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Vehicle Details
Car Policy*
New Policy
Re-New Policy
Date Of Expiry*
(DD/MM/YYYY)
Claim in Previous Year?*
No
Yes
Previous Claim Slab*
0%
20%
25%
35%
45%
50%
65%
Year Of Manufacture*
Select One
2003
2004
2005
2006
2007
Date Of Registration*
(DD/MM/YYYY)
Policy Start Date*
(DD/MM/YYYY)
City Of Registration*
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Mumbai
Name Of Manufacturer*
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Model*
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Model Variant*
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Fuel Type*
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Suggested IDV*
Additional Liabilities, Coverages, Discounts?
Liabilities
Fibre Glass Fuel Tank
No
Yes
Discounts
Coverages
Additional Coverage On Liabilities
Legal Liability for paid driver /cleaner /employee
No
Yes
Accident Cover For Unnamed Passengers (Per Person)
0
10000
20000
30000
40000
50000
60000
70000
80000
90000
100000
110000
120000
130000
140000
150000
160000
170000
180000
190000
200000
Additional Discounts
Voluntary Deductible Premium Deposit
0
15000
2500
5000
7500
ARAI approved anti-theft device installed?
No
Yes
TPPD for 7.5 lacs inbuilt can be reduced to 6000
No
Yes
AAUI Member
No
Yes
Additional Coverages
Electronic Accessories
CNG/LPG Kit
Liabilities
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All rights reserved. Insurance is the subject matter of solicitation.
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