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  • ZD Royal Sundaram

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    Sukdev Barui
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    This document is a proposal form for a standalone private vehicle insurance policy. It provides details of the policy such as the request ID, insured's name and address, vehicle details including make, model, and registration information. It lists the period of insurance as well as the declared vehicle value. It also includes schedules for the own damage and liability premium with calculations for taxes and deductions. If approved, the total premium due would be Rs. 9,288.

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    Ins

    Original Title

    ZD ROYAL SUNDARAM

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    This document is a proposal form for a standalone private vehicle insurance policy. It provides details of the policy such as the request ID, insured's name and address, vehicle details including make, model, and registration information. It lists the period of insurance as well as the declared vehicle value. It also includes schedules for the own damage and liability premium with calculations for taxes and deductions. If approved, the total premium due would be Rs. 9,288.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Flag for inappropriate content
    Download as pdf or txt
    54 views1 page

    ZD Royal Sundaram

    Uploaded by

    Sukdev Barui
    This document is a proposal form for a standalone private vehicle insurance policy. It provides details of the policy such as the request ID, insured's name and address, vehicle details including make, model, and registration information. It lists the period of insurance as well as the declared vehicle value. It also includes schedules for the own damage and liability premium with calculations for taxes and deductions. If approved, the total premium due would be Rs. 9,288.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Flag for inappropriate content
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    of 1

    Proposal Page Page 1 of 1

    Request Details
    Request ID SR05568196 StandAlone OD Policy ( Private Vehicle )
    MR SUKDEV BARUI
    Name: Date of Birth :
    AT - 161,DR N G SAHA ROAD,AMBIKA DWITIYA, FLAT -3C,
    Address: 27-Jun-1984
    KOLKATA , KOLKATA - 700061,
    Period Of Proposal Date:
    From 24-Sep-2021 to midnight on 23-Sep-2022
    Insurance 19-Aug-2021
    The Vehicle IGNIS BS-VI ZETA 1.2L PETROL
    Geographical Registration Mark & Place Of
    Engine-Chassis No. CC Mfg.Year Seating Capacity
    Area Registration
    INDIA 4680529 - 279686 1197 2020 5 WB10B5878 / KOLKATA
    INSURED'S DECLARED VALUE
    Vehicle & Non Elec accessories Elec accessories CNG/LPG kit Total Value (IDV)
    484614 0 0 484614

    Schedule Of Premium
    A. OWN DAMAGE B. LIABILITY
    Vehicle & Accessories : 6363 Vehicle 0
    Total 6363 Total 0
    Add 6363 Add 0
    Geographical Area
    b) NA a) Compulsory PA Cover Premium [0 Year] 0
    Extn.
    Additional PA Cover Premium (0 per person)(IMT-
    Sub-Total Additions 0 b) NA
    16)
    5% Extra premium towards
    c) NA
    inbuilt CNG/LPG
    Less d) Legal Liability (WC) to Driver (IMT-28) 0
    For Anti-theft Devices
    g) 159 e) Legal Liability to Employees (IMT-29) NA
    (IMT-10)
    Auto Association
    h) NA f) Legal Liability to unnamed Passanger (IMT-37A) NA
    membership
    g) Geographical Area Extn. NA
    h) Driving Tuition Loading On TP Premium (60%) 0
    k) Deduct 20% for NCB 1241
    Sub-Total (deductions) 1400
    Zero Depreciation
    2908
    Premium
    Total (A) 7871 Total (B) 0
    Grand Total 7871
    CGST 9% 708.39
    SGST 9% 708.39
    Total Premium 9288
    Compulsary
    1000
    Deductables
    Lease/HP/Hypothecation: / MIDNAPORE BR
    Nominee Details For
    MRS MAHUYA DEY
    Compulsary PA

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