Date: 2025.10.

05 00:18:54
IST

Trejhara

RELIANCE TRAVEL CARE POLICY - FOR INDIVIDUAL - POLICY SCHEDULE

RELT Policy Issuing Office: Policy Servicing Office Code: 2607

Reliance General Insurance Co. [Link] & Corporate Office: 6th Policy No: 260722528170051673
Floor, Oberoi Commerz, International Business Park, Oberoi Garden
Relianc
City, Off Western Express Highway, Goregaon (E), Mumbai - 400063. Intermediary Code: 21BRG642
Maharashtra
Tax Invoice No. & Date: R05102500048 & 05/10/2025

GSTIN: 08AABCR6747B1ZG

From 00 : 00 Hrs on 24/10/2025 To 22/01/2026 midnight or Date of return of Insured

Policy Period:
whichever is earlier
Group corp ID:
Name of the Plan Opted: Gold
Geographical Coverage: Excluding USA and Canada
Trip Type: Single
Policy Issue Date and Time: 05/10/2025 and 12:18:44

PROPOSER DETAILS:
Name of the Proposer: Mr Mohammed Ayaan Khalid
Mobile No.: 7032****** Email-ID: a*************@[Link]
Communication Address & 11-3-756 Habeeb Nagar, Fani Ground, Mallepally -,-,HYDERABAD HYDERABAD, TELANGANA, India,
Place of Supply: 500001.
Contact No.: 7032****** GSTIN / UIN of the Proposer:
Date of Birth: 26/08/2004 Occupation: Others

DETAILS OF THE INSURED

PERSON: Member 1 Member 2 Member 3 Member 4

Name of the Insured Person Mr MOHAMMED AYAAN

KHALID

Gender M

Date of Birth 26/08/2004

Relationship with proposer Self

Passport No C3635174

Pre-Existing illness/ injury/ Hypothyroid / Thyroid

condition if any Problem

Suffering Since March 2025

Under Medication Yes

Nationality Indian

ABHA Address or ABHA ID No

IRDAI Registration No. 103. Reliance General Insurance Company Limited An ISO 9001:2015 Certified Company
For complete details on the benefits, coverage, terms & conditions and exclusions, do read the sales brochure, prospectus and policy wordings
carefully before concluding [Link] & Corporate Office: 6th Floor, Oberoi Commerz, International Business Park, Oberoi Garden City, Off.
Western Express Highway, Goregaon (E), Mumbai–400063. Corporate Identity No. U66603MH2000PLC128300. Trade Logo displayed above
belongs to Anil Dhirubhai Ambani Ventures Private Limited and used by Reliance General Insurance Company Limited under License.
Reliance Travel Care Policy. UIN No.:[Link]/MCOM/CO/TCPFI/PS/VER.1.0/300124.
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COMMUNICATION DETAILS:
Address of Insured: 11-3-756 Habeeb Nagar, Fani Ground, Mallepally -,-,HYDERABAD HYDERABAD, TELANGANA, India, 500001.

Email-ID: a*************@[Link]

Mobile No: 7032******

Telephone No: 0939******

Name of Countries to be visited: Georgia

NOMINEE DETAILS:
Nominee Name Date of Birth Nominee Relationship with Insured
Mohammed Khalid Ahmed Father

Coverage Sum Insured (In USD) Deductible (In USD)

Medical Expenses Including Transportation
Evacuation And Repatriation Of Mortal 250000 50
Remains
Dental Treatment 500 50
Loss of Passport 300 25
Total loss of checked Baggage 1200
Delay Of Checked In Baggage 100 12 Hours
Personal Accident 25000
Accidental Death Common Carrier 5000
Personal Liability 200000
Daily Allowance in case of Hospitalisation 25 per day ( 6 days max ) 2 days
Financial Emergency Assistance 300
Hijack Distress Allowance 75 per day ( 7 days max ) 12 Hours
Trip Delay 50 per day ( 6 days max ) 12 Hours
Trip Cancellation and Interruption 600
Missed Connections 300
Return Fare for any one accompanying
Compassionate Visit
person - spouse / child / family doctor
Home Burglary Insurance in Indian Rs 200000

