Reliance Inland Travel Care Policy

Certificate of Insurance
Policy Issuing Office : Policy Servicing Office Name & Address -
CORPORATE OFFICE
(SERVICING)
Reliance General Insurance Company Ltd.Reliance Centre, South Wing, 4th RELIANCE CENTER,SOUTH WING, 4TH FLOOR, OFF. WESTREN EXPRESS
Floor, Off. Western Express Highway , Santacruz (East), Mumbai - 400 055. HIGHWAY, SANTACRUZ EAST, MUMBAI, MUMBAI, MAHARASHTRA - 400055
Branch Contact No. : 022-33031000 Phone No. : 33031000
Certificate No. - 920291928344322251 Group Policy No. - 920291828340000256
Br. Code- 999820-9202 PSO No. - 65702094708526772 Dept. - INLAND Intermediary Code - Direct
8_A
Tax Invoice No & Date : Y091219002633 & 12-Sep-2019
Details of the Insured
Name of the Policy Holder HAPPYEASYGO INDIA PRIVATE LIMITED
Address of the policy holder FIRST FLOOR PLOT NO 883 PHASE V UDYOG VIHAR GURGAON HARYANA 122016
Details of the Insured Person
Name of the Insured Person Identification No.* Gender Nominee Name Relationship of the
Nominee with the
Insured Person
GAYATRI PARKAR 657020947085267728_A FEMALE LEGAL HEIR LEGAL HEIR
* The same Identification No. document should be provided at the time of Claim submission.
Communication Address & Place of Supply FIRST FLOOR, PLOT NO. 883, PHASE V, UDYOG VIHAR, GURUGRAM, HARYANA -122016
E mail id GAYATRIPARKAR1996@GMAIL.COM
GSTIN / UIN of Insured : NA
Landline Number 9209292851 Mobile Number 9209292851
Geographical Coverage INDIA
State(s) of Visit DELHI City of Visit MAHARASHTRA
Policy Period From 12-Sep-2019 To 12-Sep-2019 1 Days
Name of the Plan opted HAPPYEASYGO DOMESTIC PLAN
Any Pre existing disease/disability(Please specify) NO
POLICY COVERAGE Sum Insured ( in INR ) Deductible ( in INR )
Personal Accident (Death) 500,000 NIL
Emergency Medical Expenses 100,000 NIL
Emergency Evacuation and Repatriation of Remains 100,000 NIL
Trip Cancellation and Interruption Upto the original cost of the ticket,subject to NIL
maximum of Rs.20,000/- whichever is lower.
Trip Delay Rs 1,500/- per 5 hour delay period ,subject to 12 Hours
maximum upto Rs.10,500/-
Total Loss of Checked in Baggage 50% or 10% per baggage or per article limit NIL
subject to maximum of Rs.10,000
Compassionate return trip by the Insured Return trip expenses for the Insured limited to NIL
30,000
Personal Liability 200,000 NIL
Missed Connection 2,000 500
Emergency accomodation expenses 20,000 NIL
Net Premium: Rs. 211.01
CGST: (9.00) Rs.18.99
SGST: (9.00) Rs.18.99
Total Premium: Rs.249.00
GSTIN : 27AABCR6747B1ZG SAC : 997136
Description of Services :Freight insurance services & Travel insurance services
# WARRANTED THAT
1)Policy to be issued to the customers who is the citizen of republic of India and having permanent place of residence in India. Policy cannot be issued to foreign nationals.
2)Warranted that Purpose of visit will be either leisure or personal business only
3)Warranted that the Trip Cancellation and Interruption, Trip Delay, Total Loss of Checked in Baggage and Delay of Checked in Baggage is covered for Air Travel Only.
4)Any claim arising out of sporting activities in so far as they involve the training or participation in competitions of professional or semiprofessional sports persons is excluded.
5)Not applicable if insured is traveling to places like Mansarovar / Amarnath / Badrinath.
6)"Trip" means a trip starting from the Insured Person's departure of flight from place of origin and back to Terminal in India only or Certificate end date in a Single Trip whichever is earlier.
7)Subject to the terms, conditions and exclusions of the Reliance inland Travel Care Policy.

