Ravi Gupta

+91 8793813683,

Insurance Certificate
OrderNo. 4029095593 25 Oct, 2017, 07:26 PM

Policy Code Policy Type Amount Paid

PTRA0187410 Domestic Travel Protection 236

Policy
Issued at: Mumbai

POLICY DETAILS

Policy Holder’s Name Ravi Gupta

Issue Date 25 Oct, 2017

Policy Inception date 13 Nov, 2017

Policy Expiry date 12 Dec, 2017

Premium 200

IGST 18% 36

Amount Paid 236

BENEFITS MAXIMUM COVERAGE DEDUCTIBLE

Accidental Death and

20,00,000
Dismemberment (24 Hrs)

Emergency Accidental
2,50,000
Medical Reimbursement

Emergency Medical Evacuation

& Repatriation of Remains 5,00,000
 Ravi Gupta

+91 8793813683,

BENEFITS MAXIMUM COVERAGE DEDUCTIBLE

24 Hrs Assistance Included

Trip Cancellation Flight Cost (max 20,000)

Baggage Loss Common Carrier 20,000 10%/ 50%

(Per Bag/Per Article)

Flight/Common Carrier 1,500 per 6 Hrs delay period

Delay upto 10,500

Trip Interruption Flight Cost (max 20,000)

1. Benefits subject to terms and conditions for the policy Important

2. Any Pre-Existing Medical condition will be excluded from the policy
3. For all trips,the maximum period of coverage is 30 days from the date of origin of travel or date of return to the origin,whichever is earlier
4. Insurance Stamp Duty Paid: Rs.1/- vide receipt/Challan No. MH001875496201314E dated 01st September 2015.
5. Details of the benefits & detailed terms & conditions can be viewed at paytm.com/travelinsurance

Contact Us (Travel Guard)

Telephone (Toll Free) 0008004402216

Email ID TGAP.TATAmedical@travelguard.com

Signed for & on Behalf of TATA AIG

General Insurance Company Ltd.

Authorized Signatory

Tata AIG General Insurance Company Limited

Registered Office : Peninsula Business Park, Tower A, 15th Floor, G.K. Marg, Lower Parel, Mumbai - 400013. | IRDA Regn. No. 108. CIN -
U85110MH2000PLC128425, GSTIN Number - 27AABCT3518Q1ZW | Claims Submission Address :TATA-AIG General Insurance Co. Ltd. A-
501, 5th Floor, Building No. 4, Infinity Park, Gen. A. K. Vaidya Marg, Dindoshi, Malad (East), Mumbai 400097 | Website:www.tataaiginsurance.in|
Email ID: customersupport@tata-aig.com | 24 x 7 Toll Free Helpline : 1800 266 7780
 Ravi Gupta

+91 8793813683,

Insurance Certificate
OrderNo. 4029095593 25 Oct, 2017, 07:26 PM

Policy Number Policy Type Premium Amount

PTRA0187410 Personal Extended Protection 13

Policy
Issued at: Mumbai

POLICY DETAILS

Policy Holder’s Name Ravi Gupta

Policy Start date 13 Nov, 2017

Policy Expiry date 12 Dec, 2017

Premium 11.02

IGST 18% 1.98

Amount Paid 13

POLICY FEATURED IN BRIEF:

A) Home Protection While You Are Away:

When the entire cost of the passenger fare(s) of a trip are charged to your payment card or paid otherwise while the insurance is effective,
we will cover the damage, disappearance or destruction of the following items due to burglary at your residence during your trip travel time:

1. Your furniture, clothes, electrical and audio equipment

2. Your money and cheque(s)

B) IMPORTANT EXCLUSIONS:-
1. Losses that occurred when your travel time is longer than 31 days

2. Losses to personal effects you have carried with you during the trip

3. Losses to any other items that are not listed under the "What We Cover" section

4. Losses that are due to events other than burglary, including but not limited to fire, smoke, lightning, wind, water, flood, earthquake,
volcanic eruption, tidal wave, landslide, hail, or other acts of god

5. Losses due to or related to a nuclear, biological or chemical event

 Ravi Gupta

+91 8793813683,

C) IMPORTANT GENERAL CONDITIONS:

1. For a covered trip, the coverage commences when you leave your place of residence to commence the trip and will terminate with
whichever occurs first; the time of return to your place of residence on completion of your trip or the expiry of the policy. In any event,
coverage will not commence more than 24 hours prior to the booked departure time and will cease 24 hours after your actual return time.

2. Electrical and audio equipment includes TVs, CD/DVD players, stereo sets, computers, and refrigerators.

3. You must provide an official police report that indicates the incident happened within the covered time frame in order for us to pay
the claim; unless you are legally incapable of doing so.

4. In no event will we pay more than the replacement cost of the covered item.

D) CLAIM INTIMATION:

Customer can call on Toll free no. - 1800 266 7780 for registering their claim with Tata AIG.

E) DOCUMENTATION
Below is the tentative list of documents required for processing of claims arising out of Home Protection While You Are Away:

a) Claim Form

b) Police F.I.R.

c) Voucher in support of item lost/damaged, destroyed subject (Description, quantity,value and nature of loss).

d) Bank statement (In case of loss of money, cheque)

e) Proof of ownership of Home for which you want to register the claim.

F) SETTLEMENT
Post submission of all required documents, the claim will be processed within 7 working days. The details furnished above do not
constitute the entire terms and conditions.

Signed for & on Behalf of TATA AIG

General Insurance Company Ltd.

Authorized Signatory

Tata AIG General Insurance Company Limited

Registered Office : Peninsula Business Park, Tower A, 15th Floor, G.K. Marg, Lower Parel, Mumbai - 400013. | IRDA Regn. No. 108. CIN -
U85110MH2000PLC128425, GSTIN Number - 27AABCT3518Q1ZW | Claims Submission Address :TATA-AIG General Insurance Co. Ltd. A-
501, 5th Floor, Building No. 4, Infinity Park, Gen. A. K. Vaidya Marg, Dindoshi, Malad (East), Mumbai 400097 | Website:www.tataaiginsurance.in|
Email ID: customersupport@tata-aig.com | 24 x 7 Toll Free Helpline : 1800 266 7780