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DHANESHRAMU MURALI
We take this opportunity to thank you for choosing Travel
insurance policy issued by ICICI Lombard General Insurance
Company Ltd. We would request you to spare a few minutes to look
at the terms & conditions given in the policy wordings provided to
you along with this welcome letter to understand the host of
features offered by this product. A sum of Rs.297.00 has been
charged from you towards insurance premium.
Please find your Certificate of Insurance as under.
We wish you a healthy and a safe year ahead.
Please Note: Any claim due to or arising out of pre-existing medical condition/ailment whether declared or undeclared is
not covered under the Policy.
Policy Details (Part I of the Policy - Schedule)
Policy No.: 4110/O-000163
Period of Insurance
Geographical Scope
Asia
Deductible
USD 100
NIL
NIL
NIL
USD 100
6 HOURS
NIL
NIL
End Date
Premium
15 Jul 2015
19 Jul 2015
260.53
Service Tax
(@14% on Premium)
36.47
Education Cess
(@0% on S.T.)
0
Net Premium
297.00
Failure to send immediate notice on the happening of a loss resulting in a claim may prejudice the Insured's claim under the Policy. The documents
required in support of the claim shall be forwarded to the Company at the address mentioned below immediately upon return to India. Customer to send
documents to IL at:CLAIMS DEPARTMENT
ICICI LOMBARD
C/O Falck India Pvt Ltd
Upper Floor
The Peach Tree, Block - C
SushantLok - I, Sector 43,Gurgaon,
Haryana - 122015 (India)
Note:In case you find any variation between the information provided by you and the details as mentioned in the policy certificate, kindly
contact us immediately.
IMPORTANT NOTE:This certificate has to be read in conjunction with the Terms & Conditions, coverages and exclusions, which is available
with ICICI Lombard and Air Asia.Alternatively,visit www.icicilombard.com or www.airasia.com.You may also email us at
insurance24x7@icicilombard.com.
ICICI Lombard General Insurance Company Limited IRDA 115, Misc 110
ICICI LOMBARD HOUSE, 414, Veer Savarkar Marg, Near Siddhi Vinayak Temple, Prabhadevi, Mumbai 400 025. www.icicilombard.com
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Refer to Clause
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General Exclusion
Conditions
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Cancellations
Extension
If applicable under your policy, kindly approach the nearest branch General Conditions under Part II of
for the extension of policy.
the Schedule
(LEGAL DISCLAIMER) NOTE: The information must be read in conjunction with the product brochure and policy certificate. In case of any
conflict between the KIS and the policy certificate, the terms and conditions mentioned in the policy certificate shall prevail.
Note: Description of covers provided in policy wordings (Part II of the Schedule) will be applicable only to the covers mentioned on your
policy certificate.
Insurance is the subject matter of the solicitation. IRDA Reg. No. 115. Misc 110
Name
: DHANESHRAMU MURALI
Policy No.
: 4110/O-000163/6733/00/000
Date of Birth
Valid From
Valid To