infinite.kotakgeneral.com
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115.112.51.180
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Submitted URL: https://kgi.page.link/em4gZ
Effective URL: https://infinite.kotakgeneral.com/BPOS_PAYMENT_APP/FrmCustomerReviewConfirm.aspx?vProposalId=lBEdsM5hFzaKfby4+WFrXH7YfBiLy9G61fBt3...
Submission: On October 03 via manual from IN — Scanned from DE
Effective URL: https://infinite.kotakgeneral.com/BPOS_PAYMENT_APP/FrmCustomerReviewConfirm.aspx?vProposalId=lBEdsM5hFzaKfby4+WFrXH7YfBiLy9G61fBt3...
Submission: On October 03 via manual from IN — Scanned from DE
Form analysis 1 forms found in the DOM
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<div class="aspNetHidden">
<input type="hidden" name="__VIEWSTATEGENERATOR" id="__VIEWSTATEGENERATOR" value="115FCC7D">
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<input type="hidden" name="hdnProductCode" id="hdnProductCode" value="3121">
<input type="hidden" name="hdnSourceSystem" id="hdnSourceSystem" value="bpos">
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function runme() {
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colorCircle: 'transparent',
background: '#ffa58c',
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beforeStart: function() {
$(".timercountTxt").hide();
$('#btnMakePayment').attr('disabled', true);
$('#btnMobileReSend').attr('disabled', true);
},
end: function(countdown) {
countdown.destroy();
$(".timercountTxt").show();
$('#btnMobileVerify').addClass('disabled');
$('#btnMobileVerify').attr('disabled', 'disabled');
$('#btnMakePayment').removeAttr('disabled');
$('#btnMakePayment').removeClass('disabled');
$('#btnMobileReSend').removeAttr('disabled');
$('#btnMobileReSend').removeClass('disabled');
document.getElementById("txtTimer").value = 'Your One Time Password has expired';
}
});
}
</script>
<script type="text/javascript">
$(function() {
callpopup();
});
$(function() {
try {
RedirectToPaymentGateway = getUrlVars()["RedirectToPaymentGateway"];
if (RedirectToPaymentGateway != null) {
if (RedirectToPaymentGateway == "1") {
$("#divRedirectingInfo").show();
$("#divWrapper").hide();
} else {
$("#divRedirectingInfo").hide();
$("#divWrapper").show();
}
} else {
$("#divRedirectingInfo").hide();
$("#divWrapper").show();
}
} catch (e) {
OnError(e.message);
}
//$("#dialog1").dialog({
// autoOpen: false
//});
//$("#opener").click(function () {
// $("#dialog1").dialog('open');
//});
});
//$("#dialog").dialog({ autoOpen: false, modal: true, buttons: { "Ok": function () { $(this).dialog("close"); } } });
function callpopup() {
$(document).on("click", ".callPopup", function() {
var popname = $(this).attr('data-popupname');
$('.banner-content').addClass('popupActive');
$(window).scrollTop(0)
$('.overlay').fadeIn(300);
$('.' + popname).fadeIn(300);
if (popname == "detail-breakup-enhanced" || popname == "detail-breakup-basic") {
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</div>
<div class="spinnermodal" id="PreLoaderKotakGeneric" style="display: none; z-index: 10001">
<div class="loading-gif">
<img src="images/KotakLogo.gif" alt="Loading...">
</div>
</div>
<div id="divRedirectingInfo" style="text-align: center; font-size: 25px; margin-top: 30px; display: none;"> Please wait, Processing your request... </div>
<div class="wrapper" id="divWrapper" style="">
<!-- top navbar-->
<header class="topnavbar-wrapper">
<!-- START Top Navbar-->
<nav role="navigation" class="navbar topnavbar">
<!-- START navbar header-->
