Bajaj Allianz House,
Airport Road, Yerawada,
Pune-411006
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I/We hereby give voluntary consent to BAGIC/Company to share my/our personal information and data provided in this proposal form with its group companies or any other person in connection with the Insurance Policy or otherwise, including for providing products and services of group companies that may be of interest to me/us, to be used in accordance with their respective privacy policies and subject to appropriate measures being in place to safeguard my/our personal information.
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Bike/Scooter Make
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Honda Activa-i STD
EditRecommended
Will cover the cost of the damages to your bike/scooter and also to others
₹300Will cover the cost of the damage done to third party
₹300 Provides a cover against own damages
(Only if: Active TP is available)
1 Year TP+OD Premium
2 Year TP+OD Premium
3 Year TP+OD Premium
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Personal accident cover
Standalone Compulsory Personal accident cover for owner driver
This cover provides the mandatory personal accident insurance for the owner-driver of the vehicle separately. You can use this cover against multiple vehicles owned by you.(Cover of 15 lakhs is mandated by law. Select no, if you already have an active cover or your driving license is invalid)
I
do not have
driving license
I
do not have
a PA cover worth RS. 15L
By not adding this, you agree that you already have 24 hour Personal Accident cover against Death and Permanent Disability (Total and Partial) for Capital Sum Insured of at least Rs.15 lacs.
Personal Accident cover for unnamed persons
In the unfortunate event of the death and/or permanent total disability arising out of an accident while traveling on your two wheeler, we will pay the specified Sum Insured to you/ your legal heir10000
Add-on Covers
Additional Coverage/IMT
This is a Pan-India cover for your EV anywhere anytime. This includes providing service for emergencies such Dedicated EV helpline, SOS, onsite charging, Towing in case of out of energy, breakdown, accident, repair of flat tyre, legal advice in case of an accident and many more.
We cover the depreciation amount, partly or fully, on assessed damaged parts allowed for replacement during repairs in the event of a Partial Loss to the Insured Vehicle.
We cover the depreciation amount, partly or fully, on assessed damaged parts allowed for replacement during repairs in the event of a Partial Loss to the Insured Vehicle.
This is a Pan-India cover for your EV anywhere anytime. This includes providing service for emergencies such Dedicated EV helpline, SOS, onsite charging, Towing in case of out of energy, breakdown, accident, repair of flat tyre, legal advice in case of an accident and many more.
We cover the depreciation amount, partly or fully, on assessed damaged parts allowed for replacement during repairs in the event of a Partial Loss to the Insured Vehicle. (It is covered under Engine Protect add on)
We cover the depreciation amount, partly or fully, on assessed damaged parts allowed for replacement during repairs in the event of a Partial Loss to the Insured Vehicle.
This is a Pan-India cover for your EV anywhere anytime. This includes providing service for emergencies such Dedicated EV helpline, SOS, onsite charging, Towing in case of out of energy, breakdown, accident, repair of flat tyre, legal advice in case of an accident and many more.
We cover the depreciation amount, partly or fully, on assessed damaged parts allowed for replacement during repairs in the event of a Partial Loss to the Insured Vehicle. (It is covered under Engine Protect add on)
In case of damage to the two-wheeler, this add-on electric bike insurance offers a cover including the consumables costs will provide for fluids, washers, clips, etc.
Other Details
Your precious vehicle is now covered with our Electric two wheeler insurance policy.
Thank you for submitting the details.
Since your policy has expired, it cannot be renewed online. Our executive will call you on your registered number to
assist you with the renewal. Also, you can call us on 020-66495000 to renew your policy.
Bike registration number:
MH-02-BG-6897
Hero Passion Pro, S Petrol
Start date:
29 May 2018
End date:
29 May 2018
Disclaimer: Your policy will be cancelled if documents are not submitted in 48hrs. Please upload document
Link your EIA number here: ‘E-Insurance Account' (EIA) is the portfolio of insurance policies of a proposer/policyholder held in an electronic form with an insurance repository.
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Your Vehicle fuel type is of Petrol. Please click on OK Button to go on our motor vehicle website
Please contact Nearest branch of BAGIC
Please Add Following Details
It expired 1 - 90 days ago
All the details entered here are directly related to the premium amount of your policy. Any changes in the details mentioned above will lead to a change in the premium amount.
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Thank you for submitting your details!
Thank you for the interest shown in our insurance plan and submitting the details. On the basis of the information provided, our executive will get in touch with you. For future correspondence, You can also call on toll-free number 1800-209-0144 or mail us at websales@bajajallianz.co.in in case of any queries.
Disclaimer: I hereby authorize Bajaj Allianz General Insurance Co. Ltd. to call me on the contact number made available by me on the website with a specific request to call back. I further declare that, irrespective of my contact number being registered on National Customer Preference Register (NCPR) under either Fully or Partially Blocked category, any call made or SMS sent in response to my request shall not be construed as an Unsolicited Commercial Communication even though the content of the call may be for the purposes of explaining various insurance products and services or solicitation and procurement of insurance business. Furthermore, I understand that these calls will be recorded & monitored for quality & training purposes, and may be made available to me if required.
I hereby declare, on my behalf and on behalf of all persons proposed to be insured, that the herein statements, answers and/or particulars given by me are true and complete in all respects to the best of my knowledge and that I am authorised to propose on behalf of these other persons
