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Proposal Details
Product Name
Insured Details
Name
Mobile Number
E-Mail ID
Mailing Address
PLOT NO-20 SHRINAGAR NEAR VITTHAL MANDIR JALGAON RD BHUSAWAL AKANSHA BLDG CityDistrict- JALGAON State- MAHARASHTRA Pincode- 425201
Add on Cover Plan
No Record Available
Add on Covers
Add on Covers
Basic Roadside Assistance
Zero Depreciation
General Details
Policy Start Date
Policy End Date
Type Of Business
01/11/2021
31/10/2022
Renewal Business
Previous Policy Details
Previous Insurer Name
Previous Policy Number
Policy Effected From
Policy Effected To
UIIC
2305003119p109870925
01/11/2019
31/10/2020
MAGMA
P0021000100/4114/703845
01/11/2020
31/10/2021
About Your Vehicle
Vehicle Reg/Purchase Date
Vehicle RTO Location
Manufacturer
Model
IDV
Make Month and Year
Engine Number
Chassis Number
Permanent Registration No
03/11/2018
JALGAON
MARUTI
ALTO 800
225000
Nov-2018
K10BN2178123
MA3EZDE1S00468976
MH19CU9791
Financier Details
Financier Name
Financier Branch
Agreement Type
JALGAON JANTA SAHAKARI BANK LTD.
MUMBAI
Hypothecation
Add on Cover Plan
No Record Available
Add on Covers
Add on Covers
Basic Roadside Assistance
Zero Depreciation
Nominee Details
Nominee Name
Nominee Relationship
Nominee Date Of Birth
Percentage Of Share
KALPANA HEMANT BHOKARDOLE
Wife
13/01/1975
100
Premium Details
Net Premium
GST
Final Premium
4389
790.02
5179
I hold a valid and effective PUC and/or fitness certificate, as applicable, for the vehicle mentioned herein above and undertake to renew the same during the policy period.