Royal Sundaram General Insurance Co.

Limited
(Formerly known as Royal Sundaram Alliance Insurance Company Limited)
Corporate Office :Vishranthi Melaram Towers No. 2 / 319,
Rajiv Gandhi Salai (OMR),Karapakkam,Chennai - 600097.
Registered Office: 21, Patullos Road, Chennai 600 002.
Call : 1860-425-0000,1860-258-0000 ,E-mail:[email protected]
Website: www.royalsundaram.in
IRDA Registration No.102 | CIN-U67200TN2000PLC045611
Quote
Private Car Package Policy
This quote is issued only for quotation purpose and its not a policy document.
Name of Proposer M/s.RHI
Address:,,,,JAMSHEDPUR, JHARKHAND-
Tel: Mobile: 97xxxxxx06
Proposer's Date of Birth Occupation
Quote No. QVPC30860045 Inception Date 05/07/2025
Geographical Area India Issued Date 20/06/2025 12:10:01
Registration Authority JH05-JAMSHEDPUR Last Modified Date: 20/06/2025 12:16:34
Ref Code BA503705 Registration Date: 25/08/2012
Policy Period 1 OA Code: BR251000
PRIVATE CAR VEHICLE DETAILS
Registration Number JH05AQ1504 Type of Body Sedan
Engine Number 475IDT14CXYP23573 Cubic Capacity/KW 1,405
Chassis Number MAT607146CWC23995 Year of Manufacture 2012
Registration City JAMSHEDPUR Registration State JHARKHAND
Make of the Vehicle TATA MOTORS LTD. Seating Capacity (including driver) 5
Model Description Indigo eCS LS Tdi Net Premium (in Rs.) 6,920
Fuel Type Diesel
INSURED'S DECLARED VALUE (IDV) (in Rs.)
Non Electrical / Value
For the For Total Loss Of
Electrical Electronic of CNG Invoice Price
Vehicle Trailers IDV Baggage
Accessories Accessories Kit
130,635 0 0 0 0 130,635 0 0
A - OWN DAMAGE Rs. B - LIABILITY Rs.

Basic premium on Vehicle 3,898.00 Basic premium including premium for TPPD 3,416.00

Less: For restricted TPPD cover for Rs.6000

Non-Electrical Accessories 0.00 0.00
(IMT 20)
Electrical & Electronic accessories @ 4% (IMT 24) 0.00 Trailers (IMT30) 0.00
Bi-fuel kit (CNG) @ 4% (IMT 25) 0.00 Bi-fuel kit (CNG) 0.00
Add: Add:
a) Trailer 0.00 Personal Accident Benefits
b) Geographical Area Extn.Endt.IMT-1 0.00 a) Geographical Area Extn.Endt.IMT-1 0.00
b) Under Section III (Owner Driver), CSI Rs.
0.00
0
c) 30% for Imported vehicles without custom duty 0.00 c) Named Passengers, CSI Rs.0 each as per
0.00
(IMT 19) list attached (IMT 15)
d) Unnamed Passengers, CSI Rs.0 each (IMT 0.00
16)
e) P.A Cover to Paid Driver, CSI Rs.0(IMT 0.00
d) Fibre Glass Tanks 17)
0.00 f) Enhanced PA cover , Owner Driver, CSI
e) 60% on OD Premium for Driving Tution 0.00 0.00
Rs.0
f) Additional Towing ChargesCover 0.00 g) Enhanced PA cover, Named Passengers
0.00 CSI Rs.0.00 Each as per list attached 0.00
g) For any Other extra
h) Enhanced PA cover, Unnamed Passengers,
CSI Rs.0.00 0.00
i) Enhanced PA cover, Paid Driver, CSI Rs.
0.00 0.00
Less: Legal Liability
h) Discount for Anti-theft devices (IMT 10) 0.00 To Paid Driver (IMT 28) 50.00
i) 50% Discount for Vehicles specially designed/ modified 0.00 To Employees (IMT 29)
250.00
for blind, handicapped and mentally challenged persons.
j) Automobile Association Discount (IMT 8) 0.00
For any other extra 0.00
k) Any other discount 0.00
% for Voluntary Deductible (IRDAN102A0006V01200910) 0.00
of Rs.0 TOTAL LIABILITY PREMIUM (B) 3,716.00
(IMT 22 A)
l) Vintage Car Discount 0.00 PACKAGE PREMIUM (A + B) 5,864.00
Deduct:50% No Claim Bonus -1,949.00 Add: Underwriter Loading % 0.00
Final Discount @0% 0.00
0.00 Less: Special Discount @ %
Add: Underwriter Loading 0.00 NET PREMIUM 5,864.00
Add: Additional Cover for Package Policies
1)Depreciation Waiver (IRDAN102A0011V03201213) 0.00
2)Windshield Glass (IRDAN102A0004V01200910) 0.00
3)Facilities in Lieu of Spare Car (IRDAN102A0007V01200910) 0.00 ADD:IGST 1,055.52
4)Vehicle Replacement Value Plus- *( 0.00
IRDAN102A0001V01202021)
5)Loss of Baggage (IRDAN102A0009V01200910) 0.00
6)NCB Protector Cover (IRDAN102A0002V01201314) 0.00
7)Aggravation Cover (IRDAN102A0001V01201314) 0.00
8)Key Replacement Cover (IRDAN102A0001V01201516) 0.00
9)Tyre Cover (IRDAN102A0003V01201718) 0.00
10)Roadside Assistance Cover (Plan B) 199.00
(IRDAN102A0001V01202223)
11)Smart Save Pro(IRDAN102A0001V01202425) 0.00
12)Hybrid Electric Car 0.00
Shield(IRDAN102A0001V01202324)
13)Consumables (IRDAN102A0006V01202324) 0.00
14)Smart Use 0.00
(IRDAN102RP0004V03201617/A0018V01202425) ()
TOTAL OWN DAMAGE PREMIUM (A) 2,148.00 TOTAL PREMIUM PAYABLE 6,919.52
Quote Valid Up To : 04/07/2025
Disclaimer:This quote is valid for 15 days from the date of issuance of the quote or previous policy expiry date whichever is earlier. The
premium Quoted is based on the details shared and is subject to change if there is any revision made in the Third-Party premium by the Regulator
or if there is any rate revision or fresh guidelines issued by Royal Sundaram in the interim period. Any change in the risk or vehicle details from
what has been declared will make this quote null and void
GSTIN : 19AABCR7106G1ZG Base Product UIN: IRDAN102RP0004V03201617 PAN Number : AABCR7106G
Enhanced PA Cover Clause UIN: IRDAN102A0020V01201920

IRDA Registration No.102