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CERTIFICATE OF INSURANCE EASY DOMESTIC TRAVEL INSURANCE [PLATINUM]
The benefits available are described in the Policy and will be subject to the policy terms, conditions and exclusions. The complete policy terms, conditions and exclusions can be viewed or downloaded online from [www.apollomunichinsurance.com]. A copy of this Certificate of Insurance must be carried by the Insured Person during the Risk Period. Please refer to the policy wordings or contact us for any further information or clarification. Policy details : Policy No: Risk Period: 900001/35001/A000000061 From 04-Jan-2011 06:05 hrs or the boarding of the carrier from the place of origin, whichever is later (Commencement of Risk Period) Insured Person’s name pobitra borah Certificate No : A000000061/384888

To 02-Feb-2011 06:05 hrs or the return to the usual place of residence, whichever is earlier. (Expiry of Risk Period)

Insured Persons' details : Person's Member ID X0078457 Age 50

Coverage details: Subject to Terms & Conditions of the Policy
S.No. 1. 2. 3. 4. 5. 6. 7. 8. 9. 10. Benefits Accident: Medical Treatment Flight Delay Total Loss of Checked-in Baggage Personal Accident [24 Hours] Accident: Medical Evacuation Trip Cancellation Trip Curtailment Emergency Travel Emergency Hotel Transportation of Mortal Remains Sum Insured Rs. 1,00,000.00 Rs. 1,000.00 Rs. 7,500.00 Rs. 5,00,000.00 Rs. 1,00,000.00 Rs. 15,000.00 Rs. 15,000.00 Rs. 10,000.00 Rs. 10,000.00 Rs. 1,00,000.00 Deductible Nil Nil Nil Nil Nil Nil Nil Nil Nil Nil

Premium details: Net premium (Rs.)
Amount payable: 111.00 (Rs. One Hundred Eleven )

Service tax (Rs.) 10.06

100.64

Education and secondary education cess (Rs.) 0.30

Gross premium (Rs.) 111.00

Assistance Company and claims notification
Toll Free No.: 1800-102-0333, Fax: 0124-4584111, E-mail: domestictravel@apollomunichinsurance.com Service Tax No.: AAGCA1654HST002 Location: Gurgaon

Address for claims submission
Travel Claim Department, Apollo Munich...