Reliance Travel Care Policy. UIN No.:RELTIOP08002V010708

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WARRANTIES/CONDITIONS:
1 Warranted that insured is a citizen of India and has a permanent place of residence in India and is not a NRI or OCI or foreign national
and was within the territory of India at the time of issuance of the policy and before the commencement of the trip.
2 Warranted that maximum amount payable per checked-in baggage in case more than one bag has been checked in, is 50% (100%
for only one checked-in baggage) of applicable Sum Insured and per item in baggage max 10%.
3 Warranted that the trip is for the purpose of leisure or personal business not for any other purpose including employment.
4 Warranted that 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 Any Pre-Existing disease / Decline disease or consequential to Pre-Existing Medical condition/ Ailments / Diseases / illnesses
declared or undeclared that will trigger any claim directly or indirectly during policy period are excluded from the policy coverage.
The Coverage provided is as per the details and declaration made in the proposal (physical or digital) by the insured to the company
and as per policy wordings. The continuation of the policy will be subject to fulfilling all the policy Terms and conditions.
6 Medical/Hospitalization expenses due to COVID 19 Infection is covered if contracted during the travel as per policy terms and
conditions.

SPECIAL CONDITIONS, IF ANY:

PREMIUM DETAILS:

Net Premium ₹ 2571.00

Total Premium (₹) ₹ 2571.00

GSTIN: 08AABCR6747B1ZG HSN: 997142
For
Description of Services: Freight Insurance Services & Travel Insurance Services
Office of
Consolidated Stamp duty Paid vide, order No ENF-1/CSD/98/2025 Validity Period Dt. 10/09/2025 to Dt. 01/12/2026 OW No.3532 Date
We hereby10-09-2025
declare that though
GRN No our1)aggregate turnover in any preceding
MH006472626202526E financial year from 2017-18
2) MH006473880202526E Dateonwards is more
02-08-2025 than
SBI. the aggregate
Deface turnover notified under2)
No. 1) 0004312427202526 sub-rule (4) of rule 48, we are no
0004312521202526 Deface Date 22-08-2025.** Not Applicable for the State of Jammu & Kashmir.
Category-General Insurance Business Service 00440005
As per the GST regulations, the amount of GST (if applicable) will not be refunded if the policy / endorsement is cancelled after 31st October of the next
financial year.

CATEGORY - GENERAL INSURANCE BUSINESS SERVICE 00440005

Note: In the event of dishonor of the cheque, this policy document automatically stands cancelled from inception, irrespective of whether
a separate communication is sent or not.
In witness whereof this policy has been signed at Mumbai on policy tax invoice date in lieu of Proposal No. as mentioned in the policy.
This document shall be treated as a Tax Invoice as per Rule 46 of the Central Goods and Services TaxRules 2017.
We hereby declare that though our aggregate turnover in any preceding financial year from 2017-18 onwards is more than the
aggregate turnover notified under sub-rule (4) of rule 48, we are not required to prepare an invoice in terms of the provisions of the said
sub-rule
The policy wording with detailed terms, conditions and exclusions are available on our website [Link]
Policy wordings link: [Link]
You can also write to us at [Link]@[Link] or call us on 022 4890 3009 (Paid) to avail the policy wording.

Reliance Travel Care Policy. UIN No.:RELTIOP08002V010708

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GRIEVANCE CLAUSE:
For resolution of any query or grievance, Insured may contact the respective branch office of the Company or may call at 02248903009
or may write an email at [Link]@[Link]. In case the insured is not satisfied with the response of the office, insured may
contact the Nodal Grievance Officer of the Company at [Link]@[Link]. In the event of unsatisfactory response from
the Nodal Grievance Officer, insured may email to Head Grievance Officer at [Link]@[Link]. 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
[Link] or on company website [Link] or on [Link]. 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,Jeevan Nidhi – II Bldg.,Gr. Floor,Bhawani Singh Marg,Jaipur - 302 005. Tel.: 0141 - 2740363 Email:
[Link]@[Link]
For and on behalf of Reliance General Insurance Company Limited

Authorised Signatory
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 or incomplete.
Subject otherwise to the terms, conditions and exclusions of the Reliance Travel Care Policy

Reliance Travel Care Policy. UIN No.:RELTIOP08002V010708

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Medical Assistance & Emergency Services are implemented by our Service Providers-

EUROP ASSISTANCE INDIA PVT LTD.

