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Risk Class I - Zone A

Customer Name ANJANA KANJILAL


Customer Address PA 102 MILTON HIRABUVA GAVADE MARG JUHU SANTACRUZ W MUMBAI
Landmark
Telephone No Executive:
Make and model of HONDA SIEL CARS IND LTD HONDA JAZZ
vehicle
Registration No MH 02 BP 7685 Age Of Vehicle 12 Months
Cubic Capacity 1198.0 Seating Capacity 5
Insured's Declared Value Amount
IDV of the Car (I) 599250
IDV of Electrical Accessories (II) 0
Total IDV 599250
Own Damage
From the rating grid of IDV (I) 1.904 % 11410
Sub-total OD 11410
Premium of Electrical Accessories (@ %) 0
Premium of Non-Electrical Accessories 0
Total Schedule OD premium 11410
Less: No Claim Bonus 20.0% 2282
Total OD Premium 9128
Liability
Basic Act 800
Personal Accident cover to Owner Driver @ Rs 100 100
Liability to paid driver @ Rs 25 25
PA benefits (seating capacity) (@Rs 5 per Rs 10,000) 100000 250
Bi-fuel system
Liability Premium 1175
Total Premium Payable 10303
Service Tax @ 10.3% 1061
Amount Payable 11364

702,B-Wing,New Samadhan CHS,S B Marg,Dadar West,Mumbai

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