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    Bajaj Allianz General Insurance Company Limited: Quotation For Travel - Travel Prime Student Standard

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    ramana rao
    This document provides an insurance quotation for a travel insurance policy for Balaji Shanmugavel, a student. The quote is for a 366 day Travel Prime Student Standard plan with Bajaj Allianz General Insurance covering medical expenses up to $50,000 and personal accident coverage up to $25,000. The total premium quoted is 5,978 Indian rupees. The quote is valid for 30 days and requires full payment of the quoted premium to activate the policy.

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    © All Rights Reserved
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    Bajaj Allianz General Insurance Company Limited: Quotation For Travel - Travel Prime Student Standard

    Uploaded by

    ramana rao
    44 views1 page
    This document provides an insurance quotation for a travel insurance policy for Balaji Shanmugavel, a student. The quote is for a 366 day Travel Prime Student Standard plan with Bajaj Allianz General Insurance covering medical expenses up to $50,000 and personal accident coverage up to $25,000. The total premium quoted is 5,978 Indian rupees. The quote is valid for 30 days and requires full payment of the quoted premium to activate the policy.

    Original Title

    11-9910-0009523630-00_0 (1)

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    This document provides an insurance quotation for a travel insurance policy for Balaji Shanmugavel, a student. The quote is for a 366 day Travel Prime Student Standard plan with Bajaj Allianz General Insurance covering medical expenses up to $50,000 and personal accident coverage up to $25,000. The total premium quoted is 5,978 Indian rupees. The quote is valid for 30 days and requires full payment of the quoted premium to activate the policy.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    44 views1 page

    Bajaj Allianz General Insurance Company Limited: Quotation For Travel - Travel Prime Student Standard

    Uploaded by

    ramana rao
    This document provides an insurance quotation for a travel insurance policy for Balaji Shanmugavel, a student. The quote is for a 366 day Travel Prime Student Standard plan with Bajaj Allianz General Insurance covering medical expenses up to $50,000 and personal accident coverage up to $25,000. The total premium quoted is 5,978 Indian rupees. The quote is valid for 30 days and requires full payment of the quoted premium to activate the policy.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
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    BAJAJ ALLIANZ GENERAL INSURANCE COMPANY LIMITED

    (A Company incorporated under Indian Companies Act, 1956 and licensed by Insurance Regulatory and Development Authority of India [IRDAI] vide Regd. No.113)
    Regd. Office: Bajaj Allianz House, Airport Road, Yerwada, Pune 411006 (India)

    Quotation for Travel – Travel Prime Student Standard


    Issuing Office VIJAYAWADA-D.No.40-1-10,Upsatirs Of Kusalava Hyundai Showroom,2nd Floor, Mg Road,Labbipet,Vijayawada,Andhra Pradesh,INDIA,520010

    Proposer Name Balaji Shanmugavel Quotation Number 11-9910-0009523630-00

    IMD Code: 10068409 IMD Name : WAY2 WEALTH INSURANCE Sub IMD Code : Sub IMD Name:
    BROKERS PVT LTD

    PROPOSER DETAILS QUOTATION DETAILS

    Customer ID PI28726945 Quotation Issued on 20/11/2023

    Email Address balajishanmugavel.1995@gmail.com Contact Details 9080071895

    Travel Category Travel Plan DOB Destination Policy Start Date Policy End Date No Of Days
    Student Travel Prime Student Standard 08/08/1995 NA 29/12/2023 28/12/2024 366

    Basic Benefits Max Limit Deductible Basic Benefits Max Limit Deductible
    Loss of Checked Baggage USD 1000 Nil Family Visit USD 7500 Nil

    Emergency Dental Pain Relief USD 500 USD 100 Medical Expense and Evacuation USD 50000 USD 100

    Repatriation USD 50000 Nil Personal Liability USD 100000 USD 200

    Tuition Fees USD 10000 Nil Personal Accident USD 25000 Nil

    Accidental Death and Disability (Common USD 2500 Nil Bail Bond Insurance USD 500 USD 50
    Carrier)
    Accident to Sponsor USD 10000 Nil

    Add-on Cover/ Rider Limits (Max for entire policy period) Deductible Premium

    Premium (all the figures are in INR):

    Base Premium (A) 5066


    Final Premium – FIVE THOUSAND NINE HUNDRED SEVENTY-EIGHT RUPEES Rider Premium (B) 0
    ONLY
    Net Premiun (A + B) 5066
    Central GST 0
    State GST 0
    UGST 0
    IGST 912
    CESS
    Final premium 5978

    Remarks This quote is subject to revision in case of change in any material information provided to us.

    Quote validity 30 Days

    Important Notes:
    This quotation is prepared based on information provided to us and is subject to condition that there is no change in provided information.
    1 This quotation is only for the purpose of indicating the premium. The liability of the company commences only after receipt of payment of premium as demanded.
    2 Payment of quoted premium as shown above is the confirmation of acceptance of all terms & conditions of this quote.
    3 The terms are subject to no changes in Government Taxes /Duties /Similar charges till policy inception

    PROHIBITION OF REBATES. The Insurance Act, 1938.11

    Corporate Identification Number: U66010PN2000PLC015329 Printed on : 20-nov-2023 01:51:18 |WEB

    Page 1 of 1

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