Previous Policy Issued By
Previous Policy Expiry Date
Date of purchase/registration
Likely date of purchase
Transfer No Claim Bonus from your previous Car
No Claim Bonus (NCB) in Expiring policy
Voluntary deductible per claim (in Rs.)
Vehicle Registered in the name of an
Date of Birth of Owner driver
Avail up to 10% discount by telling us more about yourself?
Profession of owner driver
Tip: Please provide the correct information to get the maximum discount and accurate quote.
Automobile Association membership?
Is ARAI approved anti-theft device installed?
Do you want Additional Covers?
Geographical Extension Country
Coverage for Additional Liabilities?
Accident cover for un-named passengers
Legal Liability cover for Paid driver
TPPD Liability Limit Restriction