Multi Vehicle Policy Issuance

Vehicle details

Select plan

Personal Details

Review details

Checkout

Personal Details

Vehicle Details

Your Registered Vehicle Details

Is this a new car ?

Yes

1.New Vehicle Details

Vehicle Registration Date*

Please select a valid date

Car Make*

Car Model*

Car Variant (Please confirm your car variant)* Please select a car variant

Registered City*

Chassis Number* Please enter a valid chassis number

Active Third Party Policy Number* Enter Active TP Policy Number

Active Third Party Company Name* Enter Active TP Company Name

Active Third Party Policy Start Date*

Enter Active TP Policy Start Date*

Active Third Party Policy Expiry Date*

Enter Active TP Policy Expiry Date

Pincode* Please enter a valid pincode.

I hereby declare that I am the registered owner of all the above-mentioned vehicles to buy the policy.

Please select above declation and proceed

Price (3 Plan)	₹99,087	₹95,087
Discount		-₹4,000
18% GST		₹1,000
Total (Excluding GST)		₹96,087

Personal Details

Vehicle Details

Please note: Third Party policy must be covered by Bajaj Allianz General Insurance.

Your Registered Vehicle Details

1.New Vehicle Details

Verify details : Vehicle 1

Maruti Suzuki Brezza vxi - MH12 AQ 1234

Select Plans

₹32,087

₹39,161

₹39,161

₹39,161

Additional Coverage

(Cover of 15 lakhs is mandated bylaw. Select no, if you already have an active cover or your driving license is invalid)

I

driving license.

I

a PA cover worth RS. 15L

Drive Assure Economy

Drive Assure Economy

Premium For Vehicle 1 (With Tax)-

₹32,087

Reference Number - 1234567975757

Premium breakup

₹96,087 + 18% GST = ₹1,13,382

Verify your vehicle details : 1

Verify your personal details

Congratulations!

John Anderson