Motor Insurance Third Party Renewal Online Premium Calculation

Please Enter Your Policy Details

Please tick here if you have Bharat Series Registration No.

e.g.(MH 12 AB 3168)

Insured Name:

Vehicle Make & Model:

Claim Status:

Policy Start Date:

Eligible NCB:

Current IDV:

Premium:

Claim Status:

The above premium includes Personal Accident cover of ` 15 lacs. You can opt out of the cover, if you have another personal accident cover with coverage greater than or equal to ` 15 lacs.

Do you have a valid driver's license?

YES NO

Do you have a personal accident policy of equal to or greater than 15 lacs coverage?

YES NO

As per company records, your details

Protect Valuable Accesories

CNG/LPG Kit Attached

YES NO

Type of fitting

Inbuilt External

Value of CNG/LPG Kit (in ` ):

Add on Covers

Secure Plus:

YES NO

Secure Plus Premium:

YES NO

NCB Retention:

YES NO

Nil Depreciation:

YES NO

PA Cover for Unnamed Passengers Sum Insured:

Legal Liability to Paid Driver:

YES NO

Personal Accident for Owner Driver:

YES NO

Personal Accident Cover for Unnamed Passengers:

YES NO

Your Policy Premium Break-up

Date:

Make & Model :

A. Liability

Basic Liability Premium:

Liability for Bi-Fuel Kit:

` 0.00

Sub Total (A):

` 0.00

B. Total Discount

Anti Theft Discount:

` 0.00

Voluntary Deductible:

` 0.00

Automobile Membership Discount:

` 0.00

Sub Total (B):

` 0.00

C. Add-On Covers

Total Cover:

Total OD Premium (D = A - B + C):

` 0.00

B. Additional Covers

PA For Unnamed Passenger:

` 0.00

Compulsory PA For Owner Driver:

` 0.00

Legal Liability To Paid Driver:

` 0.00

Sub Total (B):

` 0.00

Total Liability Premium (C = A + B):

` 0.00

CGST (for Package Premium)

SGST (for Package Premium)

IGST (for Package Premium)

UGST (for Package Premium)

Service Tax + Swachh Bharat Cess:

` 0.00

Optional PA Premium:

` 0.00

Total Premium:

` 0.00

Now, Let's Talk About You

Personal Details

Gender:

Male Female

Communication Address

(Type first 3 digits and select from dropdown)

Registration Address

Is the Vehicle registered at the same address as above?

YES NO

(Type first 3 digits and select from dropdown)

GST Details

Do you have a GST Number?

YES NO

Vehicle Details

Please tick here if you have Bharat Series Registration No.

e.g.(MH 12 AB 3168)

Nominee Address

Is Nominee / Appointee Address same as the communication Address?

YES NO

Click if you dont find City/District/Pincode

(Type first 3 digits and select from dropdown)

Hypothecation Details

None Loan / Hypothecation Lease Hire / Purchase

PAN Details

Please enter your PAN Number

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

Use Gift Card by
Reliance General Insurance
for payment