<div class="navbar-header">
<a href="#/" class="navbar-brand">
<div class="brand-logo">
<img src="Images/logo1.png" alt="App Logo" class="img-responsive">
</div>
<div class="brand-logo-collapsed">
<img src="Images/logo1.png" alt="App Logo" class="img-responsive">
</div>
</a>
</div>
<!-- END navbar header-->
<!-- START Nav wrapper-->
<div class="nav-wrapper">
<!-- START Right Navbar-->
<ul class="nav navbar-nav navbar-right">
<li>
<a href="mailto://care@kotak.com" class="email"><em class="fa fa-shield"></em>
<span id="lblProductNameVal">Kotak Car Secure (Comprehensive Policy)</span></a>
</li>
<li id="liKotakmail">
<a href="mailto://care@kotak.com" class="email"><em class="fa fa-envelope"></em>care@kotak.com</a>
</li>
<li id="litollfree">
<a href="tel:1800 266 4545" class="tollfree"><em class="fa fa-phone"></em>1800 266 4545</a>
</li>
</ul>
<!-- END Right Navbar-->
</div>
<!-- END Nav wrapper-->
</nav>
<!-- END Top Navbar-->
</header>
<section>
<div id="divReview" class="content-wrapper">
<div class="container container-md">
<div class="row mb-lg">
<div class="col-md-8">
<div class="h3 text-bold"> Proposal Number: <span id="lblProposalText">202310030031784</span>
</div>
<p class="text-muted"> Please review and confirm the information given below to ensure that everything is correct. This information will appear on your policy documents. </p>
<p class="mb-lg">
<span id="lblApprovalMessage" style="color: red; font-weight: 500"></span>
</p>
<p class="mb-lg">
<span id="lblKYCOvdFlowStatusMessage" style="color: red; font-weight: 500"></span>
</p>
<p></p>
</div>
<div class="col-md-4">
<div class="panel">
<div class="panel-body text-center" style="color: #bc8d3d;">
<h4>Total Premium </h4>
<p class="mb-lg">
</p>
<h1>
<span id="lblTotalPremium">5772</span>
</h1>
<p></p>
</div>
</div>
</div>
</div>
<h4 class="mv-lg pv-lg text-dark">Review Proposal Details</h4>
<div id="accordion1" class="panel-group">
<div class="panel panel-default b0">
<div class="panel-heading">
<h4 class="panel-title">
<a data-toggle="collapse" data-parent="#accordion1" href="#acc1collapse2" class="collapsed" aria-expanded="false">
<small>
<em class="fa fa-credit-card text-primary mr"></em>
</small>
<span>New Policy Details</span>
</a>
</h4>
</div>
<div id="acc1collapse2" class="panel-collapse collapse in" aria-expanded="false">
<div class="panel-body">
<div class="row">
<!--START : CR 634-->
<div id="divRenewalMandate" class="col-xs-6 col-sm-2">
<dl>
<dt>Renewal Payment Mandate</dt>
<dd>
<span class="aspNetDisabled"><input id="chkRenewalMandate" type="checkbox" name="chkRenewalMandate" disabled="disabled"></span>
</dd>
</dl>
</div>
<!--END 634-->
<div class="col-xs-6 col-sm-2">
<dl>
<dt>Policy Effective Date</dt>
<dd>
<span id="lblPolicyStartText">04/10/2023 </span>
</dd>
</dl>
</div>
<div class="col-xs-6 col-sm-2">
<dl>
<dt>Policy End Date</dt>
<dd>
<span id="lblPolicyEndDate">03/10/2024 23:59</span>
</dd>
</dl>
</div>
<div id="divPolicyTerm" class="col-xs-6 col-sm-2">
<dl>
<dt>Policy Term</dt>
<dd>
<span id="lblPolicyTerm">1 year</span>
</dd>
</dl>
</div>
<div id="divPolicyType" class="col-xs-6 col-sm-2">
<dl>
<dt>Policy Type</dt>
<dd>
<span id="lblCoverTypeText">Comprehensive Policy</span>
</dd>
</dl>
</div>
<!--CR418 - HASMUKH START -->
<!--CR418 - HASMUKH START -->
<div class="col-xs-6 col-sm-2">
<dl>
<dt>Partner App.No</dt>
<dd>
<span id="lblQuoteNumber">Q4C000000020362465</span>
</dd>
</dl>
</div>
<div id="PoliyHolderText" class="col-xs-6 col-sm-2">
<dl>
