📋 Basic Details

Proposer Name (Opt.)

Registration No (Opt.)

Product Type

x Geographical Extension

📅 Policy Dates & Zone

Purchase Date

Policy Start Date

Zone

Vehicle Age

🚗 Vehicle Details

Engine Type

Engine CC / KW

Bi-Fuel Kit Inbuilt Bi-Fuel (CNG/LPG)

Vehicle Use Driving School Vehicle

💰 Sum Insured Details

Old IDV (₹)

Depreciation % (Opt.)

New IDV (₹)

Electrical Fittings SI (₹)

External CNG/LPG Kit SI (₹)

Basic Towing SI (Max ₹1,500)

🏷️ Discounts & NCB

OD Discount (%)

NCB (%)

Voluntary Deductible

Security Device Anti-Theft Device Installed

🛡️ Additional Liability Covers

CPA Owner Driver

Coverage:

LL to Paid Driver

Restrict TTPD ₹6,000

Unnamed PA

Persons

PA to Paid Driver

⚙️ Premium Adjustment

Manual Correction (₹)

👤 INTERMEDIARY / OFFICE (Optional)

Name

Mobile

Office Code

Office Name

Officer Name

Premium Copy Header

Total Premium (Incl. 18% GST)

₹ 0

🚘 Own Damage

Basic OD (Discount 0%)₹ 0

Inbuilt Bi-Fuel (CNG / LPG)₹ 0

External CNG / LPG Kit₹ 0

Electrical Fittings₹ 0

Basic Additional Towing SI₹ 0

Driving Tuition Loading₹ 0

✨ Add-On Coverages

Nil Dep (0%)₹ 0

RTI (0%)₹ 0

Engine Protect (0%)₹ 0

Consumables (0%)₹ 0

Tyre & Alloy₹ 0

Additional Towing₹ 0

Loss of Contents₹ 0

Personal Belongings₹ 0

Key Protect₹ 0

NCB Protect₹ 0

War Risk₹ 0

High Value PA₹ 0

RSA₹ 0

Road Tax Cover ₹ 0

Battery Protect₹ 0

Remove 2-Claim Limit₹ 0

Hybrid Protect (0%)₹ 0

🏷️ Discounts

Anti-Theft Discount₹ 0

NCB Discount (0%)₹ 0

Voluntary Deductible Discount₹ 0

Short Period %0%

Short Period OD Premium₹ 0

TOTAL OD PREMIUM₹ 0

🛡️ Liability

Basic TP₹ 0

CPA Owner Driver₹ 0

LL to Paid Driver₹ 0

Inbuilt Bi-Fuel (CNG / LPG)₹ 0

External CNG / LPG Kit₹ 0

Unnamed PA₹ 0

PA for Paid Driver₹ 0

TPPD Restriction Discount₹ 0

TOTAL TP PREMIUM₹ 0

Geographical Extension₹ 0

GST (18%)₹ 0

GRAND TOTAL PREMIUM ₹ 0

Motor Premium Quote

Private Car

Total Premium · Incl. GST

₹ 0

Insurance Intermediary

Own Damage

Selected Add-On Covers

Liability

Indicative customer quotation based on the selected details. Final premium is subject to underwriting terms, policy conditions and applicable regulations.

Motor Premium Quote – Private Car

Generated On:

Proposer

—

Reg. No.

—

Product

—

Zone

—

Purchase Date

—

Policy Start Date

—

IDV (Rs.)

—

Cubic Capacity / kW

—

Intermediary Name

—

Mobile

—

Office Code

—

Office Name

—

Officer Name

—

Geographical Extension
GST (18%)

Grand Total Premium

This is an indicative premium quotation based on the inputs selected. Final premium is subject to underwriting terms, conditions and applicable IRDAI regulations. For queries, contact your insurance advisor.