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Premium Computation Sheet

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PREMIUM COMPUTATION SHEET

Department : MOTOR Insured's Name : Mr. Naveen Kumar Singh

Document No : R/431500/31/2020/91 Document Date : 08/04/2019

Policy Start Date : 08/04/2019 Policy End Date : 07/04/2020

Product Description : PRIVATE CAR-(3 Years) Document Type : Proposal


Policy Type : BUNDLED POLICY

SCHEDULE OF PREMIUM
Cover Description Sum Insured Premium

BASIC OD COVER 6,31,750.00 20,740.00


MOTOR OD BASIC - NEW 6,31,750.00 8,296.00
LESS :HEAD OFFICE DISCOUNT 0.00 6,222.00
LESS :UNDERWRITER DISCOUNT 0.00 6,222.00
BASIC OD TOTAL 6,31,750.00 8,296.00
ADD :ADD-ON COVER NIL DEPRECIATION POLICY 0.00 3,111.00
OD TOTAL 6,31,750.00 11,407.00
MOTOR TOTAL OD 6,31,750.00 11,407.00
BASIC TP COVER 0.00 9,534.00
BASIC TP TOTAL 0.00 9,534.00
ADD :PA FOR OWNER DRIVER-GR36A 15,00,000.00 900.00
ADD :PA-UN-NAMED-GR36B2 2,00,000.00 1,200.00
ADD :LL-PAID DRIVER, CONDUCTOR,CLEANER-IMT-28 0.00 150.00
TP TOTAL 17,00,000.00 11,784.00
TOTAL PREMIUM 23,191.00
STAMP DUTY 0.50
ADD :CGST 2,087.00
ADD :SGST 2,087.00
TOTAL AMOUNT 27,365.00

RISK DETAILS

Section : BUNDLED
Vehicle Details : L12B44046155 / MAKDF565AK4006935 / NEW

Cover Name Sum Insured Rate Premium

BASIC OD COVER 6,31,750.00 3.283/100 20,740.00


HEAD OFFICE DISCOUNT 0.00 30/100 6,222.00
UNDERWRITER DISCOUNT 0.00 30/100 6,222.00
ADD-ON COVER NIL DEPRECIATION POLICY 0.00 15/100 3,111.00
BASIC TP COVER 0.00 9534/1 9,534.00
PA FOR OWNER DRIVER-GR36A 15,00,000.00 900/1 900.00
PA-UN-NAMED-GR36B2 2,00,000.00 1.5/1000 1,200.00
LL-PAID DRIVER, CONDUCTOR,CLEANER-IMT- 0.00 150/1 150.00
28

Total 23,191.00

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