Guiness Insurance Broking Services Pvt. Ltd.

Code : DB/423/08

Motor Premium Computation Table _ ( Pvt. Car )

Insured Name : - IDV of the Vehicle [ A ] 310,000
Cover Note / Proposal No. : - Value of Non-Elect acc [ B ]

Vehicle Make : - Model Value of Electrical acc [ C ]

Vehicle Registration Number : - Year of Manufacture 2005

Seating Capacity : - 0 C.C. - 1497 Zone a

Own Damage Premium(A) Rupees Liability Premium(B) Rupees

Vehicle Basic Rate 3.447%

Basic for vehicle 10686 Liability Premium (TP) NEW 925

Non Electrical Accessories 0 Cng/fuel kits 0

Discount on OD premium 20.00% 2137 Total basic liability 925

Basic amount after OD. Discount for the
vehicle ----
8549 0

Electric/Electronics accessories 0 PA owner driver 100

PA benefits for unnamed pass.,
Cng/fuel kits 0 0 0
Endt_16
Total Basic premium 8549 Pa benefits for named persons Ents_15 0

Geographical ext. N 0 PA benefits Paid Driver Endt_17 0

Anti-theft Discount N 0 LL to paid driver _(Endt. -28) 50

Discount for handicapped N 0 LL to employees other than paid driver 0

Voluntary discount 0 0 SUBTOTAL Additions 150

Automobile associate membership Discount_for_Restriction_of_Liability_for_TPPD_to_

N 0 Rs.6000/- 0
discount
Basic own damage premium 8549 Loading on TP premium 0

Loading on OD premium 0% 0 Total Liability Premium 1075

Total own damage premium 8549

No Claim Bonus _(NCB) 0% 0

Net own damage premium 8549

Total Premium before Service Tax

1186 9624
(n+x)
Service Tax @ 12.36%
(incl Edu. Cess)
12000 1190

Final Premium 10814

SHORT PERIOD SCALE_NET_PREMIUM 9624

EXCEEDING 8_MONTHS 100% 9624

FINAL SHORT PERIOD SCALE_PREMIUM 10615

Ops/MotorCS/Ver1.1/13th Jan 2007

 Motor Premium Computation Table_Taxi (upto 6 pass.)
Insured Name:- IDV of the Vehicle [ A ] 175,000
Cover Note / Proposal No. : - Value of Non-Elect acc [ B ]
Vehicle Make : - Model Value of Electrical acc [ C ]

Vehicle Registration Number:- Year of Manufacture 2011

Seating Capacity : - 6 C.C. - 510 Zone a

Own Damage Premium(A) Rupees Liability Premium(B) Rupees

Vehicle Basic Rate 3.284%

Basic for vehicle 5747 Liability Premium (TP) NEW 6587

Discount on OD premium 0% 0 Cng/fuel kits 0

Basic premium 5747 Total basic liability 6587

Electric/Electronics accessories 0 0 0

Cng/fuel kits 0 0 PA owner driver 0

Total Basic premium 5747 PA benefits for unnamed pass., Endt_16 0

Geographical ext. N 0 Pa benefits for named persons Ents_15 0

IMT 23 N 0 0

Anti-theft Discount N 0 PA benefits Paid Driver Endt_17 0

Discount for handicapped N 0 LL to paid driver Endt. 28 25

Voluntary discount 0 LL to employees other than paid driver 0

Automobile associate membership
N 0 SUBTOTAL Additions 25
discount
Discount_for_Restriction_of_Liability_for_TPPD_to_
Basic own damage premium 5747 Rs.6000/- 0

Loading on OD premium 0% 0 Loading on TP premium 0

Total own damage premium 5747 Total Liability Premium 6612

No Claim Bonus _(NCB) 0% 0

Net own damage premium 5747

Total Premium before Service Tax

3887 12359
(n+x)
Service Tax @ 12.36%
10000 1528
(incl Edu. Cess)
Final Premium 13887

SHORT PERIOD SCALE_NET_PREMIUM 12359

EXCEEDING 8_MONTHS 100% 12359

FINAL SHORT PERIOD SCALE_PREMIUM 13632

Ops/MotorCS/Ver1.1/13th Jan 2007

 Motor Premium Computation Table_(Two Wheeler)
Insured Name: - IDV of the Vehicle [ A ] 54343
Cover Note / Proposal No.: - Value of Non-Elect acc [ B ]

