Type of vehicle *
Type of policy *
Date of first registration of vehicle *help
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Date of purchase of vehicle *
Tip: You must purchase your insurance policy the same day you buy your brand new vehicle
RTO zone *help
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City of purchase *
Tip: If you cannot find the city where the vehicle is purchased, please select a city nearest to place 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)
Registered owner does not possess a valid driving license for this class of vehicle (If yes, Owner/Driver compulsory PA cover will be excluded)
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)
Compulsory PA *
Nominee Details
Name
Relationship with the insured
Age of nominee
Enter Additional Cover Details*
Is vehicle using non-conventional source of fuel? *
Extension of Geographical area required? *
Do you wish to opt for higher deductible over and above the compulsory? *help
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Are you a member of Automobile Association of India? *
Is vehicle fitted with anti-theft device? *help
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Do you wish to cover personal effects? *
Do you wish to cover legal liability to driver? *
Do you wish to cover legal liability to other employee? *
Do you wish to have PA cover for unnamed persons? *
Do you have a CNG/ LPG Kit? *help
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Do you wish to select return to Invoice cover? *
Do you wish to cover nil depreciation? *
Do you wish to cover alternative car benefits? *
Do you wish to have Limited TPPD cover? *
Do you wish to have Engine Protect cover? *
Details of accessorieshelp
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Side car
Non electrical
Electrical
Are you a member of any of these organization (e.g. ICAI)?
Start date of new policy *

Tip: The start date of new policy will be same as payment date.

Engine number *
Colour *
Has any insurance company ever declined/cancelled the proposal and refused to renew or impose special conditions? *
Chassis number *
Vehicle registration number *help
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Hypothecation type *
Select your branch office  help
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OICL Office State *
City/Town *
Branch/Office *
Please select a role to continue
Whether any agent is involved for this proposal?
* If 'NO' is selected, the policy will be issued under code of Development Officer without an Agent.
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Alert!
Please contact the nearest OICL office for issuance of policy.