CERTIFICATE OF INSURANCE

EASY DOMESTIC TRAVEL INSURANCE [.]

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: 900001/35001/A000000721 Certificate No : A000000721/243468
Risk Period: From 11-Dec-2017 17:55 hrs or the boarding of the To 09-Jan-2018 17:55 hrs or the return to the usual place of
carrier from the place of origin, whichever is later residence, whichever is earlier. (Expiry of Risk Period)
(Commencement of Risk Period)
Insured Person's
Persons' details :
Member ID Insured Person’s name
I0615931 Kunal Singh

Coverage details: Subject to Terms & Conditions of the Policy

S.No. Benefits Sum Insured Deductible

1. Accident: Medical Treatment Rs. 1,00,000.00 Nil

2. Delay of Checked-in Baggage Rs. 5,000.00 12 Hrs
3. Total Loss of Checked-in Baggage Rs. 10,000.00 Nil
4. Personal Liability Rs. 1,00,000.00 Nil
5. Personal Accident [24 Hours] Rs. 7,50,000.00 Nil
6. Accident: Medical Evacuation Rs. 1,00,000.00 Nil
7. Trip Cancellation Rs. 20,000.00 Nil
8. Trip Curtailment Rs. 20,000.00 Nil
9. Emergency Travel Rs. 20,000.00 Nil
10. Emergency Hotel Rs. 20,000.00 Nil
11. Flight Delay Rs. 2,000.00 Nil
12. Trip Delay Rs. 2,000.00 Nil
13. Transportation of Mortal Remains Rs. 1,00,000.00 Nil
14. Personal Accident: Carrier Rs. 7,50,000.00 Nil
Premium details:
Net premium (Rs.) IGST/(SGST/UTGST+CGST)/J&K GST whichever Any Other Cess or Taxes , Gross premium (Rs.)
applicable. (Rs.) if any (Rs.)
211.02 37.98 0.00 249.00
Amount payable: 249.00 (Rs. Two Hundred Forty-Nine )

Please Note : The age of each of the insured member must be between 6 months and 70 years only on the date of travel.
Assistance Company and claims notification Address for claims submission

Toll Free No.: 1800-102-0333, Travel Claim Department,

Fax: 0124-4584111, Apollo Munich Health Insurance Co. Ltd.,
E-mail: domestictravel@apollomunichinsurance.com 1st Floor, SCF - 19, Sector - 14,
Gurgaon - 122 001, Harayana.

GSTIN of Issuing Office - 06AAGCA1654H1ZW

Location: Gurgaon For and on behalf of Apollo Munich Health Insurance Company Limited

Date: 02-Dec-2017 01:14 hrs Authorized Signatory

Apollo Munich Health Insurance Co. Ltd.

2nd & 3rd Floor, iLABS Centre, Plot No. 404-405, Udyog Vihar, Plase-III, Gurgaon - 122 016, Haryana.
Corp. Office : 1st Floor, SCF - 19, Sector - 14, Gurgaon - 122 001, Harayana. Regd. Office : Apollo Hospitals Complex, Jubilee Hills, Hyderabad - 500 033, Andhra Pradesh.
Tel : +91-124-4584333 Fax : +91-124-4584111 www.apollomunichinsurance.com customerservice@apollomunichinsurance.com
IRDA Registration Number-131 Corporate Identity Number : U66030AP2006PLC051760