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Bharti AXA Bike Insurance Policy

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SmartDrive Private Car or SmartDrive Two Wheeler Insurance Policy - Proposal Form

Bharti AXA General Insurance Company Limited

Important Note

This is only a Proposal Form and issuance of the same does not amount to acceptance of risk by the company. The liability of the company does not commence until the acceptance of the proposal has been formally intimated by the insured and full premium has been realized by the company.

1 Intermediary Details



2 Type of Business and Proposed Insurance Details

Issued for:

Type of Cover:




Are you entitled for NCB in current year policy? If yes, please submit the relevant proof, NCB%

3 Proposer’s (Owner’s) Details

Full Name: Mr. / Ms. / Mrs. / Dr. / M/s.

Communication Address:










4 Vehicle Details


















5 Financer Details

Hypothecation Agreement Hire Purchase Lease Agreement

Name of Financer & Address:

6 Inspection Details




7 Previous Insurance Details






Name of the Insurer & Address:

Additional Declarations

1. Whether the vehicle is used for commercial purpose? Yes No

2. Whether the vehicle is used for Driving tuition? Yes No

3. Whether the vehicle is limited to own premises? Yes No

4. Whether the vehicle is specially designed for use of Blind/Handicapped/Mentally Challenged person? Yes No

5. If yes, whether the same is endorsed as such by RTA? Yes No

6. Whether the vehicle is certified as Vintage car by the vintage & classic car club of India? Yes No

7. Whether the Vehicle is fitted with fiber glass tank? Yes No

8. Whether the vehicle belongs to the Embassy/Consulate of a foreign country? Yes No

9. Is the Vehicle fitted with Anti Theft device which is approved by ARAI? Yes No

10. Are you a member of Automobile Association on India? Yes No

11. Do you wish the Geographical area extension under your proposed insurance cover?

Add on Coverage:

8 Other Details

Do you require Unnamed PA Cover? No. of passengers Capital Sum Insured (CSI) per person

Do you require Named PA Cover? Name Sum Insured

Do you wish to restrict the TPPD liability limit of Rs.6,000 only: Yes No

Does the owner have a valid Driving license? Yes No

Do you wish to cover Legal Liability to:

Will the vehicle be used exclusively for A) Private, Social, Domestic, Pleasure & Professional purposes: Yes No

B) Carriage of goods other than samples or personal luggage: Yes No

Driver Details:

A) Age: (Owner Driver/Others) B) Does the driver suffer from defective vision or hearing or any physical infirmity? Yes No

C) Has the driver ever been involved/convicted for causing any accident or loss? Yes No

Do you wish to opt for higher deductible over and above the compulsory deductible: Yes No

For Two Wheelers Rs. 500/750/1000/1500/3000 For Private cars Rs. 2500/5000/7500/15000






9 Declaration

Please put a tick wherever applicable

Have you ever been entrusted with prominent public functions, for example, Heads of State or of Government, senior politicians, senior government, judicial or military officials, senior executives of state owned corporations or important party officials. Yes No






Insured Bank Name & Address:



Place

Date

Proposer’s Signature

Signature Section

Enter text✕

What the Bharti AXA Bike Insurance Policy Is and How It’s Used

The Bharti AXA Bike Insurance Policy is a vehicle insurance contract that defines coverages, exclusions, premiums, and claim obligations for a two‑wheeler. It sets the insured vehicle’s identification details, the named insured and nominee, the policy term and effective date, and any endorsements or add‑ons purchased. The policy document is the legal record of the insurer’s promises and the insured’s obligations, and it is required for claims, renewals, regulatory checks, and transfer of ownership where applicable under the insurer’s rules.

Why this policy document matters for riders and agents

A clear, accurately completed policy protects claim rights, clarifies premium and deductible responsibilities, and documents the insurer’s coverages and limitations in writing.

Why this policy document matters for riders and agents

Who typically completes or receives the Bharti AXA Bike Insurance Policy

The policy is completed by insurance applicants, brokers or agents, and the issuing insurer; copies go to the named insured and retained by the insurer.

  • Individual policyholder — buys coverage, provides vehicle and identity details for underwriting and claims.
  • Insurance agent or broker — prepares application, assists with endorsements and renewal processing.
  • Claims representative — uses the policy to evaluate coverage and settle valid claims.

Maintain copies for the full policy term and any applicable retention period; ensure signatures and identity details are accurate before submitting.

Essential components inside the Bharti AXA Bike Insurance Policy

A professional policy document organizes coverage elements, contract terms, and contact points so that insureds and adjusters can act quickly when a claim or question arises.

Policy Coverages

Lists third‑party liability, own‑damage, theft, and optional add‑ons with per‑risk limits, sublimits, and deductible rules that determine insurer payments.

