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Date:25-Nov-2019 Car Secure – 3 years Time:11:15 AM

Quote Number IMD Code Customer Name Customer Gender

211119003687 -15 (3) 1167278477 - FEMALE

Cover Type Ownership Type Policy Holder Type Purchase Date

Comprehensive Policy Individual Individual Owner 25/11/2019

RTO Make Model Variant and Fuel Type

Code: 20529 (CHENNAI - TN01) MARUTI XL6 ZETA MT (Petrol)

Cubic Capacity Seating Capacity Previous Policy Expiry Date Policy Start Date

1462 6 - 25/11/2019

Credit Score Pan Number Non Electrical Accessories Electrical Accessories

0 - 0 0

OWN DAMAGE (3 Years) Premium LIABILITY (3 Years) Premium

Own Damage Premium 29,743.47 Basic TP including TPPD premium 9,534.00

Electrical/Electronic Items 0.00 Liability For Bi-Fuel Kit 0.00

Non Electrical/Electronic Items 0.00 PA For Unnamed Passenger 0.00

External Bi Fuel Kit 0.00 PA For Named Passenger 0.00

ADD-ONs PA To Paid Driver 0.00

Engine Protect Cover 0.00 1 Year PA Cover For Owner Driver 325.00

Return to Invoice Cover 0.00 Legal Liability for paid driver cleaner 150.00
conductor
Consumable Cover 721.30
Legal Liability for Employees other than 0.00
Depreciation Cover 11,944.67
paid driver conductor cleaner
Road Side Assistance (RSA) 1,375.00
Total (B) 10,009.00
Daily Car Allowance 0.00

Key Replacement 0.00 TOTAL PREMIUM

Tyre Cover 0.00 Sytem IDV 9,10,100.00

NCB Protect 0.00 Final IDV 9,30,705.00

Loss of Personal Belongings 0.00 Net Premium (A) + (B) 52,793.44

Discount GST @ 18% 9,502.82

Voluntary Deduction 0.00 Total Premium 62,296.00

Voluntary Deduction for Dep Waiver 1,000.00

No Claim Bonus (NCB) 0% 0.00

Total (A) 42,784.44

Disclaimer:
• The calculator is an online tool to facilitate the premium computation and is not intended to replace (or incorporate) the underwriting guidelines.
• The company reserves the right to modify the rates, IDV, underwriting guidelines etc without prior intimation.
• Accessories sum insured should not be more than 25% of IDV.
• For any other combination of add-ons please contact our nearest branch.
• In case of Invoice value, the IDV would be invoice value-5% and no further deviation from this value would be allowed. Also, if invoice value is applied supporting document must be
provided with the proposal form.
• This quote will be valid till 7 days from quote date.
• Risk inception is subject to receipt of premium.

Kotak Mahindra General Insurance Company Ltd.

CIN: U66000MH2014PLC260291 Registered Office: 27 BKC, C 27, G Block, Bandra Kurla Complex, Bandra East, Mumbai - 400051. Maharashtra, India.
Office: 8th Floor, Kotak Infiniti, Bldg. 21, Infinity IT Park, Off WEH, Gen. AK Vaidya Marg, Dindoshi, Malad(E), Mumbai - 400097.India.
Toll Free: 1800 266 4545 Email: care@kotak.com Website: www.kotakgeneralinsurance.com IRDAI Reg. No. 152