📋 Basic Details

Proposer Name (Opt.)

Registration No (Opt.)

Policy Option

x Geographical Extension

📅 Policy Dates & Zone

Policy Start Date

Policy End Date (Auto)

Zone

🚗 Vehicle Details & NCB

Engine Type

Engine CC / kW

Current NCB %

Basic OD Discount (%)

Minimum allowed discount: 21%. A higher discount may be entered.

💰 Sum Insured — IDV Details

Invoice / Ex-Showroom Price (₹)

Enter First Year IDV as Sum Insured in the System

Year 1 IDV (95%)

Year 2 IDV (20% Dep)

Year 3 IDV (30% Dep)

🛡️ Additional Liability Covers

CPA Owner Driver

LL to Paid Driver

Restrict TPPD ₹6,000

PA for Paid Driver

Unnamed PA

⚙️ Premium Adjustment

Manual Correction (₹) — Maximum ±10

👤 Intermediary / Office (Optional)

Name

Mobile

Office Code

Office Name

Officer Name

Premium Copy Header

Total Long Term Premium (Incl. 18% GST)

₹ 0

Enter vehicle details and calculate

🚘 Own Damage (3-Year)

Base OD Premium (—)₹ 0

🔒 Nil Depreciation (Disc 0%)₹ 0

✨ Optional Add-On Covers

Return to Invoice₹ 0

Consumable Items (0.43%)₹ 0

Tyre & Alloy (0.68%)₹ 0

Engine Protect (Disc 0%)₹ 0

Battery Protect (1.35%)₹ 0

Hybrid Protect₹ 0

High Value PA (0.21% on SI)₹ 0

Road Tax (5.01%)₹ 0

Loss of Contents (₹140 × 3)₹ 0

Additional Towing (₹500 × 3)₹ 0

Personal Belongings (₹1,500)₹ 0

Key Protect (₹750)₹ 0

Roadside Assistance₹ 0

Long Term Discount (0%) (−)₹ 0

TOTAL OD PREMIUM₹ 0

🛡️ Third Party / Liability (3-Year)

Basic TP (3-Year Lump Sum)₹ 0

CPA — Owner Driver (₹325 × 3 = ₹975)₹ 0

LL to Paid Driver₹ 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 (Long Term Policy)

Indicative Premium Quotation | 3-Year Long Term Policy | Private Car Package Policy

Generated On:

Proposer

—

Reg. No.

—

Package

—

Zone

—

Policy Start

—

Policy End

—

IDV Y1 (₹)

—

CC / kW

—

Purchase Date

—

Intermediary Name

—

Mobile

—

Office Code

—

Office Name

—

Officer Name

—

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