Download - Insurance Flight Punetoblr July2
Domestic TravInsure - Specially designed for SpiceJet Passengers
Schedule of Travel InsuranceIssued at Mumbai
Schedule Number:Policy Validity Dates:
(Max covered period 30 days from the first departure date of the insured schedule flight unless insured returns to the station of origin earlier.)
From 02/07/2013 to 02/07/2013
IF419112
Applicant/Insured Name: MONAL BHOYARApplicant/Insured Address: TEXAS INSTRUMENTS INDIA
BANGALORE 560093
Benefits subject to terms and conditions for the policy
Benefits Maximum Coverage Deductible
Accidental Death and Dismemberment (24 Hrs)
Emergency Accidental Medical Reimbursement
Emergency Medical Evacuation andRepatriation of Remains
24-hr Emergency Assistance Service
Trip Cancellation
Baggage Loss-Checked
Flight Delay
Common Carrier Delay
Trip Interruption
Rs 750,000
Rs 100,000
*INCLUDED
*INCLUDED
Up to the Original Cost of Flight
Rs 7,500
Rs 1,500 per 6 Hrs delay periodup to RS 10,500
Rs 1,500 per 6 Hrs delay periodup to Rs 10,500
Up to the Original Cost of Flight
10% / 50% (Per Article /
* Included under overall limit of Accident & Sickness
Per Bag Limit)
PREMIUMTax (12.36%)Total Premium
INRINR
INR Agent/Broker Name: TATA AIGAgent/Broker License Code: NAAgent/Broker Contact No: 1-800-119966
14 129
115
Address for submission of claim documentsClaims Department
A- 501, 5th Floor, Building No. 4,Infinity Park, Gen. A. K. Vaidya Marg,
Important: Any Pre-Existing Medical condition willbe excluded from the policyThe stamp duty of RS.1/- paid by demand draft,
Signed for & on Behalf of TATA AIG General Insurance Company Ltd.
TATA-AIG General Insurance Co. Ltd.
Authorized Signatory
Date Issued:
vide Receipt/Challan no. 85112 dated 25th November 2011
Dindoshi, Malad (East),
Mumbai 400097
Visit our website :www.tataaiginsurance.inOR Email at [email protected]
OR Call our 24x7 toll free helpline 1800-266-7780 (All Lines)OR 1800-11-9966(BSNL/MTNL)
Assistance Contact: 0008004402216 (Toll free)
21/06/2013
Declaration: The full terms & conditions of your TATA AIG Policy can be viewed or downloaded online at www.spicejet.com.It is important to read the terms & condition of the Insurance policy & Carry a copy of this certificate for ready reference.
Registered Office: Peninsula Business Park, Tower A, 15th Floor, G. K. Marg, Lower Parel, Mumbai- 400013
