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      • 1

        Basic Detail

      • 2

        Quotation

      • 3

        Ckyc Detail

      • 4

        Proposer Detail

      • 5

        Preview & Payment

      Previous Policy Zero Dep


      For Selected Add-on Does the previous policy have nil dep?


      PA cover is mandatory. you can opt out If the following one you do not have


      1. The owner does not have driving license or
      2. Owner already has PA cover of atleast 15 lacs.


      Confirmation(Previous Policy Addons)


      Does the previous policy have nil dep?


      Confirmation(Previous Policy Addons)


      Does the previous policy have ?


      1 Basic Detail

      Policy required
      Proposer required
      Policy Cover required

      Vehicle Details

      Select Vehicle Type Please Select Vehicle Type.
      Select Manufacturer Please Select Manufacture.
      Select Model Please Select Model.
      Select Fuel Type Please Select Fuel.
      Select Variant Please Select Variant.
      Vehicle Invoice Date required
      Note: Please type slowly to view RTO and select from list. RTO is required
      Reg No. required Please enter valid Reg No. Vehicle registration number must be valid .
      Please Select Permit Type.
      Please Select Manufacturing Built Type.
      Gross Vehicle Weight required

      Additional Covers

      No. Of Driver is required
      No. Of Cleaners is required
      No. Of Employees is required
      No. Of Unnamed Passenger is required
      Un. Paid Driver PA Cover is required
      Un. Passenger PA Cover is required
      No. Of Unnamed PA Passenger is required
      Un. Cleaner PA Cover is required
      Un. Conductor PA Cover is required
      Select as least one country
      CNG Value is required
      Electrical Accessories is required
      Non Electrical Accessories is required
      TPPD required

      Previous Policy Detail

      Policy Expired required
      Select Expired Type
      Claim in previous year required
      Select Previous NCB
      Previous Policy Expiry Date is required

      2 Your Insurance Quotation Change Basic Detail

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      3 CKYC Detail Back to Quotation

      CKYC Type One required
      Document No. required Please enter valid Document No.
      Document Type required
      Document No. required Please enter valid Document No.
      First Name required Please enter valid First Name
      Last Name required Please enter valid Last Name
      Date of Birth is required Please enter valid Date of Birth
      Date of Corporation is required Please enter valid Date of Corporation
      image
      POA Type required
      POA Document No. required Please enter valid POA Document No.
      image
      POI Type required
      image
      POA Type required
      image

      4 Proposer Details Back to CKYC

      Proposer Details

      Own Damage Period :
      To
      Liability Period :
      Policy Tenure : 1 Year 5 Year
      Model Variant :
      Reg. No. :
      NCB : %
      year of purchase :
      Premium :
      Value (IDV) :
      Salutation required
      First Name required Please enter valid First Name
      Last Name required Please enter valid Last Name
      Gender is required
      Date of Birth is required Please enter valid Date of Birth
      Company Name required Please enter valid Company Name
      Mobile No. is required Please enter valid Mobile No.
      Email required Please enter valid Email

      Proposer Communication Details

      Address is required Please enter valid Address
      Address Two is required Please enter valid Address
      Select Marital Status
      Note: State code of GSTIN should match with the communication state GSTIN required Please enter valid GSTIN
      PAN No. required Please enter valid PAN No.

      Nominee Details

      Nominee Name required Please enter valid Full Nominee Name
      Nominee Relation required
      Marital Status is Single hence Nominee cannot be the selected option.
      Nominee Age required Please enter valid Nominee Age
      Nominee Gender required
      Appointee Name required Please enter valid Appointee Name
      Appointee Relation required
      Marital Status is Single hence Nominee cannot be the selected option.
      Appointee Date of Birth is required Please enter valid Date of Birth

      Vehicle Details

      Please keep registration certificate (RC) and expiring insurance policy document ready to fill this form.

      Previous Insurance Company required
      Previous Policy No. required Please enter valid Previous Policy No.
      Previous TP Insurance Company required
      Previous TP Policy No. required Please enter valid Previous Policy No.
      Previous Insurance has CNG/LPG Cover required
      Chassis No. required Please enter valid Chassis No. with minimum 6 characters.
      Engine No. required Please enter valid Engine No. with minimum 6 characters.
      Reg No. required Please enter valid Reg No. Vehicle registration number must be valid .
      PUC required
      Agreement Type required
      Note: Please type slowly to view financiers and select from list. Financier required Please enter valid Financier Name.

      5 Preview & Payment Change Proposal Detail

      Proposer Details

      Company Name
      Proposer Name
      Date of Birth
      Mobile No.
      Email Id
      State
      City
      Contact Address
      Pincode
      Nominee Name
      Nominee Relationship
      Nominee Age
      Nominee Gender
      GSTN
      PANNo
      Appointee Name
      Appointee Relationship

      Vehicle Details

      Registration No.
      Chassis No.
      Engine No.
      Model & Variant
      Date of Registration
      Previous Insurance Company
      Previous Policy No.
      Previous TP Insurance Company
      Previous TP Policy No.
      Agreement Type
      Finanancer
      Finanancer City
      Please select Terms & Conditions
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        Registered office:
        3rd Floor,
        Gayways House,
        P P Compound,
        Main Raod,
        Ranchi,
        Jharkhand 834001
        CIN: U66000JH2020PTC014014

      • support@vedantinsurance.com
      • 9905942165, 9905942170

      Vedant Insurance Broking Private Limited

      IRDAI Regd No. 754,
      Registration Code No. IRDA/ DB 845/ 20
      License category- Direct Broker (Life & General)
      Valid upto : 12/07/2024

      Principal Officer: Ravi Kumar

      • 9905942165, 9905942170

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