Make and model *
Select an option... Audi (All Models) BMW (All Models) Datsun Go Datsun Go Plus Datsun Redi Go Fiat Punto Fiat Linea Ford Ecosport Ford Endeavour Ford Fiesta Ford Figo Ford Figo Aspire Honda Amaze Honda Brio Honda BRV Honda City Honda CRV Honda Jazz Honda Mobilio Hyundai Accent Hyundai Creta Hyundai Elantra Hyundai Eon Hyundai Getz Hyundai Grand i10 Hyundai i10 Hyundai i20 Hyundai i20 Active Hyundai i20 Elite Hyundai Santa Fe Hyundai Santro Hyundai Sonata Hyundai Tucson Hyundai Verna Hyundai Xcent Isuzu MU7 Mahindra e2O Mahindra e2O Plus Mahindra Bolero Mahindra KUV 100 Mahindra Nuvosport Mahindra Quanto Mahindra Scorpio Mahindra Thar Mahindra TUV 300 Mahindra Verito Mahindra XUV 500 Mahindra Xylo Maruti 800 Maruti A Star Maruti Alto / Alto 800 / Alto K10 Maruti Baleno Hatchback Maruti Celerio Maruti Ciaz Maruti EECO Maruti Ertiga Maruti Omni Maruti Ritz Maruti S-Cross Maruti Swift Maruti Swift Dzire Maruti SX4 Maruti Vitara Brezza Maruti Wagon R / Wagon R Stingray Maruti Zen Maruti Zen Estilo Mercedes Benz (All Models) Mitsubishi Lancer Nissan Micra Nissan Sunny Nissan Terrano Renault Duster Renault Kwid Renault Lodgy Renault Pulse Renault Scala Skoda Fabia Skoda Laura Skoda Octavia Skoda Rapid Skoda Superb Skoda Yeti SsangYong Rexton Tata Aria Tata Bolt Tata Indica / Indica Vista Tata Indigo / Indigo Manza Tata Nano Tata Safari Tata Tiago Tata Zest Toyota Corolla Toyota Corolla Altis Toyota Etios Toyota Etios Liva Toyota Fortuner Toyota Innova Toyota Innova Crysta Volkswagen Ameo Volkswagen Jetta Volkswagen Passat Volkswagen Polo Volkswagen Vento Select add ons you’d like us to include (optional)
24×7 Spot Assistance (Pan-India cover for car insurance policyholders who need assistance while on the road. This includes providing service for emergencies such as repair of flat tyre, jump start for car battery, etc. in case of an accident) (RECOMMENDED) (OFFER – COMPLIMENTARY NOW!).
Zero or Nil Depreciation / Bumper to bumper (For vehicles not older than 5 years. Covers the depreciation amount on assessed damaged parts) (RECOMMENDED).
Engine Protector (For vehicles not older than 5 years. Covers consequential damage to the internal parts of the engine arising out of water ingress / leakage of lubricating oil) (RECOMMENDED).
Consumables (Covers cost of consumables such as Engine oil, Transmission fluid, Power steering fluid, Coolant, AC gas, Brake fluid, etc. that may be incurred while replacing/replenishing the damaged vehicle, following an accident) (RECOMMENDED).
Vehicle Replacement Advantage (For vehicles not older than 3 years. If the insured meets with a total loss, covers replacement with new equivalent car).
Liability cover for your driver (employee).
Personal Accident Cover worth Rs.2 Lakhs each for all passengers. Declaration *
I, the undersigned hereby declare and warrant that the insurance contract and policy is subject to the declarations, warranties, statements and particulars given in this proposal form. I declare that to the best of my personal knowledge and belief that the vehicle is in sound and roadworthy condition. I undertake that the vehicle to be insured shall not be driven by any person who to my knowledge has been refused insurance or continuance thereof. The statements and particulars given in this form are complete, true and accurate to the best of my personal knowledge and belief. I have clearly understood the terms and conditions to the insurance contract and agree that the statements and particulars given in this proposal form shall be held to be promissory and shall be the basis of the insurance contract between me and the Company and the Company shall have no liability under the insurance contract if it is found that any of my statements or particulars or declarations in this form or other documents are incorrect and or untrue or suppressed any information or provided misleading or false information in any respect on any matter to the grant of a cover.
ADDITIONAL DECLARATION TO BE GIVEN BY PROPOSER SEEKING NO CLAIM BONUS: I declare that the rate of NCB, if claimed by me is correct and that no claim has arisen in the expiring policy period. I further undertake that if this declaration is found to be incorrect, all benefits under the policy will stand forfeited with no liability to refund the premium.
Signature (Please check this box)