Vehicle Make : - Model

HH./BAJAJ/TVS Appache Value of Electrical acc [ C ]

Vehicle Registration Number :- Year of Manufacture 2011

Seating Capacity : - 2 C.C. - 150 Zone a
Own Damage Premium(A) Rupees Liability Premium(B) Rupees
Vehicle Basic Rate 1.708%

Basic for vehicle 928 Liability Premium (TP) NEW 357

Discount on OD premium 0.00% 0 Cng/fuel kits 0

Basic OD premium after discount 928 Total basic liability 357

Electric/Electronics accessories 0

Cng/fuel kits 0 0 PA owner driver 50

PA benefits for unnamed pass.,
Total Basic premium 928 100,000
Endt_16
Geographical ext. N 0 Pa benefits for named persons Ents_15 0

Anti-theft Discount N 0 PA benefits Paid Driver Endt_17 0

Discount for handicapped N 0 LL to paid driver Endt. 28 0

Voluntary discount 0 0 LL to employees other than paid driver 0

Automobile associate membership
N 0 SUBTOTAL Additions 50
discount
Discount_for_Restriction_of_Liability_for_TPPD_to_Rs.
Basic own damage premium 928 6000/- 0

Loading on OD premium 0% 0 Loading on TP premium 0

Total Liability Premium
Total own damage premium 928 407

No Claim Bonus _(NCB) 0% 0

Net own damage premium 928

Total Premium before Service Tax

(n+x)
878 1335
Service Tax @ 12.36%
(incl Edu. Cess) 622 165

Final Premium 1500

SHORT PERIOD SCALE_NET_PREMIUM 1335

EXCEEDING 8_MONTHS 100% 1335

FINAL SHORT PERIOD SCALE_PREMIUM 1473

Ops/MotorCS/Ver1.1/13th Jan 2007

T.WH

>5

>10

Ops/MotorCS/Ver1.1/13th Jan 2007

 YEAR
2012

>150 <150->350 <350

1.708% 1.793% 1.879%

1.676% 1.760% 1.844%

1.793% 1.883% 1.973%

1.760% 1.848% 1.936%

1.836% 1.928% 2.020%

1.802% 1.892% 1.982%

NEW_TP_Premium OLD_TP_Premium 0 0

CC TP CC TP 500 46

Upto 75 350 Upto 75 330 750 75

75-150 357 75-150 330 1000 125

150-350 355 150-350 330 1500 186

Abv. 350 680 Abv. 350 680

3000 232

OLD 330

NEW 357

0 0

2500 186

5000 232

7500 278

15000 325

Ops/MotorCS/Ver1.1/13th Jan 2007

 Motor Premium Computation Table_(4 Whl. GCV. PUBLIC)
Insured Name:- IDV of the Vehicle [ A ] 310,000
Cover Note / Proposal No. :- Value of Non-Elect acc [ B ]

Vehicle Make : - Model Value of Electrical acc [ C ]

Vehicle Registration Number:- Year of Manufacture 2005

Cubic Capacity/Gross Vehicle Weight 40000 Zone a

Own Damage Premium(A) Rupees Liability Premium(B) Rupees

Vehicle Basic Rate 1.795%

Basic for vehicle 5565 Liability Premium (TP) NEW 12478

Additional premium 7560 Cng/fuel kits 0

Basic premium 13125 Total basic liability 12478

Discount on OD premium 20.00% 2625

Electric/Electronics accessories 0 PA owner driver 0

Cng/fuel kits 0 PA benefits for unnamed pass., Endt_16 0

Total Basic premium 10500 Pa benefits for named persons Ents_15 0

Geographical ext. N 0 PA benefits Paid Driver Endt_17 0

IMT 23 N 0 LL to paid driver Endt. 28 50

0 LL to employees other than paid driver 50

Voluntary discount 0 SUBTOTAL Additions 100

Automobile associate membership Discount_for_Restriction_of_Liability_for_TP
N 0 PD_to_Rs.6000/-
0
discount
Basic own damage premium 10500 Loading on TP premium 0