7th Floor, Star Hub, Bldg No. 2,
Near ITC Maratha Hotel, Sahar,
Andheri East, Mumbai – 400 059, INDIA.
Are at your disposal for 24 hours during 365 days/year
In case of any requirement for emergency assistance whilst abroad, please contact the International Toll Free
helpline numbers given below:

USA 18337426673 00-80099441111 and

Israel
014-80099441111
Greece 86002038017 Argentina, Austria, Belgium, China,
Czech Republic, Denmark, France,
Australia 0011-80099441111 Germany, Hungary, Italy, Malaysia,
Netherlands, New Zealand, Norway, 00-80099441111
Canada 011-80099441111 Philippines, Poland, Portugal, South
Africa, Spain, Sweden, Switzerland,
Singapore and Thailand 001-80099441111 Taiwan & United Kingdom
001-010-80099441111 and
Japan
010-80099441111
001-80099441111 and
Hong Kong
006-80099441111

Dedicated National Help Line: 022 4890 3009 (paid) Land Line Numbers: +91 22 67347843 & +91
Co 22 67347844

E-mail: reliance@[Link] Fax Number: +91 22 67347888

Website: [Link]
PLEASE NOTE:
• Attached with this Policy Schedule are the Policy Terms and Conditions, and Annexures. Please ensure that the Policyholder has
received, read and understood all these documents. If the Policyholder has not received any of these, please email/write to the
Company at [Link]@[Link] or contact us on 022 4890 3009 (paid)
• The Benefits which are mentioned in this Schedule shall only be available under the Policy.

Intermediary Name POLICYBAZAAR INSURANCE BROKERS PVT LTD

Intermediary Code: 21BRG642 Intermediary Contact No.: 1800120800

Reliance Travel Care Policy. UIN No.:RELTIOP08002V010708

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Proposal No:R05102500048
ONLINE PROPOSAL FORM FOR RELIANCE TRAVEL CARE POLICY - FOR INDIVIDUAL
RELT
Please find attached herewith Policy No.260722528170051673 which has been issued based on the details furnished to us by
Relianc Proposer / Insured Person:- Mr Mohammed Ayaan Khalid

PROPOSER DETAILS:

Name of the Proposer Date of Birth Occupation Communication Address & Place of Supply Contact No.

11-3-756 Habeeb Nagar, Fani Ground,

Mr Mohammed Ayaan
26/08/2004 Others Mallepally -,-,HYDERABAD HYDERABAD, 7032******
Khalid
TELANGANA, India, 500001.
GSTIN / UIN of the Proposer: Policy Issue Date and Time: 05/10/2025 & 12:18:44
Nature of Employment (Income Sources) : Salaried

DETAILS OF THE INSURED

PERSON: Member 1 Member 2 Member 3 Member 4

Name of the Insured Person Mr MOHAMMED AYAAN

KHALID
Gender M

Date of Birth 26/08/2004

Relationship with proposer Self

Passport No C3635174
Pre-Existing illness/ injury/ Hypothyroid / Thyroid
condition if any Problem
Suffering Since March 2025

Under Medication Yes

Professional Sports person No

ABHA Number or ABHA ID No

NOMINEE DETAILS:
Nominee Name Date of Birth Nominee Relationship with Insured
Mohammed Khalid Ahmed Father

Whether Resident of India: Yes

S/O Mohammed Khalid Ahmed, 11-3-756, Habeeb Nagar, Fani Ground, Mallepally, Hyderabad,
Mailing Address: DIST: Hyderabad, Andhra Pradesh, 500001 ,,HYDERABAD HYDERABAD, TELANGANA, India,
500001.
Address of residential property 11-3-756 Habeeb Nagar, Fani Ground, Mallepally -,-,HYDERABAD HYDERABAD, TELANGANA, India,
Insured: 500001.
Telephone No.: 0939****** Mobile No.: 7032******
E-mail id: a*************@[Link]
Visa Type: NA Geographical Coverage: Excluding USA and Canada
From 00 : 00 Hrs on 24/10/2025 To 22/01/2026 midnight or Date of return of Insured
Policy Period:
whichever is earlier

