Renewal Four Wheeler Bundle Insurance

Policy Summary

Policy Start Date
Net Premium	₹0
-Basic Cover
-Add-ons Cover
CPA Cover	0
GST
Final Premium	₹

Renew

IDV ₹

Registration No.: - --

Policy

Premium

₹ + GST

Per Month Cost

₹ + GST

Nil Depreciation @₹ 0

Add
Voluntary Deductible - ₹ 0

Add
Covers Third Party+
Own Damage
10,000+ Cashless Garages

Pay As You Drive (PAYD)

Premium

₹ + GST

Per Month Cost

₹ + GST

Based on your details,We recommend the following plan for you and your vehicle

Nil Depreciation @₹ 0

Add
Voluntary Deductible - ₹ 0

Add

Third party

Premium

₹ + GST

Per Month Cost

₹ + GST

Covers Third Party+
10,000+ Cashless Garages

Do you have any existing own damage car insurance policy?

Is your own damage policy held with Reliance General Insurance?

OD policy number

Please Enter Valid policy number

Previous insurer name

Please Enter Valid Name

OD policy start date

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OD policy end date

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Made any claims

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NCB

Please select NCB

Please confirm your details-

Date of birth

Please Enter Valid DOB

Mobile number

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E-mail id

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Just a few more details-

Opt for pay as you drive

Current odometer reading

Please Enter Valid Current Odometer Reading

Disclaimer : By opting for Pay as You Drive, I agree that odometer reading provided by me is correct and any misinformation from my side may result in claims rejection

Note: Inspection is required if there is a break in your policy or you opt for pay As you Drive add-on

Reliance Selfi app
(Get policy in 6 hours)

Reliance General Insurance team
(Get policy in 2 days)

Mobile Number

Please Enter Valid Mobile Number

(You will get a link to download the app on this number)

I have a valid driving license

I have a Personal Accident cover of ₹15 lakhs and more

CNG/LPG Kit Attached

Type of Fitting

Inbuilt
External

Value of CNG/LPG (in ):

Please Enter Valid Value

I want to update my communication address

Full address

Please Enter Valid Address

Landmark

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Pincode

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City

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District

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State

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Is the inspection address same as mentioned above?

Full address

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Landmark

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Pincode

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City

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District

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State

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My existing TP policy details

Existing TP Policy Number

Please Enter Valid TP Policy Number

Existing TP Insurer Name

Please Select Existing TP Insurer Name

Existing TP Policy Start Date

Please Enter Valid TP Policy Start Date

Existing TP Policy End Date

Please Enter Valid TP Policy End Date

I want to update the nominee details

Nominee Name

Please Enter Valid Nominee Name

Nominee DOB

Please Enter Valid DOB

Nominee Relationship

Please Enter Valid Nominee Relationship

Guardian Name

Please Enter Valid Guardian Name

Send soft copy of policy on Email only?

Note:You can now support GO GREEN initiative by opting for all soft copy of your policy document.Please be informed that this is digitally signed valid policy document.In case you opt for soft copy,we would not be sending hard copy unless explicity requested to you.

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I/we hereby declare that the information furnished is true and correct. Please accept disclaimer

✓ 100% Claim Settled FY(23-24)
✓ 10,000+ Cashless Network Garages

Final Premium
₹

Renew

Benefits

Policy Summary

Policy Start Date
Net Premium	₹0
-Basic Cover
-Add-ons Cover
CPA Cover	₹0
GST	₹
Final Premium	₹

Benefits

Eligible NCB of 0% Own damage + Liability cover PA cover of 15 Lacs

Premium Summary

Policy Start Date
Net Premium	₹0
CPA Cover	0
GST	₹
Final Premium	₹

Benefits

Eligible NCB of 0% Own damage + Liability cover PA cover of 15 Lacs

Premium Summary

Policy Start Date
Net Premium	₹0
CPA Cover	₹0
GST	₹
Final Premium	₹

Summary

Premium will be revised for External CNG/LPG kit!

