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Policy No : OG-12-1101-9910-00005761
Insurance Plan Chosen : TravelCompanion-TravelTimesEl- Geographical Coverage : ExcludingUSAand-
ite-NoMedical Canada
Proposer Name : GOPAL KRISHNA SETHI Partner Id: 39124869
Date Of Birth: 11-MAY-1926
Home Address : 174, GOLF LINKS DELHI
Pincode : 110003
Passport No : F1295847 Assignee : Deepali
Authorized Signatory
Consolidated stamp Duty paid vide Receipt No: .49711 dated
09-MAR-11
Regd Office : GE Plaza,Airport Road, Yerwada Pune-411006 (India)
Policy is valid only if countersigned by the insured in the space above accepting Signature of Insured
this declaration
Service Tax Reg. No. : AABCB5730G-ST-001
This Policy of Insurance is a Contract between the Company and the Insured Person(s). The Insured Person(s) shall not
transfer, assign, alienate or in any way pass the benefits and/or liabilities to any other person, Institution, Hospital, Company
or Body Corporate without specific prior approval in writing by a duly authorised officer of the Company. However, if the In-
sured Person(s) is permanently incapacitated or deceased, the legal heirs of the Insured may represent him in respect of
Claim under the Policy.