IRDAI Registration No. 103. Reliance General Insurance Company Limited An ISO 9001:2015 Certified Company
For complete details on the benefits, coverage, terms & conditions and exclusions, do read the sales brochure, prospectus and policy wordings
carefully before concluding [Link] & Corporate Office: 6th Floor, Oberoi Commerz, International Business Park, Oberoi Garden City, Off.
Western Express Highway, Goregaon (E), Mumbai–400063. Corporate Identity No. U66603MH2000PLC128300. Trade Logo displayed above
belongs to Anil Dhirubhai Ambani Ventures Private Limited and used by Reliance General Insurance Company Limited under License.
Reliance Travel Care Policy. UIN No.:[Link]/MCOM/CO/TCPFI/PS/VER.1.0/300124.
Page 6 of 17
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Plan: Gold Trip Type: Single

Purpose of Visit: Leisure or business

Please go through the details as furnished above and also as provided in the Policy Schedule and confirm that they are in order. Should
you feel that there are any discrepancies / variations, you are requested to write back to us immediately at [Link]@relianceada.
com for necessary changes / rectification. In the absence of any written communication from you within 7 days or commencement of
Policy Period whichever is earlier, it is hereby agreed and understood that the above statements, answers and particulars are complete,
correct and true in all respects and are the basis on which this Policy is being granted and that if, after insurance is effected, it is found
that the above statements, answers or particulars are incorrect or untrue in any respect, the policy will be considered Null and
Void-ab-initio and the Company shall have no liability under the policy.

Declaration & Warranty on Behalf of All Persons Proposed to be Insured

I. Policy has been issued basis Insured Person(s)

1) Is / are not travelling against advice of Medical Practitioner
2) Is / are not on Waiting list for any Medical treatment
3) Is / are not travelling for the purpose of obtaining Medical treatment
4) Have not received a terminal prognosis for a medical condition before Journey
5) Being in India before taking cover and commencement of Trip
6) Any Pre-Existing disease / Decline disease or consequential to Pre-Existing Medical condition/ Ailments / Diseases / illnesses
declared or undeclared that will trigger any claim directly or indirectly during policy period are excluded from the policy
coverage. The Coverage provided is as per the details and declaration made in the proposal (physical or digital) by the insured to
the company and as per policy wordings. The continuation of the policy will be subject to fulfilling all the policy Terms and
conditions.
Decline diseases: Cancer / Leukemia /Malignant Tumor, Cardiac ailments, COPD, HIV /AIDS, Insulin Dependent Diabetes,
Kidney Ailment, Liver Disease, Neurological Disorder / Stroke / Paralysis, Thalasemia. This list is exhaustive but not complete."
7) Being Indian Citizen
8) Purpose of visit either Leisure or Business
II. I have read and understood the brochure, prospectus, sales literature & Policy wordings and confirm to abide by the same and I
hereby declare that the policy terms and conditions have been explained to me by IMD/Travel Agent/Issuing authorities before
policy issuance and the contents in the proposal are true and correct.
III. I understand that the information provided by me will form the basis of the insurance policy, is subject to the Board approved
underwriting policy of the insurance company and that the policy will come into force only after full receipt of the premium
chargeable.
IV. I/We further declare that I/We will notify in writing any change occurring in the occupation or general health of the life to be insured
/ proposer after the proposal has been submitted but before communication of the risk acceptance by the Company.

