From 00:00:05-Nov-2022 To 04-Nov-2023 Midnight: Basic Own Damage
From 00:00:05-Nov-2022 To 04-Nov-2023 Midnight: Basic Own Damage
From 00:00:05-Nov-2022 To 04-Nov-2023 Midnight: Basic Own Damage
R T O L o ca t i o n KARNATAKA-BENGALURUI
Hypothecated to
C at e g or y 0
V E H IC L E D E T A IL S
Registration Number M ake M od el T yp e o f b o d y CC M fg . Y e a r Seating capacity
HONDA MOTORCYCLE U NIC OR N Saloon 150 2009 2
Chassis Number E ng ine V e hi c l e I D V Si d e C a r Additional Acc N o n - E l e ct r i ca l Elec/ Electronic CNG / L P G T o t al V a lu e
N um be r (in Rs.) (in Rs.) (in Rs.) Acc.(in Rs.) Acc.(in Rs.) Unit (in Rs.) (in Rs.)
ME4KCO93H98085953 KCO9E1087405 46785 0 0 0 0 0 46785
SC H E D UL E O F P R E M I U M ( I N R S . )
Ow n Da m ag e (A ) Liability (B)
Basic Own Damage 640.00 Basic Third Party Liability 300.00
T ot al 640.00 PA Cover for Owner-Driver of Rs. 1,00,000 50.00
Sub Total (Additions): 0. 0 0 T o t a l 35 0. 0 0
Less Add
Su b T o t a l ( D e d u ct i o n s )
B o n u s P e rc e n t 2 0 %
0.00 Unnamed PA cover for 2 persons of Rs.140.00 each 140.00
128.00
14 0. 0 0
T ot al - 128.00 Sub Total (Additions)
Total Own Damage Premium 51 2. 0 0 T o t a l L i a b i l i t y P r e m i u m 49 0. 0 0
Total package Premium(A+B) 1,002.00
Service Tax(Incl Edu.Cess And Higher Edu.Cess) 104.00
Total Premium Payable (in Rs.) 1, 1 06 . 00
Registration location
: CHENNAI Registration number :
(RTO)
: HONDA
Manufacturer MOTORCYCLE Engine number :
: UNICORN
Model Chassis number :
: 2009 Purchase / Registration
Manufacturing year : 25/8/2009
date
:
Color Registration type : Individual
Current showroom price : 58481
(Rs.)
Insured details
I. Own Damage
This product protects you against loss or damage to your motor vehicle and/or accessories due to *Fire *Self Ignition
*Explosion *Lightning *Theft * Burglary *Housebreaking *Riot *Strike *Earthquake *Flood and allied perils
*Accidental external means *Malicious acts *Terrorist activity *Transit *Landslide / rockslide
II. Third Party Liability
In addition to the coverage noted above, this product covers you against legal liability towards third party, in respect of
the following: *Death of or bodily injury to any person *damage to property as per the provisions of
Motor Vehicle Act. We are pleased to inform you that in addition, the product also includes the following:
Declaration:
I/We hereby declare that the statements made by me/us in this Proposal Form are true to the best of my/our
knowledge and belief and no material information, which may be relevant, has been withheld or not disclosed I/We
hereby agree that this declaration shall form the basis of the contract between me/us and the "ICICI Lombard
General Insurance Co. Ltd."
I/We also declare that any additions or alterations are carried out after the submission of this proposal form then
the same would be conveyed to the insurers immediately.
I/We agree that the Policy shall become void able at the option of the Insurer, in the event of any untrue or
incorrect statement, misrepresentation, non-description or non-disclosure in any material particular in the proposal form
/ personal statement, declaration and connected documents, or any material information has been withheld by me or
anyone acting on my behalf to obtain any benefit under this policy.
I/We hereby declare and warrant that the above statements are true, accurate and complete. I/We desire to effect an
insurance as described herein with the Company and I/We agree that this proposal and declarations shall be the basis of
contract between me/us and the Company and I/We agree to accept a policy subject to the conditions prescribed by the
Company.