In witness whereof this policy has been signed at Mumbai on : 12-Sep-2019

In case of a renewal, the benefits provided under the policy and/or terms and conditions of the policy including premium rate may be subject to change.
Grievance Clause:-

Reliance General Insurance Company Limited. IRDAI Registration No. 103 Certified for Excellence - ISO 9001:2015
Registered Office: H Block, 1st Floor, Dhirubhai Ambani Knowledge City, Navi Mumbai 400710.
Corporate Office: Reliance Centre, South Wing, 4th Floor, Off. Western Express Highway , Santacruz (East), Mumbai - 400 055.
Corporate Identity No.U66603MH2000PLC128300. UIN No.: IRDA/NL-HLT/RGI/P-T/V.I/316/13-14. Page 1 of 2
RGI/UW/CO/2834/PS/1.0/250118.
Trade Logo displayed above belongs to Anil Dhirubhai Ambani Ventures Private Limited and used by Reliance General Insurance Company Limited under License
For resolution of any query or grievance, Insured may contact the respective branch office of the Company or may call at 1800 3009 or may write an email at
rgicl.services@relianceada.com. In case the insured is not satisfied with the response of the office, insured may contact the Nodal Grievance Officer of the
Company at rgicl.grievances@relianceada.com. In the event of unsatisfactory response from the Nodal Grievance Officer, insured may email to Head Grievance
Officer at rgicl.headgrievances@relianceada.com. In the event of unsatisfactory response from the Head Grievance Officer, he/she may, subject to vested
jurisdiction, approach the Insurance Ombudsman for the redressal of grievance. Details of the offices of the Insurance Ombudsman are available at IRDAI
website www.irda.gov.in or on company website www.reliancegeneral.co.in or on www.gbic.co.in. The insured may also contact the following office of the
Insurance Ombudsman within whose territorial jurisdiction the branch or office of the Company is located. Office of the Insurance Ombudsman,3rd Floor,Jeevan
Seva Annexe,S. V. Road,Santacruz (W), Mumbai - 400 054. Tel.: 022 - 26106552 / 26106960 Fax: 022 - 26106052 Email: bimalokpal.mumbai@gbic.co.in |
Shri. A. K. Sahoo Office of the Insurance Ombudsman,Jeevan Darshan Bldg.,3rd Floor,C.T.S. No.s. 195 to 198,N.C. Kelkar Road,Narayan Peth, Pune – 411 030.
Tel.: 020-41312555 Email: bimalokpal.pune@gbic.co.in
For and on behalf of Reliance General Insurance Company Limited

Authorized Signatory
Note : The policy wording with detailed terms, conditions and exclusions are available on our website www.reliancegeneral.co.in
Please provide Immediate intimation of any claim while Insured Person travels out of his/her original place of residence in India to ensure that the Claim is not
prejudiced. Please contact us on 1800 3009(toll free)/(022)4890 3009 or e-mail us at Rgicl.services@relianceada.com.
This document shall be treated as a tax invoice as per rule 9(2) of the Goods and Services Tax invoice rule.
The policy has been issued based on the information provided by you/your representative and the policy is not valid if any of the information provided is
Incorrect.In case of non receipt of the policy terms and conditions, please ensure to obtain the same from the Agent / Our nearest Office .

In case of non receipt of the policy term and condition, please ensure to obtain the same from Our nearest office / www.reliancegeneral.co.in
Consolidated Stamp duty Paid vide Receipt No. CSD/46/2019/2389 dated : 29/05/2019**
** Not applicable for Jammu and Kashmir State.

Intermediary Code/Name : Direct

Reliance General Insurance Company Limited. IRDAI Registration No. 103 Certified for Excellence - ISO 9001:2015
Registered Office: H Block, 1st Floor, Dhirubhai Ambani Knowledge City, Navi Mumbai 400710.
Corporate Office: Reliance Centre, South Wing, 4th Floor, Off. Western Express Highway , Santacruz (East), Mumbai - 400 055.
Corporate Identity No.U66603MH2000PLC128300. UIN No.: IRDA/NL-HLT/RGI/P-T/V.I/316/13-14. Page 2 of 2
RGI/UW/CO/2834/PS/1.0/250118.
Trade Logo displayed above belongs to Anil Dhirubhai Ambani Ventures Private Limited and used by Reliance General Insurance Company Limited under License