<dt>Policy Holder Type</dt>
<dd>
<span id="lblPolicyHolderText">Individual</span>
</dd>
</dl>
</div>
</div>
</div>
</div>
</div>
<div class="panel panel-default b0">
<div class="panel-heading">
<h4 class="panel-title">
<a data-toggle="collapse" data-parent="#accordion1" href="#acc1collapse3" class="collapsed" aria-expanded="false">
<small>
<em class="fa fa-user text-primary mr"></em>
</small>
<span>Proposer Details</span>
</a>
</h4>
</div>
<div id="acc1collapse3" class="panel-collapse collapse" aria-expanded="false">
<div class="panel-body">
<div class="row">
<div class="col-xs-6 col-sm-2">
<dl>
<dt>Customer Id</dt>
<dd>
<span id="lblCustomerID">1012973434</span>
</dd>
</dl>
</div>
<div class="col-xs-6 col-sm-2">
<dl>
<dt>Customer Name</dt>
<dd>
<span id="lblCustomerName">LAXMAN SHAH</span>
</dd>
</dl>
</div>
<div class="col-xs-6 col-sm-2">
<dl>
<dt>Mailing Address</dt>
<dd>
<span id="lblAddress" style="word-wrap: normal; word-break: break-all;">H.NO- 55, KARAN VIHAR KHODA COLONY GHAZIABAD UTTAR PRADESH, 201309.</span>
</dd>
</dl>
</div>
<div class="col-xs-6 col-sm-2">
<dl>
<dt>Permanent Address</dt>
<dd>
<span id="lblPermanentAddress" style="word-wrap: normal; word-break: break-all;">VILL BABUDI</span>
</dd>
</dl>
</div>
<div class="col-xs-6 col-sm-2">
<dl>
<dt>Pin Code</dt>
<dd>
<span id="lblPinCodeVal">201309</span>
</dd>
</dl>
</div>
<div class="col-xs-6 col-sm-2">
<dl>
<dt>City</dt>
<dd>
<span id="lblCityVal">GAUTAM BUDDHA NAGAR</span>
</dd>
</dl>
</div>
<div class="col-xs-6 col-sm-2">
<dl>
<dt>State</dt>
<dd>
<span id="lblStateVal">UTTAR PRADESH</span>
</dd>
</dl>
</div>
</div>
<div class="row">
<div class="col-xs-6 col-sm-2">
<dl>
<dt>Mobile Number</dt>
<dd>
</dd>
<span id="lblMobileMask">89XXXX8092</span>
</dl>
</div>
<div class="col-xs-6 col-sm-2">
<dl>
<dt>Email Address</dt>
<dd>
</dd>
<span id="lblEmailMask">SHXXXXXMAN@GMAIL.COM</span>
</dl>
</div>
<div class="col-xs-6 col-sm-2">
<dl>
<dt>Date of Birth</dt>
<dd>
<span id="lblDOB">22/10/1976</span>
</dd>
</dl>
</div>
<div class="col-xs-6 col-sm-2">
<dl>
<dt>Customer ID Proof</dt>
<dd>
<span id="lblIDProofVal">-</span>
</dd>
</dl>
</div>
<div class="col-xs-6 col-sm-2">
<dl>
<dt>Proof Document No</dt>
<dd>
<span id="lblIDProofdtlsVal">10012200976733</span>
</dd>
</dl>
</div>
<div class="col-xs-6 col-sm-2">
<dl>
<dt>Pan Number</dt>
<dd>
<span id="lblPanNumber">FLVPS2225C</span>
</dd>
</dl>
</div>
</div>
<div class="row" style="display: none">
<div class="col-xs-6 col-sm-2">
<dl>
<dt>Customer CRN No</dt>
<dd>
<span id="lblCRNNoVal"></span>
</dd>
</dl>
</div>
</div>
</div>
</div>
</div>
<div id="dvVehicleDetails" class="panel panel-default b0">
<div class="panel-heading">
<h4 class="panel-title">
<a data-toggle="collapse" data-parent="#accordion1" href="#acc1collapse1" class="collapsed" aria-expanded="true">
<small>
<em class="fa fa-car text-primary mr"></em>
</small>
<span>Vehicle Details</span>
</a>
</h4>
</div>
<div id="acc1collapse1" class="panel-collapse collapse" aria-expanded="true">
<div class="panel-body">
<div class="row">
<!-- CR: P2_170 CPa Added by Ankit -->
<!-- CR: P2_170 CPa Added by Ankit -->
<div class="col-xs-6 col-sm-2">
<dl>
<dt>Registration No.</dt>
<dd>
<span id="lblRegistrationNumber">UP14GT7664</span>
</dd>
</dl>
</div>
<!-- CR: P2_170 CPa Added by Ankit -->
<!-- CR: P2_170 CPa Added by Ankit -->
<div id="divCarMakeModel" class="col-xs-6 col-sm-2">
<dl>
<dt>Car Make & Model</dt>
<dd>
<span id="lblMakeText">MARUTI</span>
<span id="lblModelText">WAGON R</span>
