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Hello, you have been referred by for your insurance needs.
Now enjoy a spam-free insurance buying experience. For any assistance, feel free to contact.

Complete the form

Input Details - CRN ::

Enter Car Number

₹ 3,856

Ex. GST

Bike Value (IDV) :

IDV From : To :

Brokerage:

Policy Details

Owner Driver PA Cover:

₹315

Paid Driver Legal Liability:

₹50

Paid Driver PA Cover:

₹50

Coverage Details - CRN ::

Vahan

Vehicle Class

Goods Carrying Vehicle
Passenger Carrying Vehicle

Customer name

Car Details

Registration Details

Car is registered on

Individual

Company

Car Registration & Manufacturing Date

Registration

Manufacturing

Select your preferred policy

TP Only

OD Only

Comprehensive

TP (3 Yrs)

OD (1 Yr) + TP (3 Yr)

TP Only

OD Only

Comprehensive

TP (5 Yr)

OD (1 Yr) + TP (5 Yr)

TP Only

Comprehensive

TP Only

Comprehensive

Select Insurer

Do You Have Existing Comprehensive Policy?

Yes

Expiry Date

Previous Insurer

Acko
Bajaj Allianz
Cholamandalam MS
Future Generali
GoDigit
HDFC ERGO
ICICI Lombard
IFFCO Tokio
Kotak Mahindra
Liberty General
Magma HDI
National Insurance
Raheja QBE
Reliance General
Royal Sundaram
SBI General
Shriram General
Tata AIG
New India Assurance
Oriental Insurance
United India
Universal Sompo
Zuno

Policy TP Insurer

Bi-Fuel CNG/LPG Kit Value

Made any claim in previous policy?

Yes

Select NCB

Prefered Insurer

Yes

Preferred Insurer

Select All Clear

Acko
Bajaj Allianz
Cholamandalam MS
Future Generali
GoDigit
HDFC ERGO

Is Ownership Transfer (Yes/No) ?

Yes

Set Your Own IDV

Please enter Sum Insured value within range.

Select All

Owner Driver PA Cover

Paid Driver Legal Liability

Limited 3rd Party Damage of 6,000

Un-Named Passenger Cover :

₹ 50,000

₹ 1,00,000

₹ 2,00,000

Electrical Accessories:

Min: 10,000 To Max: 50,000

Non-Electrical Accessories:

Min: 10,000 To Max: 50,000

Anti Theft Device:

Yes

Pay As You Drive:

Yes

Member of Auto Mobile Association:

Yes

Insured No Of Kms:

Upto 5000

Upto 7500

Upto 10000

Voluntry Excess:

₹500

₹750

₹1,000

₹1,500

₹3,000

I hereby give consent to process my personal information, as specified in Notice for Consent

Please Fill Required Fields

*Make Model Same As Per Vaahan

Select Car Brand

Select Car Model

Select Car Fuel Type

Select Car Variant

Quote Details - CRN ::

6 Plans found

High to Low
Low to High
Recommended

₹ 3,791

Ex. GST

Bike Value (IDV) :

IDV From : To :

Brokerage:

Owner Driver PA Cover:

₹375

Policy Details

HIGHEST BROKERAGE

KYC Detail - CRN ::

Proposal link is valid upto

Do You Have PAN?

Yes

Pan No

Mobile

Gender

Male

Female

Proposer Date of Birth

Please select a valid Date of Birth

Marital Status

No of Claims in Previous Policy

Gst No (Eg. 12ABCDE3456F7ZG)

KYC Document Type

PAN
Aadhar
Driving License
Voter ID
Passport
CIN
GSTIN
NREGAJobCard
CKYC Number

KYC document id.

Upload frontside

Upload backside

Father Name

Company Name

Reason For Not Opting CPA

CPA Sum Insured

CPA Company Name

CPA Expiry Date

CPA Policy Number

CPA Registration Date

KYC Pan No.

KYC verification failed. Please review and re-upload the documents entered above.

Nominee Details - CRN ::

Nominee Name

Nominee Other Relation

Nominee Date of Birth

Nominee Relation

Address - CRN ::

Registered Address

Pincode

City

Previous Insurer

Previous Policy Number

Vehicle Details - CRN ::

Engine Number

Chassis Number

Vehicle on Loan

Yes

Loan Provider

Loan Account No.

Loan Provider City

Do you have valid PUC ?

Yes

PUC No

PUC Valid UpTo

TP Policy Number

TP Start Date

onclick="selectTPStartDate()">

style="display: none">

TP Policy Tenure

style="display: none">

TP End Date

TP Policy Insurer

Acko
Bajaj Allianz
Cholamandalam MS
Future Generali
GoDigit
HDFC ERGO

* To be filled by Landmark Employees only.

KYC Reference Number

View Info

Show Error Message Here !

KYC Error Message Here !

Please create ticket OR Choose from Below.