Exclusions

Specifies excluded events and activities such as racing, illegal use, or unlicensed drivers so claim handlers can evaluate entitlement.

Premium Details

Shows total premium, premium breakdown by coverage, applicable taxes or fees, payment schedule, and receipt or invoice references.

Vehicle Identification

Provides make, model, registration number, engine and chassis numbers and declared insured value used for underwriting and claims verification.

Claims Instructions

Explains how to notify claims, required documents, typical timelines, and contact details for the insurer’s claims desk or portal.

Endorsements & Riders

Details any additional coverages or amendments, effective dates for endorsements, and their effect on premium and indemnity calculations.

Key data fields required on the policy

Policyholder Name: Full legal name
Vehicle Registration: Registration number
Engine Number: Engine identifier
Chassis Number: Chassis/VIN
Policy Term: Start and end dates
Nominee Details: Name and relation

Step-by-step: Completing the Bharti AXA Bike Insurance Policy form

Follow these steps in order to reduce errors, speed underwriting, and preserve claim rights.

  • 01
    1. Gather documents: Collect registration, ID, and prior policy if available.
  • 02
    2. Enter vehicle data: Type registration, engine, and chassis numbers exactly.
  • 03
    3. Confirm coverages: Select desired coverages and check deductibles and limits.
  • 04
    4. Sign and submit: Sign, date, and deliver the form to the insurer or agent.

How to set up an online workflow to complete and send the policy

Configure these settings to streamline filling, signing, and tracking when using an e‑signature platform or insurer portal.

Field Configuration
Authentication Method Email plus SMS OTP for signer verification
Document Format PDF with fillable fields and audit trail
Template Reuse Save as template for repeated policy types
Audit Trail Enable timestamps, IP and action log

Technical options for digital completion and eSubmission

Choose a platform that supports PDF fillable forms, audit trails, and the authentication level your insurer requires.

  • Integrations: CRM and storage integrations like Salesforce or Google Workspace
  • Supported Formats: PDF, DOCX and HTML accepted by most systems
  • Auth & Compliance: Email link, SMS OTP, KBA as required

Ensure the chosen platform supports retention of a tamper‑evident audit trail and any insurer requirements for authentication; confirm whether a BAA or additional compliance contract is needed for health data.

Where to send the completed policy and how it’s processed

After completion, route the policy copy and attachments to the insurer, the agent, and keep a personal copy; each recipient uses the document for different purposes.

  • Insurer Portal: Upload the signed policy to the insurer’s submission portal for underwriting and issuance.
  • Agent Records: Email or upload to the agent’s system for customer service and renewal reminders.
  • Policyholder Copy: Provide a signed copy to the insured for their records and claims use.
  • Claims Desk: Claims teams reference the policy to validate coverage and settle losses.

Key timelines to watch during policy lifecycle

Timely action on premiums, endorsements and claims reduces dispute risk and keeps coverage in force.

Premium Due Date:

Pay by the specified due date to avoid lapse.

Cooling‑Off Period:

Many policies include a 15‑day cancellation window for refunds; confirm your policy terms.

Claim Notification:

Notify the insurer promptly; check policy for required reporting timeframe.

Renewal Notice:

Insurers typically issue renewal details before policy expiration.

Grace Period:

Some policies offer a short grace period after due date; verify with insurer.

Common mistakes that delay issuance or claims

  • Entering incorrect engine or chassis numbers that fail vehicle verification and block claim settlement.
  • Using a nickname or abbreviated legal name that doesn’t match ID or registration documents.
  • Forgetting to list the nominee or listing incomplete nominee contact information, complicating death claims.
  • Failing to attach required supporting documents like the registration certificate or previous policy copy, which slows underwriting.

Consequences of incorrect or incomplete policy information

Premium Lapse: Coverage interruption
Claim Denial: Non‑disclosure or misstatement
Financial Loss: Uninsured exposure
Policy Void: Material misrepresentation
Higher Premiums: After disclosure correction
Legal Exposure: False statements risks

Select eSignature vendor comparison for completing and signing the policy

The table compares representative plan starting prices and feature availability to help compare eSignature options for policy completion and secure submission.

signNow DocuSign Adobe Sign PandaDoc HelloSign
Starting Price $8/user/mo $15/user/mo $14/user/mo $19/user/mo $15/user/mo
Free Trial 7-day free trial Varies by plan Varies by plan Varies by plan Varies by plan
Bulk Send Yes Yes Yes Yes No
Audit Trail Yes Yes Yes Yes Yes
HIPAA Compliant Yes Yes Yes No No

Frequently asked questions about completing and submitting the policy

Answers to common questions about signatures, corrections, supporting documents, and how eSign laws affect the policy.


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