<span id="lblVariantText">GREEN LXI</span>
</dd>
</dl>
</div>
<div id="divFueltype" class="col-xs-6 col-sm-2">
<dl>
<dt>Fuel type</dt>
<dd>
<span id="lblFuelType">CNG</span>
</dd>
</dl>
</div>
<div class="col-xs-6 col-sm-2">
<dl>
<dt>Chassis number</dt>
<dd>
<span id="lblChassisNumber">MA3EWDE1S00D71218</span>
</dd>
</dl>
</div>
<div class="col-xs-6 col-sm-2">
<dl>
<dt>Engine number</dt>
<dd>
<span id="lblEngineNumber">K10BN8066465</span>
</dd>
</dl>
</div>
<div id="divCreditScore" class="col-xs-6 col-sm-2">
<dl>
<dt>Credit Score</dt>
<dd>
<span id="lblCreditText">892</span>
</dd>
</dl>
</div>
</div>
<div class="row">
<div id="divRTOLocation" class="col-xs-6 col-sm-2">
<dl>
<dt>RTO Location</dt>
<dd>
<span id="lblRTOText">GHAZIABAD - UP14</span>
</dd>
</dl>
</div>
<div id="divCubicCapacity" class="col-xs-6 col-sm-2">
<dl>
<dt>Cubic Capacity</dt>
<dd>
<span id="lblCubicText">1061</span>
</dd>
</dl>
</div>
<div id="divSeatingCapacity" class="col-xs-6 col-sm-2">
<dl>
<dt>Seating Capacity</dt>
<dd>
<span id="lblseatingText">5</span>
</dd>
</dl>
</div>
<div id="divDateofRegistration" class="col-xs-6 col-sm-2">
<dl>
<dt>Date of Registration</dt>
<dd>
<span id="lblRegistrationText">11/04/2018</span>
</dd>
</dl>
</div>
<div id="divInsuredDeclaredValue" class="col-xs-6 col-sm-2">
<dl>
<dt>Insured Declared Value</dt>
<dd>
<span id="lblFinalIDV">252000</span>
</dd>
</dl>
</div>
<div id="divPreviousPolicyExpiryDate" class="col-xs-6 col-sm-2">
<dl>
<dt>Previous Policy Expiry Date </dt>
<dd>
<span id="lblPreviousPolicyText">-</span>
</dd>
</dl>
</div>
</div>
<div class="row">
<div id="divNonElectricalAccessories" class="col-xs-6 col-sm-2">
<dl>
<dt>Non Electrical Accessories</dt>
<dd>
<span id="lblNonElectricalText">0</span>
</dd>
</dl>
</div>
<div id="divElectricalAccessories" class="col-xs-6 col-sm-2">
<dl>
<dt>Electrical Accessories</dt>
<dd>
<span id="lblElectricalText">0</span>
</dd>
</dl>
</div>
</div>
</div>
</div>
</div>
<div id="dvNomineeDetails" class="panel panel-default b0">
<div class="panel-heading">
<h4 class="panel-title">
<a data-toggle="collapse" data-parent="#accordion1" href="#acc1collapse4" class="collapsed" aria-expanded="false">
<small>
<em class="fa fa-user text-primary mr"></em>
</small>
<span>Nominee Details</span>
</a>
</h4>
</div>
<div id="acc1collapse4" class="panel-collapse collapse" aria-expanded="false">
<div class="panel-body">
<div class="row">
<div class="col-xs-6 col-sm-2">
<dl>
<dt>Nominee</dt>
<dd>
<span id="lblNomineeName">usha devi </span>
</dd>
</dl>
</div>
<div class="col-xs-6 col-sm-2">
<dl>
<dt>Relationship with insured</dt>
<dd>
<span id="lblRelationshipWithInsured">Wife</span>
</dd>
</dl>
</div>
<div class="col-xs-6 col-sm-2">
<dl>
<dt>Nominee DOB</dt>
<dd>
<span id="lblNomineeDOB">22/10/1982</span>
</dd>
</dl>
</div>
<div class="col-xs-6 col-sm-2">
<dl>
<dt>Appointee</dt>
<dd>
<span id="lblAppointee"></span>
</dd>
</dl>
</div>
<div class="col-xs-6 col-sm-2">
<dl>
<dt>Appointee Relationship</dt>
<dd>
<span id="lblAppointeeRelationship"></span>
</dd>
</dl>
</div>
</div>
</div>
</div>
</div>
</div>
<h4 class="mv-lg pv-lg text-dark text-center" style="display: none">Detailed Break-up Of Final Premium</h4>
<div class="block-center mt-xl wd-xl" style="display: none">
<div class="row">
<div class="col-lg-12">
<a data-toggle="collapse" data-parent="#accordion1" href="#acc1collapsebreakup1" class="collapsed" aria-expanded="false">
<p class="lead bb">
Own Damage
</p>
</a>