Loading on OD premium 0% 0 Total Liability Premium 12578

Total own damage premium 10500

No Claim Bonus _(NCB) 0% 0

Net own damage premium 10500

Total Premium before Service Tax

5930 23078
(n+x)
Service Tax @ 12.36%
(incl Edu. Cess)
20000 2852

Final Premium 25930

SHORT PERIOD SCALE_NET_PREMIUM 23078

EXCEEDING 8_MONTHS 100% 23078

FINAL SHORT PERIOD SCALE_PREMIUM 25455

Ops/MotorCS/Ver1.1/13th Jan 2007

 Motor Premium Computation Table_3 Whl. (UPTO 6- PASS.)
Insured Name:- IDV of the Vehicle [ A ] 175000
Cover Note / Proposal No.:- Value of Non-Elect acc [ B ]
Vehicle Make & Model : - BAJAJ AUTO LTD. AUTO RKSHW. Value of Electrical acc [ C ]

Vehicle Registration Number : - Year of Manufacture 2009

Seating Capacity : - 3 C.C. - 510 Zone b
Own Damage Premium(A) Rupees Liability Premium(B) Rupees
Vehicle Basic Rate 1.272%

Basic for vehicle 2226 Liability Premium (TP) NEW 2672

Discount on OD premium 0 Cng/fuel kits 0
Basic OD premium after discount 2226 Total basic liability 2672
Electric/Electronics accessories 0 0
Cng/fuel kits - If Inbuild N 0 0 PA owner driver 100
PA benefits for unnamed pass.,
Total Basic premium 2226 0
Endt_16
Geographical ext. N 0 Pa benefits for named persons Ents_15 0
IMT 23 N 0 PA benefits Paid Driver Endt_17 0
Anti-theft Discount N 0 LL to paid driver Endt. 28 50
Discount for handicapped N 0 LL to employees other than paid driver 0

Voluntary discount 0 0 SUBTOTAL Additions 150

Automobile associate membership Discount_for_Restriction_of_Liability_for_TPPD_to
N 0 _Rs.6000/- 0
discount
Basic own damage premium 2226 Loading on TP premium 0

Loading on OD premium 0% 0 Total Liability Premium 2822

Total own damage premium 2226

No Claim Bonus _(NCB) 0% 0

Net own damage premium 2226

Total Premium before Service Tax (n+x) 3672 5048

Service Tax @ 12.36%
(incl Edu. Cess)
2000 624

Final Premium 5672

SHORT PERIOD SCALE_NET_PREMIUM 5048

EXCEEDING 8_MONTHS 100% 5048

FINAL SHORT PERIOD SCALE_PREMIUM 5568

Ops/MotorCS/Ver1.1/13th Jan 2007

 YEAR
2012

3_PCV C B A
0 1.260% 1.272% 1.278%

5 1.292% 1.304% 1.310%

>7 1.323% 1.336% 1.342%

New_TP_Premium OLD_TP_Premium
TP PREMIUM 1097+525*P/PASS. TP PREMIUM 860+500*P/PASS.

OLD 2360

NEW 2672

0 0

2500 445

5000 557

7500 668

Ops/MotorCS/Ver1.1/13th Jan 2007

15000 779

Ops/MotorCS/Ver1.1/13th Jan 2007

 Motor Premium Computation Table 3 Wheeler_ GCV. PUBLIC

Insured Name : - IDV of the Vehicle [ A ] 150,000

Cover Note / Proposal No. : - Value of Non-Elect acc [ B ]
Vehicle Make & Model : - Value of Electrical acc [ C ]

Vehicle Registration Number : - Year of Manufacture 2006

Seating Capacity : - 2 C.C. - 150 Zone a

Own Damage Premium(A) Rupees Liability Premium(B) Rupees

Vehicle Basic Rate PUBLIC 1.706%

Basic for vehicle 2559 Liability Premium (TP) NEW 3415

Discount on OD premium 0% 0 Cng/fuel kits 0

Basic OD premium after discount 2559 Total basic liability 3415

Electric/Electronics accessories 0 0 0

Cng/fuel kits - If Inbuild N 0 0 PA owner driver 100

Total Basic premium 2559 PA benefits for unnamed pass., Endt_16 0

Geographical ext. N 0 Pa benefits for named persons Ents_15 0
IMT 23 N 0 PA benefits Paid Driver Endt_17 0

