TRAVEL SMART

Policy Schedule and Invoice Summary of Plan

Product: Travel Smart Policy Type: Single Trip Duration: 31 days Area of Travel: Worldwide Group Policy Size: none Premium: 100.6 OMR Issuing Date: 27/August/2013 Policy Number: 65-ZT-26525-1540-0 From: 2/September/2013 To: 2/October/2013 Reference: ATHIRA Deleted Cover: None Adventure Sports: No

Primary Insured
Name MR. NARENDRA PENTA Gender M Gender F F DOB 24/6/1963 DOB 3/1/1961 31/10/1989 Nationality IN Nationality IN IN

Other Insured Persons

Name MRS. NEELAM PENTA MS. NEHA PENTA

Policy Benefits and Limits (in $U.S.)

The following benefits apply to each of the Insured Persons mentioned above. A Emergency medical expenses Limit: $1,000,000, Excess: $30 B Emergency dental care Limit: $400, Excess: $30 C Medical transportation D Repatriation of other insured persons E Repatriation of mortal remains F Premature return due to death of close relative G Visit of close relative H First aid and/or rescue Limit: $20,000 if Adventure Sports option is selected I Personal liability Limit: $1,000,000 J Legal assistance in case of redress Limit: $4,000 K Advance of bail bond Limit: $10,000 Refundable L Cancellation or curtailment Limit: $5,000 M Delayed departure Limit: $500 N Delayed baggage Limit: $250 O Loss of personal baggage and personal money - Limit: $5,000, Excess: $30 P Loss of passport Limit: $500, Excess: $30 Q Personal accident - Limit $27,500

Important Notice: This Policy Schedule contains a summary of cover only. For full Terms, Conditions and Exclusions please refer to the Policy Wording. Cover is only for GCC citizens and residents. All material facts must be disclosed and failure to do so will invalidate this policy. All Medical Claims must be reported immediately to AXA on +44 1 892 556767 or Email: medex.travel@axa-gulf.com. For complete details please refer to details terms and conditions at http://www.axa-gulf.com/Travel-Insurance This insurance is marketed by TRAVEL POINT LLC and underwritten by AXA Insurance. All claims under the policy should be directed to and will be handled by AXA Insurance. Issued by Athira Karunakaran in Muscat, OM on 27/August/2013 For the Company Stamp

AXA Insurance (Gulf) B.S.C. (c) - www.axa-gulf.com Oman P.O.Box 1276, PC 112, Ruwi Tel: +968 24400100 Fax: +968 24400120