<div id="acc1collapsebreakup1" class="panel-collapse collapse" aria-expanded="false">
<div class="row">
<div class="col-sm-4">Own Damage Premium</div>
<div class="col-sm-3">
<strong>
<span id="lblOwnDamage">0.00</span></strong>
</div>
<div class="col-sm-4">Electrical/Electronic</div>
<div class="col-sm-1">
<strong>
<span id="lblElectricalItems">0.00</span></strong>
</div>
</div>
<hr>
<div class="row">
<div class="col-sm-4">Non Electrical/Electronic</div>
<div class="col-sm-3">
<strong>
<span id="lblNonElectricalItems">0.00</span></strong>
</div>
<div class="col-sm-4">External Bi Fuel Kit</div>
<div class="col-sm-1">
<strong>
<span id="lblBiFuelKit">0.00</span></strong>
</div>
</div>
</div>
</div>
</div>
<br>
<div class="row">
<div class="col-lg-12">
<a data-toggle="collapse" data-parent="#accordion1" href="#acc1collapsebreakup2" class="collapsed" aria-expanded="false">
<p class="lead bb">
Liability
</p>
</a>
<div id="acc1collapsebreakup2" class="panel-collapse collapse" aria-expanded="false">
<div class="row">
<div class="col-sm-4">Basic TP including TPPD premium</div>
<div class="col-sm-3">
<strong>
<span id="lblTPPremium">0.00</span></strong>
</div>
<div class="col-sm-4">Liability For Bi-Fuel Kit</div>
<div class="col-sm-1">
<strong>
<span id="lblLiabilityBiFuel">0.00</span></strong>
</div>
</div>
<hr>
<div class="row">
<div class="col-sm-4">PA For Unnamed Passenger</div>
<div class="col-sm-3">
<strong>
<span id="lblPAUnnamed">0.00</span></strong>
</div>
<div class="col-sm-4">PA For Named Passenger</div>
<div class="col-sm-1">
<strong>
<span id="lblPANamed">0.00</span></strong>
</div>
</div>
<hr>
<div class="row">
<div class="col-sm-4">PA To Paid Driver</div>
<div class="col-sm-3">
<strong>
<span id="lblPAtoPaid">0.00</span></strong>
</div>
<div class="col-sm-4">PA Cover For Owner Driver</div>
<div class="col-sm-1">
<strong>
<span id="lblPACoverForDriver">0.00</span></strong>
</div>
</div>
<hr>
<div class="row">
<div class="col-sm-4">Legal Liability for paid driver cleaner conductor</div>
<div class="col-sm-3">
<strong>
<span id="lblLiabilityForDriver">0.00</span></strong>
</div>
<div class="col-sm-4">Legal Liability for Employees other than paid driver conductor cleaner</div>
<div class="col-sm-1">
<strong>
<span id="lblLiabilityEmployees">0.00</span></strong>
</div>
</div>
</div>
</div>
</div>
<br>
<div class="row">
<div class="col-lg-12">
<a data-toggle="collapse" data-parent="#accordion1" href="#acc1collapsebreakup3" class="collapsed" aria-expanded="false">
<p class="lead bb">
Add-Ons
</p>
</a>
<div id="acc1collapsebreakup3" class="panel-collapse collapse" aria-expanded="false">
<div class="row">
<div class="col-sm-4">Engine Protect Cover</div>
<div class="col-sm-3">
<strong>
<span id="lblEngineProtect">0.00</span></strong>
</div>
<div class="col-sm-4">Return to Invoice Cover</div>
<div class="col-sm-1">
<strong>
<span id="lblReturnToInvoice">0.00</span></strong>
</div>
</div>
<hr>
<div class="row">
<div class="col-sm-4">Consumable Cover</div>
<div class="col-sm-3">
<strong>
<span id="lblConsumableCover">0.00</span></strong>
</div>
<div class="col-sm-4">Depreciation Cover</div>
<div class="col-sm-1">
<strong>
<span id="lblDepreciationCover">0.00</span></strong>
</div>
</div>
<hr>
<div class="row">
<div class="col-sm-4">Road Side Assistance (RSA)</div>
<div class="col-sm-3">
<strong>
<span id="lblRSA">0.00</span></strong>
</div>
</div>
</div>
</div>
</div>
<br>
<div class="row">
<div class="col-lg-12">
