SmartTraveller Insurance Policy (Individuals and Families)

Date : 01/Dec/2019 - 07:52 hrs

Name of Policy Holder : Ms.Yuva Rani Nagamanickam
Policy No : SM893018
Communication Address : 13, sababathi st, ward no-62,,
k.k.pudur,
, Policy Type : Smart Traveller Insurance
COIMBATORE, Policy (Individuals and
TAMIL NADU, Families) -
641038 Schengen Gold

Contact No. : 8248333832 Email ID : biyasrafeek2@gmail.com Travel Start Date : 27/Dec/2019

Intermediary Details : Geographical Coverage : Travel End Date : 03/Jan/2020

Name : BHARTI AXA Schengen
GENERAL
INS.CO.LTD. Total No. of days : 8 days
Contact No. : 080-40260100
Code : 2C000002 Branch Code : 2C

TRAVELLER DETAILS
Insured Insured Name DOB Passport No. Nominee
1 Ms. Yuva Rani Nagamanickam 25/May/1986 T8304920 Nagamanickam

YOUR BENEFIT & PREMIUM DETAILS

Cover Sum Insured Deductible Cover Sum Insured Deductible
Medical Expenses(incl. repatriation & € 50000 € 50 Delay of checked baggage € 100 6 hours
Emergency Medical Evacuation)

Dental Treatment Expenses € 500 € 50 Trip Delay € 50 6 hours

Personal Accident € 15000 Nil Hijack Distress Allowance € 75 12 hours

Accidental Death & € 2500 Nil Daily Allowance € 25/day for 7 First 2 days
Dismemberment (Common Carrier) days

Compassionate visit Compassionate Nil Trip Cancellation and € 500 Nil

Visit Covered Interruption

Insurance is the subject matter of solicitation. For more details on risk factors, terms and conditions please read sales brochure of products carefully before concluding a sale. For
redressal of your grievance, if any, you may approach any one of the offices- 1.Policy issuing office 2.Corporate Office. In case, you are not satisfied with our own grievance redressal
mechanism; you may also approach Insurance Ombudsman. Details of Insurance Ombudsman offices are available at IRDA website: www.irda.gov.in , or on the website of General
Insurance Council: www.gicouncil.in or on the company website www.bharti-axagi.co.in
Bharti AXA GENERAL INSURANCE COMPANY LTD.
1st Floor, Ferns Icon, Survey No. 28, Doddanekundi, Bangalore 560037. INDIA. IRDA Regn.No.139 Tel: 91 80 40260100 Fax: 80 40260101 Email: customer.service@bhartiaxa.com
 Cover Sum Insured Deductible Cover Sum Insured Deductible
Loss of Passport and documents € 350 € 25 Personal Liability € 100000 Nil

Total loss of checked baggage € 500 Nil Missed Connection € 250 Nil

Gross Premium (Rs.) 661.00

GST@18% 118.98
Total Premium (Rs.) 780.00

In case of a claim, you may reach us at 844-691-8883 (For Canada), 844-691-8885 (For USA) or +91 120 4593503 (For other parts of the
world) or email us at claims@bharti-axagi.co.in. We thank you for the patronage and confidence you have placed in us. We look forward to
serve you again.
SANCTIONS LIMITATION AND EXCLUSION CLAUSE
No (re)insurer shall be deemed to provide cover and no (re)insurer shall be liable to pay any claim or provide any benefit hereunder to the
extent that the provision of such cover, payment or such claim or provision of such benefit would expose that (re)insurer to any sanction,
prohibition or restriction under United Nations resolutions or the trade or economic sanction, laws or regulations of the European Union, United
Kingdom or United States of America. Excluding from/to and/or countries/places prohibited by GOI & also Specifically Excluding Iran / North
Korea / Sudan / Syria / Belarus / Cuba / Democratic Republic of Congo / Somalia / South Sudan / Zimbabwe / Russia / Crimea / Eastern
Ukraine / Nepal / Bangladesh / Iraq / Afghanistan / Angola / Ethiopia / Lebanon / Liberia / Libya / Nicaragua / Nigeria / Rwanda / Sierra Leone /
Uganda / Myanmar / Yemen / Columbia / Bhutan.
This policy is booked via IP at nullSun Dec 01 07:52:55 IST 2019 IST 2019
Best Regards,

Rohit Kohli
Vice President - Operations
The policy has been issued based on the information provided by you/your representative and the policy is not valid if any of the information
provided is incorrect. Subject otherwise to the Terms, Conditions and Exclusions mentioned in the policy. Actual departure date should not be
more than 7 days from the date specified above. Returning date is midnight or date of return of insured to India, whichever is earlier.

Policy Wordings
Tax Invoice will be followed after the Policy Certificate

Insurance is the subject matter of solicitation. For more details on risk factors, terms and conditions please read sales
This brochure is
document of digitally
products signed
carefully before concluding a sale. For
redressal of your grievance, if any, you may approach any one of the offices- 1.Policy issuing office 2.Corporate Office. In case, you are not satisfied with our own grievance redressal
mechanism; you may also approach Insurance Ombudsman. Details of Insurance Ombudsman offices are available at IRDA website: www.irda.gov.in , or on the website of General
Insurance Council: www.gicouncil.in or on the company website Signer:
www.bharti-axagi.co.in
DS BHARTI AXA GENERAL INSURANCE COMPANY
Bharti AXA GENERAL INSURANCE COMPANYLIMITED LTD. 3
1st Floor, Ferns Icon, Survey No. 28, Doddanekundi, Bangalore 560037. INDIA. IRDA Regn.No.139 Tel: 91 80 40260100 Date: Sun,Fax: 80 1,
Dec 40260101 Email: customer.service@bhartiaxa.com
2019 10:23:20 IST
Location: Banglore
Reason: Authentication