Professional Documents
Culture Documents
PA Insurance For E-Ticket Passengers of IRCTC: Insured Details
PA Insurance For E-Ticket Passengers of IRCTC: Insured Details
Certificate of Insurance
Name and Address of the Group Indian Railway Catering and Tourism Corporation 12th floor,
Organizer/Group Policy holder IRCTC Corporate Office Statesman House, Barakhamba Road,
New Delhi, Pin Code 110001.
Trip# details : Departure date and time: 22/04/2019 18:30:00 Arrival date and time: 24/04/2019 11:20:00
#Trip means the actual departure of train from the originating station to actual arrival of train at the destination station as
mentioned in booked ticket through which insurance cover has been opted and premium paid, including µprocess of
entraining¶and µprocess of detraining¶the train. For other T&C and Policy wording please visit our website
www.shriramgi.com
Insured Details
PNR NO. 6627754704
Name Age Gender Mobile No. Email ID
Mr. SUKANTA DEBNATH 23 Male 8630838172 sukantad495@gmail.com
Nominee Details*
Name of Nominee Age Relationship with Insured
* In case if nominee details have not been provided then claim will be payable to Legal heir.
Please quote the PNR No. & Certificate Number in all your correspondence.
Premium: We have received premium of INR 0.49 (Including GST) at the time of booking your ticket.
Certificate of Insurance
Name and Address of the Group Indian Railway Catering and Tourism Corporation 12th floor,
Organizer/Group Policy holder IRCTC Corporate Office Statesman House, Barakhamba Road,
New Delhi, Pin Code 110001.
Trip# details : Departure date and time: 22/04/2019 18:30:00 Arrival date and time: 24/04/2019 11:20:00
#Trip means the actual departure of train from the originating station to actual arrival of train at the destination station as
mentioned in booked ticket through which insurance cover has been opted and premium paid, including µprocess of
entraining¶and µprocess of detraining¶the train. For other T&C and Policy wording please visit our website
www.shriramgi.com
Insured Details
PNR NO. 6627754704
Name Age Gender Mobile No. Email ID
Mr. SURAJIT NANDI 22 Male 8630838172 sukantad495@gmail.com
Nominee Details*
Name of Nominee Age Relationship with Insured
* In case if nominee details have not been provided then claim will be payable to Legal heir.
Please quote the PNR No. & Certificate Number in all your correspondence.
Premium: We have received premium of INR 0.49 (Including GST) at the time of booking your ticket.