QUOTATION

MOTOR QUOTE - PRIVATE CAR - This is only a Quotation for insurance of your vehicle and Not a Policy document.
Service Office :IFFCO TOKIO GEN INSU. CO. LTD. SCO 28,
Second Floor,
Sector 14
GURGAON HARYANA
INDIA122001
IFFCO-TOKIO GENERAL INSURANCE CO.LTD Phone #: 0124 4108790
Regd. Office: IFFCO Sadan C1 Distt. Centre, Saket, New Delhi - 110017 Agent Name: AFFINITY SINGH, AMARPREET
Corporate Identification Number (CIN) U74899DL2000PLC107621, Agent #: 25000806
IRDA Reg. No. 106 General Insurance Services: 9971 Agent Mobile #: 1243027502
GSTIN : 06AAACI7573H1ZG POS Agent Name:
POS Agent Adhaar Card#: 422528072671
PAN Agent PANCard#:
Name: ANKUR AGARWAL Quote No.: 1-15C4G7MH
Address: C93 TOP FLOOR PANCHSHEEL VIHAR MALVIYA NAGAR NEW DELHI , SOUTH EAST , NEW DELHI, INDIA Period of Insurance:
Pin Code: 110017 From: 20/06/2019 00:00:00
Phone #: 9899426164 To: Midnight On: 19/06/2020 23:59:59

N
Insured Motor Vehicle Details & Premium Calculation
Type of Body Engine No. Seating
Registration No. Year of Manuf. CC Coverage IDV in Rs. Non Elect. Acc.
- D26609 Capacity
Make of Vehicle Non Electrical Accessories are not Chassis No.
DL6CM6683 2014 NISSAN TERRANO XL D THP 110 PS
1461 Liability Only 1.00
covered as its value is 0 0000449
5

Trailer Elec./Elect. Acc. Bi-Fuel Kit Total Value Net Premium Rs.

TIO
Vehicle
1.00 0.00 0.00 0.00 1.00 3800.78
A. Own Damage Premium(Rs.) B. Third Party Premium(Rs.)
Basic Premium 0.00 Basic Premium 3221.00
Electrical Accessories (IMT 24) 0.00 Bi Fuel Kit (IMT 25) 0.00
Bi Fuel Kit (IMT 25) 0.00
Add: Add:
Rallies (IMT 31) 0.00 Legal Liability to Driver (IMT 28) 0.00
Foreign Vehicle Loading (IMT 19) 0.00 Legal Liability to Employee (IMT 29) 0.00
Geographical Area Extension (IMT 1) 0.00 PA to Passenger (IMT 16) 0.00
Trailers (IMT 30) 0.00 Rallies (IMT 31) 0.00
PA Owner Driver CSI Rs 1500000 0.00
Geographical Area Extension (IMT 1) 0.00
IMT 15
Additional Loading
OTA
Less: Less:
Voluntary Excess Less 0% (IMT 22A) 0.00 Third Party Property Damage (IMT 20)
0.00
Anti Theft Device (IMT 10) 0.00 Limit of Liability Under Section II-I (ii) 750000
Automobile Association (IMT 8) 0.00
Handicap Discount (IMT 12) 0.00
Vehicle Use (IMT 13) 0.00
No Claim Discount ( 0.0 %)
Any Other Loading/Discount ( 0.0 % ) 0 Any Other Loading Discount
Net (A) 0.00 Net (B) 3221.00
Co-Insurance Details Agent No./Share Total Premium Taxable Value(A + B)RS. Rs. 3221.00
Co-Insurer 2 No Co-Insurer Premium Paid(Total Invoice Value) Rs. 3800.78
CGST SGST UTGST IGST CESS
Percentage 18.00
Amount 579.78
Feel free to post any queries over our Toll free number 18001035499 , 0124-4285499.
QU

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