📄 Basic Details

Proposer Name (Opt.)

Registration No (Opt.)

Product Type

GEOGRAPHICAL EXTN.

📅 Policy Dates & Zone

Purchase Date

Risk Start Date

Zone

Vehicle Age

- Months

🚗 Vehicle Details

Engine Type

Engine CC / KW

Divyangjan Vehicle

💰 Sum Insured Details

Old IDV (₹)

Depreciation % (Opt.)

Electrical Fittings SI (₹)

New IDV (₹)

🏷️ Discounts & NCB

OD Discount (%)

NCB (%)

Voluntary Deductible

✨ Add-On Covers

Nil Depreciation

Return to Invoice

Consumables

Engine Protection

NCB Protection

War Risk

Road Tax Cover

Roadside Assistance

🛡️ Additional Liability Covers

PA Owner Driver

Unnamed PA

Restrict TPPD to Statutory Limit

⚙️ Premium Adjustment

Manual Correction (₹)

👥 INTERMEDIARY / OFFICE (Optional)

Name

Mobile

Office Code

Office Name

Officer Name

Premium Copy Header

Include Coverage Summary in PDF

Total Premium (Incl. 18% GST)

₹ 0

🚗 Own Damage

Basic OD (OD Discount 0%)₹ 0

Electrical Fittings₹ 0

⭐ Add-On Coverages

Nil Depreciation₹ 0

Return to Invoice₹ 0

Engine Protection₹ 0

Consumables₹ 0

NCB Protection₹ 0

War Risk₹ 0

Road Side Assistance₹ 0

Road Tax Cover ₹ 0

🏷️ Discounts

Vol. Deductible (None)₹ 0

Divyangjan (50% OD)₹ 0

NCB Discount (0%)₹ 0

TOTAL OD PREMIUM₹ 0

🛡️ Liability

Basic TP₹ 0

PA Owner Driver₹ 0

Unnamed PA₹ 0

Restrict TPPD to Statutory Limit₹ 0

TOTAL TP PREMIUM₹ 0

Geographical Extension ₹ 0

GST (18%) ₹ 0

GRAND TOTAL PREMIUM ₹ 0

Motor Premium Quote

Two Wheeler

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 - Two Wheeler

Generated On:

Proposer

Reg. No.

Product

Zone

Purchase Date

Risk Start Date

IDV (₹)

Engine Type

Engine CC / kW

Intermediary Name

Intermediary Mobile

Intermediary Email

Office Code

Office Name

Officer Name

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.