<a data-toggle="collapse" data-parent="#accordion1" href="#acc1collapsebreakup4" class="collapsed" aria-expanded="false">
<p class="lead bb">
Discount
</p>
</a>
<div id="acc1collapsebreakup4" class="panel-collapse collapse" aria-expanded="false">
<div class="row">
<div class="col-sm-4">Voluntary Deduction</div>
<div class="col-sm-3">
<strong>
<span id="lblVoluntary">0.00</span></strong>
</div>
<div class="col-sm-4">Voluntary Deduction for Dep Waiver</div>
<div class="col-sm-1">
<strong>
<span id="lblVoluntaryDep">0.00</span></strong>
</div>
</div>
<hr>
<div class="row">
<div class="col-sm-4"> No Claim Bonus <span id="lblNCBPer">0</span>
</div>
<div class="col-sm-3">
<strong>
<span id="lblNCBAmount">0.00</span></strong>
</div>
</div>
</div>
</div>
</div>
<br>
</div>
<h2 class="mv-lg pv-lg text-dark text-center">Total Premium - <span id="lblTotalPremium2">5772</span>
</h2>
<div class="block-center mt-xl wd-xl" style="padding: 20px;">
<div id="dvSIMotor" class="row">
<div class="col-sm-4">System IDV</div>
<div class="col-sm-3">
<strong>
<span id="lblSystemIDV">252000</span></strong>
</div>
<div class="col-sm-4">Final IDV</div>
<div class="col-sm-1">
<strong>
<span id="lblFinalIDV2">252000</span></strong>
</div>
</div>
<hr>
<div class="row">
<div class="col-sm-4">Net Premium</div>
<div class="col-sm-3">
<strong>
<span id="lblNetPremium">4891.87</span></strong>
</div>
<div class="col-sm-4">GST @ 18%</div>
<div class="col-sm-1">
<strong>
<span id="lblGSTAmount">880.54</span></strong>
</div>
</div>
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<p> I/We do hereby declare that I/we have read and understood the entire text, features, disclosures, benefits, terms and conditions of the policy and I/we further declare that the information furnished above are true to the best
of my/our knowledge and no material information, which may be relevant, has been withheld or not disclosed. In case any of the information above is found false during verification at a later date, the company would have the
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<p> The quote displayed has been calculated based on the information provided by you and is subject to change in case you change the information while buying the policy. The product information, including the scopes of cover,
terms, conditions, exclusions and limitations, available on the website is not intended to be exhaustive and is indicative in nature. I / We desire to insure with Kotak Mahindra General Insurance Company Limited in respect of
the vehicle described above and confirm that the statements contained in this proposal are my/our true and accurate representations. I/we undertake that if any of the statements are found to be false or incorrect, the benefits
under this policy would stand forfeited. I/We agree that this application and declaration shall be promissory and shall be the basis of the contract between me/us and Kotak Mahindra General Insurance Company Limited. I/We
confirm that I/We have read and understood the coverages, the terms and conditions and agree to accept the company's policy of insurance along with the said conditions prescribed by the company. I/We also declare and undertake
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found incorrect, all benefits under the policy in respect of section I of the policy will stand forfeited.
</p>
<p>
<strong>PUC Declaration</strong><br> I hereby confirm that I hold a valid Pollution Under Control (PUC) Certificate/Fitness Certificate, while proposing for this renewal.