Select your preferred payment option

Credit & Debit Cards / Net Banking / Wallets / UPI / International Cards (Powered by CC Avenue)

Credit & Debit Cards / Net Banking / Wallets / UPI / International Cards (Powered by PayU)

Pay using Paytm Postpaid,
Wallet, UPI, Net Banking,
Cards & EMI

Use Gift Card by
Reliance General Insurance
for payment

KYC Verification

KYC verification is mandatory to buy any insurance policy as per the IRDAI.

Please fill in the details for the proposer

PAN

I don't have a PAN card

Date of birth

I want to change my date of birth

As there is change in date of birth, policy issuance will be subject to approval process

⚠

Proposer Name -

KYC Verified Name -

Proposer DOB -

KYC Verified DOB -

doesn't match as per our previous policy records. Please confirm are you same person?

Existing proposer details and KYC details Do Not Match. Please fill verification details again.

Attention! We couldn't fetch your CKYC from CERSAI records, due to a possible data mismatch.

Attention! We couldn't fetch your CKYC from CERSAI records.

Please upload your Officially Valid Documents for KYC Verification (Drivers Licence/Aadhar/Passport/Voters ID).

We request you to upload your Officially Valid Documents for KYC Verification.

We are unable to fetch your DOB from the documents uploaded, please contact +91-22-48903009 for further processing.

Income-tax Rules, 1962

Form No. 60

[See second proviso to rule 114B]

Form for declaration to be filed by an individual or a person (not being a company or firm) who does not have a permanent account number and who enters into any transaction specified in rule 114B

Father's Name (in case of individual)

Mode of transaction*

cash cheque card draft Online Transfer other

OTP Verification

Enter the OTP send to

+91

Edit

Didn't receive the OTP? Resend

Verify

Error

KYC Verification

KYC verification is mandatory to buy any insurance policy as per the IRDAI.

Please fill in the details for the proposer

PAN

I don't have a PAN card

Date of birth

I want to change my date of birth

As there is change in date of birth, policy issuance will be subject to approval process

⚠

Proposer Name -

KYC Verified Name -

Proposer DOB -

KYC Verified DOB -

doesn't match as per our previous policy records. Please confirm are you same person?

Existing proposer details and KYC details Do Not Match. Please fill verification details again.

Attention! We couldn't fetch your CKYC from CERSAI records, due to a possible data mismatch.

Attention! We couldn't fetch your CKYC from CERSAI records.

Please upload your Officially Valid Documents for KYC Verification (Drivers Licence/Aadhar/Passport/Voters ID).

We request you to upload your Officially Valid Documents for KYC Verification.

We are unable to fetch your DOB from the documents uploaded, please contact +91-22-48903009 for further processing.

Income-tax Rules, 1962

Form No. 60

[See second proviso to rule 114B]

Form for declaration to be filed by an individual or a person (not being a company or firm) who does not have a permanent account number and who enters into any transaction specified in rule 114B

Father's Name (in case of individual)

Mode of transaction*

cash cheque card draft Online Transfer other

OTP Verification

Enter the OTP send to

+91

Edit

Didn't receive the OTP? Resend

Verify

Error

Captcha Validator

Policy Summary

Policy

₹ + GST

₹ + GST

Pay As You Drive (PAYD)

₹ + GST

₹ + GST

Third party

₹ + GST

₹ + GST

Please confirm your details-

Just a few more details-

Disclaimer : By opting for Pay as You Drive, I agree that odometer reading provided by me is correct and any misinformation from my side may result in claims rejection

✓ 100% Claim Settled FY(23-24) ✓ 10,000+ Cashless Network Garages

Final Premium ₹

Benefits

Policy Summary

Benefits

Premium Summary

Benefits

Premium Summary

Summary

✓ 100% Claim Settled FY(23-24)
✓ 10,000+ Cashless Network Garages

Final Premium
₹