Name:
Address:
TYPS010852000100
Congratulations on buying Travel Insurance from Royal sundaram. We trust that your online experience of buying this
product on www.royalsundaram.in was quick and hassle-free.
We are enclosing the following documents for reference 1. Policy Schedule - 1
2. Policy terms and conditions
Please preserve these documents carefully as they form part of our contract with you. We request you to verify the
above documents and ensure everything is in order. In case of any discrepancies or queries, please contact our
customer service helpline or send in your request online at www.royalsundaram.in.
The original policy schedule will be couriered across to you shortly.
Assuring you of our best services at all times.
Authorised Signatory
55ce534a32f2041676d0102e02f97e55
TYPS010852000100
MR JAHANGIRALAM MOHAMED BAKRID
Issued at / Date
Period From
Period To
Trip Grouping
Chennai / 26-Feb-15
26/03/2015
CHENNAI - 600085,
Plan opted
USD 25000
- / 9789060107
drjahangir08@gmail.com
Mrs NAZREEN NAFEESA IBRAHIM GULAB JOHN
No
Details of Trip
Passport No.
F8363882
16/04/1983
MALE
NO.29/14, LAKE VIEW ROAD,
KOTTUR,
PREMIUM DETAILS
Service Tax + Cess (Rs.) : 27.0
01/04/2015(midnight)
EXCLUDING
USA/CANADA
Nominees
Relation
WIFE
BENEFITS
COVERAGES
Overseas Health
Cover
Emergency Dental
Treatment
Repatriation of
remains
SUM INSURED
PER PERSON
EXCESS
PER CLAIM
USD 25000
USD 100
USD 300
USD 150
NA
NA
USD 7500
Nil
NA
NA
USD 250
Nil
USD 50
12 hours
NA
NA
USD 50000
USD 200
USD 5000
Nil
USD 250
USD 30
Yes
Nil
COVERAGES
SUM INSURED
PER PERSON
EXCESS
PER CLAIM
NA
NA
This policy has been issued based on your declaration about pre existing disease/surgery. Any claim arising out of a pre-existing disease/condition
will not be payable as per the terms & conditions of this policy. Please note that any suppression of existence of pre existing disease/condition shall
make the policy void from inception. Any illness arising due to Avian Influenza known as Bird Flu, Severe Acute Respiratory Syndrome (SARS) and
related disorders, Swine Flu are excluded.This schedule of insurance is a valid document. You can print and use the same as and when the need
arises.
Consolidated Stamp Duty Paid to the Government of TamilNadu.
Provided that in the case of a policy of general insurance where the remittance made by the proposer or the policyholder is not realised by the insurer, the policy shall be treated as void ab initio.
55ce534a32f2041676d0102e02f97e55