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Motor Insurance Policy
Type of vehicle *
Select a vehicle type
PRIVATE CAR
MOTORISED-TWO WHEELERS
Type of policy *
Select a policy type
Date of first registration of vehicle *
Click here for details
Date of purchase of vehicle *
Tip: You must purchase your insurance policy the same day you buy your brand new vehicle
RTO zone *
Click here for details
Select a RTO zone
State of purchase *
Select a state of purchase
Please confirm whether:
Vehicle is registered in the name of Company/Firm/HUF (If yes, Owner/Driver compulsory PA cover will be excluded)
Yes
No
Registered owner does not possess a valid driving license for this class of vehicle (If yes, Owner/Driver compulsory PA cover will be excluded)
Yes
No
Registered owner has taken this cover in other vehicles registered in his/her name and has the choice of opting out in this vehicle (If yes, Owner/Driver compulsory PA cover will be excluded)
Yes
No
Compulsory PA *
1 year
3/5 years depending on Private Car/Two Wheeler
Nominee Details
Name
Relationship with the insured
Select relation
Self
Spouse - Employed
Spouse - Unemployed
Dependent Child
Dependent Parents
Dependent Blood Relatives
Others
Dependent Parents -Inlaw
Spouse
Father
Mother
Sibling
Unmarried Daughters
Divorced Daughters
Widowed Daughters
Age of nominee
Enter Additional Cover Details*
Is vehicle using non-conventional source of fuel? *
Yes
No
Extension of Geographical area required? *
Yes
No
Do you wish to opt for higher deductible over and above the compulsory? *
Click here for details
Yes
No
Are you a member of Automobile Association of India? *
Yes
No
Is vehicle fitted with anti-theft device? *
Click here for details
Yes
No
Do you wish to cover personal effects? *
Yes
No
Do you wish to cover legal liability to driver? *
Yes
No
Do you wish to have PA cover for unnamed persons? *
Yes
No
Do you have a CNG/ LPG Kit? *
Click here for details
Yes
No
Do you wish to select return to Invoice cover? *
Yes
No
Do you wish to cover nil depreciation? *
Yes
No
Do you wish to cover alternative car benefits? *
Yes
No
Do you wish to have Limited TPPD cover? *
Yes
No
Do you wish to have Engine Protect cover? *
Yes
No
Details of accessories
Click here for details
Side car
Non electrical
Electrical
Are you a member of any of these organization (e.g. ICAI)?
Select one
ICAI
Start date of new policy *
Tip: The start date of new policy will be same as payment date.
Engine number *
Colour *
Metallic
Non-Metallic
Has any insurance company ever declined/cancelled the proposal and refused to renew or impose special conditions? *
Yes
No
Chassis number *
Click here for details
Vehicle registration number *
Click here for details
Hypothecation type *
Select hypothecation type
HIRE
HYPOTHECATION
LEASE
NONE
Select your branch office
Click here for details
OICL Office State *
Select State
ANDHRA PRADESH
ARUNACHAL PRADESH
ASSAM
BIHAR
CHANDIGARH
CHATTISGARH
DELHI
GOA
GUJARAT
HARYANA
HIMACHAL PRADESH
JAMMU AND KASHMIR
JHARKHAND
KARNATAKA
KERALA
LADAKH
MADHYA PRADESH
MAHARASHTRA
MANIPUR
MEGHALAYA
MIZORAM
NAGALAND
ODISHA
PONDICHERRY
PUNJAB
RAJASTHAN
SIKKIM
TAMIL NADU
TELANGANA
TRIPURA
UTTAR PRADESH
UTTARAKHAND
WEST BENGAL
City/Town *
Select City
Branch/Office *
Select branch
Premium details
Own Damage Premium
Third Party Premium
GST
Total Premium
Declaration
I/we hereby declare that the statement made by me/us in this proposal form is true to the best of my/our knowledge and belief and I/we hereby agree that this declaration shall form the basis of the contract between me/us and Oriental insurance company Ltd. I/we also hereby declare that if any additions or alterations are carried out after the submission of this proposal form then the same would be conveyed to the insurer immediately. I/we also understand that if any incorrect details are entered, the claim may not be awarded. I confirm that the delivery of vehicle has not been taken.
