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Estimated Market Value of Your vehicle(Rs.)
Region where car is normally used
Mumbai City
Delhi Region
Calcutta Region
Chennai Region
Mumbai Region
Rest Of India
Value Of A.C. and additional electrical accessories
Value Of non-electrical accessories
Cubic Capacity (cc)
Upto 1500cc
Above 1500cc
No Claim Bonus/Loading as given in previous year's policy document
0 %
-20 %
-35 %
-50 %
-65 %
10 %
30 %
50 %
Had an accident and claimed insurance this year?
No
Yes
Personal Accident Cover (No.of Persons)
-
1
2
3
4
5
Cover per Person
Rs.50 for Third Party Property Damage(Unlimited Cover)
No
Yes
Rs.15 for covering your Driver under the Workmen's Compensation Act
No
Yes
Are you a member of WIAA / AAUI / AASI / AAEI ?
No
Yes
Is your vehicle bought as hire purchase, lease agreement or on hypothecation
No
Yes
Premium Amount
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