PA cover is mandatory. you can opt out If the following one you do not have

1. The owner does not have driving license or
2. Owner already has PA cover of atleast 15 lacs.

Confirmation (Previous Policy Addons)

Does the previous policy have nil dep?

3 CKYC Detail Back to Quotation

CKYC Type One *

CKYC Type One required

CKYC Type One *

CKYC Type One required

Document Type *

Document Type required

Document No. *

Document No. required Please enter valid Document No.

Company Name *

Company Name required

Date of Birth *

Date of Birth is required Please enter valid Date of Birth

Date of Corporation *

Date of Corporation is required Please enter valid Date of Corporation

Profile Photo *

5 Preview & Payment Change Proposal Detail

Proposer Details

Company Name
Proposer Name
Date of Birth
Mobile No.
Email Id
State
City
Contact Address
Pincode
Nominee Name
Nominee Relationship
Nominee Age
Nominee Gender

Vehicle Details

Registration No.
Chassis No.
Engine No.
Model & Variant
Date of Registration
Previous Insurance Company
Previous Policy No.
Previous TP Insurance Company
Previous TP Policy No.
Agreement Type
Finanancer
Finanancer City

I hereby confirm that I have mandated TRUSTegic Insurance Broking LLP. to place my insurance cover and have read and agreed on the Terms and Conditions. Please select Terms & Conditions

TRUSTegic Insurance Broking LLP Head Office - First Floor, C-69, Vibhuti Khand,Gomti Nagar, Lucknow (UP) Pin- 226010

Licence Number – 717, IRDA Direct Broker Code: IRDA/DB791/19 , Valid till: 9th June 2026, LLP Identification Number: AAL-5301, Principal Officer: Mr. Ashutosh Singh (Contact Number - 0522-4104400)

PoSP

1 Basic Detail

Policy Tenure

Vehicle Details

Previous Policy Detail

Additional Covers

Add-ons

2 Quotation Change Basic Detail

No Plans Found.

3 CKYC Detail Back to Quotation

4 Proposer Detail Back to CKYC

Proposer Detail

Proposer Communication Details

Nominee Details

Vehicle Details

5 Preview & Payment Change Proposal Detail

Proposer Details

Vehicle Details

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