I/we undertake that I/we have a valid PUC existing as on date of this transaction
Yes
No
Motor Policies - Terms & Conditions
(Please read carefully)
Download premium calculation sheet
Email *
Tip: Soft copy of the policy document would be sent to this email address
I am a registered customer and want to pre-populate my personal details.
First name *
Middle name
Last name *
Mobile *
Telephone
Date of birth
GST Number (if any)
Aadhar Number
Occupation *
Select occupation
BUSINESS
HOUSE WIFE
OTHERS
RETIRED
SERVICE
Address type *
Select address type
Residence Address
Office Address
Address for communication *
State *
Select State
ANDHRA PRADESH
ARUNACHAL PRADESH
ASSAM
BIHAR
CHANDIGARH
CHATTISGARH
DELHI
GOA
GUJARAT
HARYANA
HIMACHAL PRADESH
JAMMU AND KASHMIR
JHARKHAND
KARNATAKA
KERALA
LADAKH
MADHYA PRADESH
MAHARASHTRA
MANIPUR
MEGHALAYA
MIZORAM
NAGALAND
ODISHA
PONDICHERRY
PUNJAB
RAJASTHAN
SIKKIM
TAMIL NADU
TELANGANA
TRIPURA
UTTAR PRADESH
UTTARAKHAND
WEST BENGAL
City *
Select City
Pin code *
Select Pincode
Declaration *
I/we hereby agree that Oriental insurance company Ltd. can store the personal information/contact details given by me /us in this Basic information form and register me on the portal.
Agree
Disagree
Basic Details
Name of insured
Email
Mobile
Occupation
Address for communication
State
City
Pin code
Vehicle Details
Type of vehicle
Type of policy
Date of first registration of vehicle
New
Date of purchase of vehicle
25/01/2021
State of purchase
RTO zone
Vehicle is registered in the name of Company/Firm/HUF (If yes, Owner/Driver compulsory PA cover will be excluded)
NO
Registered owner does not possess a valid driving license for this class of vehicle (If yes, Owner/Driver compulsory PA cover will be excluded)
NO
Compulsory PA
3/5 years depending on Private Car/Two Wheeler
Manufacturer name
Model
Variant
Cubic Capacity of vehicle
Seating capacity including driver
Sum Insured
Whether existing vehicle?
NO
Registered owner has taken this cover in other vehicles registered in his/her name and has the choice of opting out in this vehicle (If yes, Owner/Driver compulsory PA cover will be excluded)
NO
Additional Cover Details
Is vehicle using non-conventional source of fuel?
NO
Extension of Geographical area required?
NO
Do you wish to opt for higher deductible over and above the compulsory?
NO
Do you wish to opt for higher deductible over and above the compulsory?
NO
Is vehicle fitted with anti-theft device?
NO
Do you wish to cover personal effects?
NO
Do you wish to cover legal liability to driver?
NO
Do you wish to have PA cover for unnamed persons?
NO
Do you have a CNG/ LPG Kit?
NO
Do you wish to select return to Invoice cover? *
NO
Do you wish to cover nil depreciation?
NO
Do you wish to cover alternative car benefits?
NO
Do you wish to have Limited TPPD cover?
NO
Do you wish to have Engine Protect cover?
NO
NCB
Were there any claims in expiring policy?
NO
% of NCB enjoyed
0%
Other Details
Are you a member of any of these organization (e.g. ICAI)?
NA
Start date of new policy
25/01/2021
End date of new policy
24/01/2022
Vehicle registration number
New
Engine number
Colour
Has any insurance company ever declined/cancelled the proposal and refused to renew or impose special conditions?
NO
Chassis number
Hypothecation type
Select your branch office
OICL Office State
City
Branch/Office
Own Damage Premium
Third Party Premium
GST
Total Premium
Proposal number
Share proposal details
Email
Mobile
Type the characters you see in the picture below *
Send
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Please select a role to continue
Whether any agent is involved for this proposal?
Yes
No
* If 'NO' is selected, the policy will be issued under code of Development Officer without an Agent.
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Please contact the nearest OICL office for issuance of policy.
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