. ve | of2 UIC Private Car Works! Page | of2 het UNITED INDIA INSURANCE CO. LTD. Reneveed Of fol. N2%, Ie eyyaP wS4SW9 Premium Calculation Work Sheet For Private Car Package Policy Quote Number Policy Period 18/08/2020 - t= Motor : : 17/08/2021 Department r raesson ur ma Insured Name pi ant. Address ; SOLAN 173230 office Code + 111301 a ID: HIMACHAL PATHOLOGY & hace 23037445194 Vehicle Type private car Vehicle Zone one-B Location : 80 SOLAN Vehicle No. : HP 1485168 Engine No. : F83150 Chassis No. + F69227 [Customer GST/UIN No. [office GST No. : [o2aAacusss2cizv ; i Non- Vehicle IDV Trailer IDV Side Car IDV Mount-Machineries ciec avecasories Elec-Accessories & 523000 Zo Zo Zo Zo Zo un-Named Named Bi-Fuel Kit Theft of pestenser Passenger Pal@Driver — (eygyipc) PAR Hirer accessories Zo Zo Zo Zo/Fo Zo Zo Scanned with CamScanner Seonned with ConSeonnerUIIC Private Car Worksheet Loading (+) / Discount (-) ‘Own Damage(A) 00 Cover(s) TP Cover(s) Gross (A): & 6,587.00 jasic OD Rate : 3.343 % Detariff Load/Discount : 0 % / 60 % [Final OD Rate : % [Stamp Duty Chargeable : No Basic - OD % 17483.89] pasic- TP z 7890 {Ml Depreciation @ soe] tps over z 50 teading/Discount % -10490.33 Bonus : Diseeunt Z 5369.41] Gross (B): % 7,940.00 Etamp Duty: 01,00 rotal (Own Damage + Uabiityy Page 2 of 2 Public Liabinty(B) % 14,527.00 %14527| Net Premium(): 14,527.00] ICGST(9%)(% 1,307.00] sest(9%)( 1,307.00 [Total Premium(®): 17,141.00] Respedtea She, Rene Led uy fennred -ly Qs. iiiut|- vetrrc's — potuy welt ts poens we yrantry tmut GET Yo enero “Aue fate ayvarte. Seonned with ConSeonner