Certificate of Insurance

My VoyageGuard Travel InsuranceSM

(Annual Multi-Trip)

Chubb Insurance Singapore Limited (hereafter called the “Company”) hereby insures the
Insured Person(s) named in the Certificate of Insurance attached hereto if included
hereunder, subject to the terms, conditions and exclusions contained herein.

Policy Details

Certificate Number AOCTSGAA0053150

Total Premium Payable S$ 625.00

Address of the Main Insured Person 547 Bukit Timah, #04-01 The Seaview

Effective Date 04 Apr 2017

Period of Insurance 04 Apr 2017 To 03 Apr 2018
Plan Type SUPERIOR(ANNUAL MULTI-TRIP)

Geographical Cover WORLDWIDE (EXCLUDING CUBA)

Plan Category INDIVIDUAL

Winter Sports Benefit No

Golf Benefit No

Name Date of Birth NRIC/Birth Certificate/Fin No.

Mr Kanetkar Parth
1 MAR 1980 S8899897A
Chandrashekar

Should you have any queries, please feel free to contact any of our Customer Service Officers
at:

Customer Service Hotline: +65 6299 0922

(Mondays - Fridays, 9am to 5pm, excluding public holidays)
E: travel.sg@chubb.com

Chubb Overseas Assistance: +65 6836 2922

(24 hour Emergency number whilst Overseas)

IN WITNESS WHEREOF the company has caused this Policy to be executed or and to
commence from the Effective Date of Insurance as stated in the Certificate, provided that
this Policy shall not be binding on the Company unless the Certificate is signed by an
authorised representative of the Company.

Chubb Insurance Singapore Limited.

138 Market STREET,#11-01 CapitaGreen. Singapore 048946. (Co Regn. No.: 199702449H). 09/2016.
© 2016 Chubb. Coverages underwritten by one or more subsidiary companies. Not all coverages available in
all jurisdictions. Chubb® and its respective logos, and Chubb. Insured.SM are registered trademarks of Chubb.
Signed on behalf of the Company

In partnership with:

Chubb Insurance Singapore Limited.

138 Market STREET,#11-01 CapitaGreen. Singapore 048946. (Co Regn. No.: 199702449H). 09/2016.
© 2016 Chubb. Coverages underwritten by one or more subsidiary companies. Not all coverages available in
all jurisdictions. Chubb® and its respective logos, and Chubb. Insured.SM are registered trademarks of Chubb.