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Previous Insurer and Policy Expiry

Do you remember previous policy details?

Yes
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Required Policy Type

Comprehensive Policy
Third party only
OD Only

Policy Term

Previous insurer & policy expiry *

Previous Policy Type

Comprehensive
Third Party
Only OD

OD Previous Expiry Status

Not Expired
Expired within 90 days
Expired more than 90 days

Fill some more information below so we can provide exact quote.4W

Manufacture Year

Registration Date

Policy Expiry Date

Registration Number

Customer Type

Vehicle Owned By

Individual
Organization

Organization Name

TP Previous insurer

TP Policy Expiry Date

Licence validity

Do you have a valid driving license?

Yes
No

PA Cover

Do you already have Personal Accidental (PA) cover of Rs 15 lakh ?

Yes
No

Owner Change

Owner changed in last 12 months?

Yes
No

Claim

Claim made in expiring policy?

Yes
No

NCB *

Previous No Claim Bonus (NCB)

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IRDA Broker License number - IRDA License number - 430 License Code -IRDAI/XXXX/2021 Valid Till 01/04/2024 CIN Number - CIN Number - U67200MH2010PTC199629

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