,200.00 116.00
LESS :NO CLAIM BONUS-GR27 0.00 58.24
ADD :OD Round off Loading 0.00 41.77
MOTOR TOTAL OD 16,200.00 100.00
BASIC TP COVER 0.00 752.00
BASIC TP TOTAL 1,00,000.00 752.00
ADD :PA FOR OWNER DRIVER-GR36A 15,00,000.00 360.00
TP TOTAL 16,00,000.00 1,112.00
TOTAL PREMIUM 1,212.00
ADD :CGST 109.00
ADD :SGST 109.00
STAMP DUTY 0.50
TOTAL AMOUNT 1,430.00

RISK DETAILS

Section : PACKAGE POLICY

Vehicle Details : K090959 / K02531 / MH 03 BL 4989

Cover Name Sum Insured Rate Premium

BASIC OD COVER 16,200.00 1.793/100 290.47

Underwriter's Discount 0.00 60/100 174.00
NO CLAIM BONUS-GR27 0.00 50/100 58.24
OD Round off Loading 0.00 41.77
BASIC TP COVER 0.00 752/1 752.00
PA FOR OWNER DRIVER-GR36A 15,00,000.00 360/1 360.00

Total 1,212.00