PREMIUM COMPUTATION SHEET

Department : MOTOR Insured's Name : Guest User

Document No : R/181100/31/2014/334441/1 Document Date : 14/01/2014

Policy Start Date : 14/01/2014 Policy End Date : 13/01/2015

Product Description : MOTORISED-TWO WHEELERS Document Type : Proposal

Policy Type : PACKAGE POLICY

SCHEDULE OF PREMIUM
Cover Description Sum Insured Premium

BASIC OD COVER 47,071.00 788.91

LESS :ADDITIONAL DISCOUNT FOR HONDA MOTOR 0.00 79.00
LESS :Underwriter's Discount 0.00 79.00
MOTOR OD BASIC - NEW 47,071.00 709.91
LESS :UNDERWRITER DISCOUNT 0.00 -79.00
BASIC OD TOTAL 47,071.00 709.91
OD TOTAL 47,071.00 710.00
MOTOR TOTAL OD 47,071.00 710.00
BASIC TP COVER 0.00 422.00
BASIC TP TOTAL 0.00 422.00
ADD :PA FOR OWNER DRIVER-GR36A 1,00,000.00 50.00
ADD :PA-UN-NAMED-GR36B2 1,00,000.00 70.00
ADD :LL-PAID DRIVER, CONDUCTOR,CLEANER-IMT-28 0.00 50.00
TP TOTAL 2,00,000.00 592.00
TOTAL PREMIUM 1,302.00
ADD :SERVICE TAX 161.00
STAMP DUTY 0.50
TOTAL AMOUNT 1,463.00

RISK DETAILS

Section : PACKAGE POLICY

Vehicle Details : 456789 / 123456 / NEW

Cover Name Sum Insured Rate Premium

BASIC OD COVER 47,071.00 1.676/100 788.91

ADDITIONAL DISCOUNT FOR HONDA MOTOR 0.00 10/100 79.00
Underwriter's Discount 0.00 10/100 79.00
UNDERWRITER DISCOUNT 0.00 -10/100 -79.00
BASIC TP COVER 0.00 422/1 422.00
PA FOR OWNER DRIVER-GR36A 1,00,000.00 50/1 50.00
PA-UN-NAMED-GR36B2 1,00,000.00 .7/1000 70.00
LL-PAID DRIVER, CONDUCTOR,CLEANER-IMT- 0.00 50/1 50.00
28

Total 1,301.91