| OWN DAMAGE SECTION (A) | |
|---|---|
| Base OD Premium | |
| Add: Electrical Accessories | |
| Add: Non-Electrical Accessories | |
| Add: CNG / LPG Kit Premium | 0 |
| Add: IMT 23 Premium | |
| Add: IMT 47 Premium | |
| Add: Geographical Extension Premium | |
| Add: Additional Towing | |
| Add: Trailer Premium | |
| SUB TOTAL | |
| Less: NCB Discount | |
|---|---|
| Less: Detariff Discount | |
| Less: Anti Theft Device Discount | |
| TOTAL BASE OD PREMIUM |
| ADDON COVERS (B) | |
|---|---|
| Nil Depreciation Cover | |
| Invoice Protect | |
| Consumable Protect | |
| Engine Protect | |
| Lock & Key Protect | |
| Loss of Driving License | |
| Loss of Belongings | |
| EMI Protect | |
| Fuel Flip Flop Cover | |
| Pick & Drop Cover | |
| Road Side Assistance | |
| Daily Allowance | |
| Tyre & Rim Protect | |
| TOTAL ADDON PREMIUM | |
| LIABILITY SECTION | |
|---|---|
| Base TP Premium | |
| LPG / CNG Premium | |
| Add: Geographical Extension Premium | |
| Legal Liability to Paid Driver | |
| Legal Liability to other than Paid Driver | |
| LL to Non Fare Paying Passengers | |
| PA Cover for Owner Driver | |
| PA for Other than Owner Driver | |
| Trailer Premium | |
| TOTAL TP PREMIUM | |
| FINAL PREMIUM PAYABLE | |
|---|---|
| NET PREMIUM | |
| GST | |
| TOTAL PREMIUM | |