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UIIC Two Wheeler Worksheet

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Premium Calculation Work Sheet For MotorCycle / Scooter Package


Policy

Quote Policy
02/06/2019 - Department
Number Period Motor
01/06/2020 :
: :
DOORNO O NO 37,N NO
36, LAKSHMIPURAM,
Insured .KABILAN ALIAS
Address PADIKASUVAITHANPATTI, Office Code
Name & GOBALAKRISHNAN.K 090901
: SRIVILLIPUTTUR :
ID: & 23024338766
VIRUDUNAGAR 626125
TAMIL NADU
Vehicle Vehicle
MotorCycle/Scooter Zone-B Location : BO RAJAPALAYAM
Type : Zone :
Vehicle Engine Chassis No.
TN 84 C 1119 21CM009671 ME121C0M4G2009791
No. : No. : :

Customer GST/UIN Office GST No. : 33AAACU5552C1ZQ


No. :

Non-
Vehicle IDV Trailer IDV Side Car IDV Mount.Machineries Elec.Accessories
Elec.Accessories

48600 0 0 0 0

Un-Named Named Bi-Fuel Theft of


Paid Driver PA to Hirer
Passenger Passenger Kit(CNG/LPG) Accessories

0 0 0 0/ 0 0 0
Loading (+) / Discount (-)

Own Damage(A) Public Liability(B)


OD Cover(s) TP Cover(s)
Basic OD 855.36
Basic TP 985
Nil Depreciation
243.78 PA Owner Driver 275
Without Excess
Detariff
-427.68
Loading/Discount
Gross (B): 1,260.00
No Claim Bonus
235.01
Discount @ 35 %
Gross OD & TP:
1,696.00
Gross (A): 436.00 (A) + (B)

Basic OD Rate : 1.76 %


Detariff Load/Discount : 0 % / 50 %
Final OD Rate : %

Stamp Duty : 1.00


Total (Own Damage +
Stamp Duty Chargeable : No 1696
Liability)
*N.B Minimum Premium Chargeable

Net Premium( ): 1,696.00


CGST(9%)( ): 153.00
SGST(9%)( ): 153.00
Total Premium( ): 2,002.00

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