NYSA - ICICI Lombard

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Quote ID: c4cd54b4-54cc-b470-3010-b704054216d0

Quotation Date: 15-07-2024


Validity Of Quote will remain upto 7 days from Quotation date

Four Wheeler package

Vehicle Details

Manufacturer - Model HYUNDAI I20 1.2 KAPPA SPORTZ 1197 CC

Registration number PB41D7772

RTO Location PUNJAB-SULTANPUR LODHI

Cubic Capacity 1197

Seating Capacity 5

Premium Schedule

Basic OD Premium ₹ 5744

Total Own Damage Premium(A) + TP Premium ₹ 5744

Road Side Assistance ₹ 699

Zero Depreciation Cover ₹ 3000

Engine Protect ₹ 900

Return to Invoice Cover ₹ 900

Consumables ₹ 600

Total Premium with Addon ₹ 11998

Anti-theft Discount ₹ 144

Deduct 25 % for NCB ₹ 1439

Total Discount(-) ₹ 1583

GST ₹ 1875

Total Premium ₹ 12290

Insured declared Value (IDV) (Rs) Rs 600000

Tenure 1 year OD + 0 year TP

Current Showroom Price Rs 750000

Registration Date 02/08/2022

Manufacturing Year 2022

Policy Start Date 22/07/2024

Fuel Type PETROL

https://nysa.icicilombard.com/#/quote 15/07/24, 10 00 PM
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Agent Details

Agent Details IM-816954

Name ICICI BANK LTD. BBG - BCP-RLG

Location JALANDHAR

Vertical Bancassurance-Branch Branching

Deviation trigger:
Other discount deviation is beyond the maximum limit, maximum limit of other discount deviation is 0% for the proposal,other discount taken
-0.6

Total Premium ₹ 10415

GST ₹ 1875

Total Premium Payable ₹ 12290

Note:- Premium has been calculated for ICICI BANK LTD. BBG - BCP-RLG, Bancassurance-Branch Branching ( DL-
3001/XXXXXXXXXX439 )

Note :- The displayed Quotation is valid subject to satisfactory break-in inspection, if applicable.
The displayed Quotation is subject to Underwriters’ approval.

https://nysa.icicilombard.com/#/quote 15/07/24, 10 00 PM
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