</p>
<p>
<strong>General exclusions:</strong>
</p>
<p> The Company shall not be liable under this Policy in respect of </p>
<ul>
<li> any accidental loss or damage and/or liability caused sustained or incurred outside the geographical area; </li>
<li> any claim arising out of any contractual liability. Please refer to policy wordings for detailed list of exclusions. </li>
</ul>
<p> LIMITATIONS AS TO USE<br> The Policy covers use of the vehicle for any purpose other than </p>
<ul>
<li>Hire or Reward</li>
<li>Carriage of goods (other than samples or personal luggage)</li>
<li>Organized racing</li>
<li>Pace making</li>
<li>Speed testing</li>
<li>Reliability Trials</li>
<li>Use in connection with Motor Trade</li>
</ul>
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(Formerly Kotak Mahindra General Insurance Ltd.) CIN: U66000MH2014PLC260291. IRDAI Reg. No.152. Registered Office Address: 27 BKC, C 27, G Block, Bandra Kurla Complex, Bandra East, Mumbai – 400051. Maharashtra. India. </span>
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Please wait, Processing your request... * Kotak Car Secure (Comprehensive Policy) * care@kotak.com * 1800 266 4545 Proposal Number: 202310030031784 Please review and confirm the information given below to ensure that everything is correct. This information will appear on your policy documents. TOTAL PREMIUM 5772 REVIEW PROPOSAL DETAILS NEW POLICY DETAILS Renewal Payment Mandate Policy Effective Date 04/10/2023 Policy End Date 03/10/2024 23:59 Policy Term 1 year Policy Type Comprehensive Policy Partner App.No Q4C000000020362465 Policy Holder Type Individual PROPOSER DETAILS Customer Id 1012973434 Customer Name LAXMAN SHAH Mailing Address H.NO- 55, KARAN VIHAR KHODA COLONY GHAZIABAD UTTAR PRADESH, 201309. Permanent Address VILL BABUDI Pin Code 201309 City GAUTAM BUDDHA NAGAR State UTTAR PRADESH Mobile Number 89XXXX8092 Email Address SHXXXXXMAN@GMAIL.COM Date of Birth 22/10/1976 Customer ID Proof - Proof Document No 10012200976733 Pan Number FLVPS2225C Customer CRN No VEHICLE DETAILS Registration No. UP14GT7664 Car Make & Model MARUTI WAGON R GREEN LXI Fuel type CNG Chassis number MA3EWDE1S00D71218 Engine number K10BN8066465 Credit Score 892 RTO Location GHAZIABAD - UP14 Cubic Capacity 1061 Seating Capacity 5 Date of Registration 11/04/2018 Insured Declared Value 252000 Previous Policy Expiry Date - Non Electrical Accessories 0 Electrical Accessories 0 NOMINEE DETAILS Nominee usha devi Relationship with insured Wife Nominee DOB 22/10/1982 Appointee Appointee Relationship DETAILED BREAK-UP OF FINAL PREMIUM Own Damage Own Damage Premium 0.00 Electrical/Electronic 0.00 -------------------------------------------------------------------------------- Non Electrical/Electronic 0.00 External Bi Fuel Kit 0.00 Liability Basic TP including TPPD premium 0.00 Liability For Bi-Fuel Kit 0.00 -------------------------------------------------------------------------------- PA For Unnamed Passenger 0.00 PA For Named Passenger 0.00 -------------------------------------------------------------------------------- PA To Paid Driver 0.00 PA Cover For Owner Driver 0.00 -------------------------------------------------------------------------------- Legal Liability for paid driver cleaner conductor 0.00 Legal Liability for Employees other than paid driver conductor cleaner 0.00 Add-Ons Engine Protect Cover 0.00 Return to Invoice Cover 0.00 -------------------------------------------------------------------------------- Consumable Cover 0.00 Depreciation Cover 0.00 -------------------------------------------------------------------------------- Road Side Assistance (RSA) 0.00 Discount Voluntary Deduction 0.00 Voluntary Deduction for Dep Waiver 0.00 -------------------------------------------------------------------------------- No Claim Bonus 0 0.00 TOTAL PREMIUM - 5772 System IDV 252000 Final IDV 252000 -------------------------------------------------------------------------------- Net Premium 4891.87 GST @ 18% 880.54 I agree to the Terms & Conditions Note: Policy will get issued as per the details mentioned in the proposal form. Click here to view the proposal form. Please select terms and conditions. (Optional) I would like to receive all communication related to all my policies through WhatsApp. Disclaimer: By clicking on the below button, you agree to receive calls / communication from Kotak Mahindra General Insurance Company Limited through Telephone / Mobile / SMS / Email and such consent shall prevail over any current or subsequent “Do Not Call” registration I/We do hereby declare that I/we have read and understood the entire text, features, disclosures, benefits, terms and conditions of the policy and I/we further declare that the information furnished above are true to the best of