Name of Person
Type of Cover
Year Manuf. *
CC/ KW *
Goods Carrying Cap./ Tons/ HP
Vehicle Cost *
Utilities Cost
Include Towing Charge
Exclude Pool Premium
Vehicle No.
Excess Own Damage
NCD Year
P.A. to Driver
P.A. to Employee
P.A. to Passenger
Total Sum insured
Tailor Sum insured
Others Description
Own Goods Carrying/Private Rent
Is Government
Has Agent
Additional Premium
SN UploadSn Cover Description Per Mile Amount Catid CalcComm NatPerils AddMode MtrSno RskSno
Basic Premium
Pool Premium
Third Party
Other Premium
Annual Net Premium
Premium Type
Premium Rate
Total Stamp
Act Net Premium
Total Vatable Amt
Total Payable