Anti-theft Discount N 0 LL to paid driver Endt. 28 50

Discount for handicapped N 0 LL to employees other than paid driver 0

Voluntary discount 0 0 SUBTOTAL Additions 150

Automobile associate membership Discount_for_Restriction_of_Liability_for_TPPD_to_R
N 0 s.6000/- 0
discount
Basic own damage premium 2559 Loading on TP premium 0

Loading on OD premium 0% 0 Total Liability Premium 3565

Total own damage premium 2559

No Claim Bonus _(NCB) 35% 896

Net own damage premium 1663

Total Premium before Service Tax

(n+x)
2955 5228
Service Tax @ 12.36%
(incl Edu. Cess)
2919 646

Final Premium 5874

SHORT PERIOD SCALE_NET_PREMIUM 5228

EXCEEDING 8_MONTHS 100% 5228

FINAL SHORT PERIOD SCALE_PREMIUM 5766

Ops/MotorCS/Ver1.1/13th Jan 2007

 YEAR
2012

PUBLIC CARRIER

C B A
0 1.640% 1.656% 1.664%
5 1.681% 1.697% 1.706%

7 1.722% 1.739% 1.747%

OLD_TP 1.706% 1.194%

NEW
_TP THIRD PARTY 3415 THIRD PARTY 2580

PRIVATE CARRIER OLD 2580

C B A NEW 3415

0 1.148% 1.159% 1.165%

5 1.177% 1.188% 1.194%

7 1.205% 1.217% 1.223%

OLD_TP
NEW
_TP THIRD PARTY 2928 THIRD PARTY 2440

0 0
2500 512
5000 640
7500 768
15000 896

Ops/MotorCS/Ver1.1/13th Jan 2007

 Motor Premium Computation Table_PCV. - (more than 6 pass.)
Insured Name:- IDV of the Vehicle [ A ] 478,800
Cover Note / Proposal No. : - Value of Non-Elect acc [ B ]
Vehicle Make & Model : - Value of Electrical acc [ C ]
Vehicle Registration Number : - Year of Manufacture 2010
Seating Capacity : - 9 C.C. - 1510 Zone c
Own Damage Premium(A) Rupees Liability Premium(B) Rupees
Vehicle Basic Rate ADDNL. 350 1.656%
Basic for vehicle 8279 Liability Premium (TP) NEW 10120

Discount on OD premium 20% 1656 Cng/fuel kits 0

Basic OD premium after discount 6623 Total basic liability 10120
Electric/Electronics accessories 0 0 0
Cng/fuel kits - If Inbuild N 0 0 PA owner driver 100

Total Basic premium 6623 PA benefits for unnamed pass., Endt_16 0

Geographical ext. N 0 Pa benefits for named persons Ents_15 0

IMT 23 N 0 PA benefits Paid Driver Endt_17 0

Anti-theft Discount N 0 LL to paid driver Endt. 28 50

Discount for handicapped N 0 LL to employees other than paid driver 100

Voluntary discount 0 0 SUBTOTAL Additions 250

Automobile associate membership Discount_for_Restriction_of_Liability_for_TPPD_to_R
N 0 s.6000/- 0
discount
Basic own damage premium 6623 Loading on TP premium 0

Loading on OD premium 0% 0 Total Liability Premium 10370

Total own damage premium 6623

No Claim Bonus _(NCB) 25% 1656

Net own damage premium 4967

Total Premium before Service Tax

-3767 15337
(n+x)
Service Tax @ 12.36%
(incl Edu. Cess)
21000 1896

Final Premium 17233

SHORT PERIOD SCALE_NET_PREMIUM 15337

EXCEEDING 8_MONTHS 100% 15337

FINAL SHORT PERIOD SCALE_PREMIUM 16917

Ops/MotorCS/Ver1.1/13th Jan 2007

 YEAR
2012

>6 PSG. C B A
0 1.656 1.672 1.68
5 1.697 1.714 1.722
>7 1.739 1.756 1.764
### 1.194%

New_TP_Premium New_TP_Premium
TP 6529+399*P/PASS. TP 5320+380*P/PASS.

OLD 8740 350

NEW 10120

0 0
2500 750
5000 1500
7500 1987
15000 2318

Ops/MotorCS/Ver1.1/13th Jan 2007