my/our knowledge and no material information, which may be relevant, has been withheld or not disclosed. In case any of the information above is found false during verification at a later date, the company would have the right to cancel the policy and premium amount paid will be forfeited. I/We also declare that any additions or alterations are carried out after the submission of this proposal form then the same would be conveyed to the insurers immediately. The quote displayed has been calculated based on the information provided by you and is subject to change in case you change the information while buying the policy. The product information, including the scopes of cover, terms, conditions, exclusions and limitations, available on the website is not intended to be exhaustive and is indicative in nature. I / We desire to insure with Kotak Mahindra General Insurance Company Limited in respect of the vehicle described above and confirm that the statements contained in this proposal are my/our true and accurate representations. I/we undertake that if any of the statements are found to be false or incorrect, the benefits under this policy would stand forfeited. I/We agree that this application and declaration shall be promissory and shall be the basis of the contract between me/us and Kotak Mahindra General Insurance Company Limited. I/We confirm that I/We have read and understood the coverages, the terms and conditions and agree to accept the company's policy of insurance along with the said conditions prescribed by the company. I/We also declare and undertake that if there is any change in information as submitted by me/us after this submission then the same would be conveyed to Kotak Mahindra General Insurance Company Limited immediately failing which it is agreed and understood by me/us that the benefits under the policy would stand forfeited. I/We agree to the company taking appropriate measures to capture the voice log for all such telephonic transactions carried out by me/us as required by the procedures/regulations internal or external to the company and shall not hold the company responsible or liable for relying / using such recorded telephonic conversation. I/We agree that the insurance would be effective only on acceptance of this application by the company and the payment of the requisite premium by me/us in advance. In the event of non-realisation of the cheque or non-receipt of the amount of premium by the company the policy shall be deemed cancelled ab-initio and the company shall not be responsible for any liabilities of whatsoever nature under this policy. Declaration for No Claim Bonus I/We declare that the rate of NCB claimed by me/us is correct and that NO CLAIM has arisen in the expiring policy period. I/We further undertake that if this declaration is found incorrect, all benefits under the policy in respect of section I of the policy will stand forfeited. PUC Declaration I hereby confirm that I hold a valid Pollution Under Control (PUC) Certificate/Fitness Certificate, while proposing for this renewal. General exclusions: The Company shall not be liable under this Policy in respect of * any accidental loss or damage and/or liability caused sustained or incurred outside the geographical area; * any claim arising out of any contractual liability. Please refer to policy wordings for detailed list of exclusions. LIMITATIONS AS TO USE The Policy covers use of the vehicle for any purpose other than * Hire or Reward * Carriage of goods (other than samples or personal luggage) * Organized racing * Pace making * Speed testing * Reliability Trials * Use in connection with Motor Trade Disclaimer: I hereby confirm that I am the policyholder as well as the owner of the credit card / debit card / Internet banking account or any other online payment method, through which I am paying the policy premium. * Please note, in-case of a refund, the amount payable will automatically credited to the same account that you are using to pay the premium or can be refunded through a cheque in the name of the proposer. Insurance is the subject matter of the solicitation. The advertisement contains only an indication of cover offered. For more details on risk factors, terms, conditions and exclusions, please read the sales brochure carefully before concluding a sale. Trade logo displayed above belongs to Kotak Mahindra Bank Ltd. and is used by Kotak General Insurance Company Limited under license. Kotak Mahindra General Insurance Company Ltd. (Formerly Kotak Mahindra General Insurance Ltd.) CIN: U66000MH2014PLC260291. IRDAI Reg. No.152. Registered Office Address: 27 BKC, C 27, G Block, Bandra Kurla Complex, Bandra East, Mumbai – 400051. Maharashtra. India. × DETAILS UPDATE Kindly fill the details in below box Close