V. I/We declare and consent to the Company seeking medical information from any Doctor or from a hospital who at anytime has
attended on the life to be insured / proposer or from any past or present employer concerning anything which affects the physical or
mental health of the life to be assured / proposer and seeking information from any insurance company to which an application for
insurance on the life to be assured / proposer has been made for the purpose of underwriting the proposal and / or claim
settlement.
VI. I/We authorize the company to share information pertaining to my proposal including the medical records for the sole purpose of
proposal underwriting and/or claims settlement and with any Governmental and / or Regulatory Authority.
VII. Receipt of the Proposal form by the Company shall not be construed as acceptance of proposal. I hereby agree that the insurance
coverage shall commence only on realization of full premium and on receipt of complete medical reports (wherever applicable)
and subject to individual underwriting by the Company. The Company at its sole discretion reserves the right to accept or reject or
load any proposal without assigning any reason thereof.
VIII. I understand that the Policy shall become void at the Company's option, in the event of any untrue or incorrect statement,
misrepresentation, non-description or nondisclosure of any material fact in the Proposal form/personal statement, declaration and
connected documents or any material information having been withheld by me or anyone acting on my behalf.
IX. I hereby declare that the person(s) proposed to be insured would submit to medical examinations, before the nominated doctors of

Reliance Travel Care Policy. UIN No.:RELTIOP08002V010708

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the Company, or undergo diagnostic or other medical tests, as suggested by the Company for its underwriting.
X. I consent to provide a valid age proof and identity proof at the time of claims or any other time when required by the Company.
XI I/We consent to receive information from the Company through physical, electronic or telecommunication means from time to time.
XII. I hereby declare on my behalf & on behalf of all persons proposed to be insured that the above statements, answers and/or
particulars given by me in this proposal form are true and complete in all respects to the best of my knowledge and that I/We
am/are authorized to propose on behalf of these other persons.
XIII. I further declare that the premium is being paid from my credit/debit card/internet bank account.

PEP DECLARATION:
Are you a Politically Exposed Person (PEP)? Yes No
If yes, please mention the position held
Is any of your close relation or family member a PEP? Yes No
If yes, please mention the name and relation and the position held
by such close relative/family member.

I hereby declare that in future if me, any of my close relatives or any of my family member attains a position of PEP then I shall confirm the
same to Reliance General Insurance Co. Ltd as a mandate. I understand that this is a crucial information under the PMLA Rules and AML/
CFT Guidelines and shall confirm that the answers given by me is true. In case the company comes to know that this is a
misrepresentation and concealment of information then the policy shall be put on hold for scrutiny by the company and I shall be solely
responsible for the same.
Note :
“Politically Exposed Persons" (PEPs) shall have the meaning assigned to it under sub clause (db) of clause (1) of Rule 2 of the
Prevention of Money Laundering (Maintenance of Records) Rules, 2005."
(db) “Politically Exposed Persons" (PEPs) are individuals who have been entrusted with prominent public functions by a foreign country,
including the heads of States or Governments, senior politicians, senior government or judicial or military officers, senior executives of
state owned corporations and important political party officials".

AML Guidelines
1. I/We hereby confirm that all premiums have been/will be paid from bonafide sources and no premiums have been /will be paid out
of proceeds of crime related to any of the offense listed in Prevention of Money Laundering Act,2002.
2. I Understand that the Company has the right to call for documents to established sources of funds.
3. The Insurance Company has right to cancel the insurance contract in case I am/have been found guilty by competent court of law
under any of the statutes, directly or indirectly governing the prevention of money laundering in India.

Place:
Date: Signature of Proposer

GENERAL DECLARATION:

I understand that as per the new AML/CFT Guidelines issued Reliance General Insurance Co. Ltd will be verifying my details pertaining to
KYC and PAN provided at the time of proposal.
I further, do hereby agree and consent that in the case of the event of a mismatch of information provided by me in the proposal form,
identification proof, and address proof at the time of issuance of the policy. I request Reliance General Insurance Company Limited to
issue the policy with the details appearing as per my proposal form. I will be solely responsible for any consequences arising out of the
difference in detail given by me during the verification of supporting documents provided by me at the time of issuance of the policy or
otherwise.
I/We hereby declare, on my behalf and on behalf of all individuals proposed to be insured, that the aggregate premium for this
insurance proposal, including all existing policies issued by Reliance General Insurance Company Limited, has not exceeded Rs.
10,000/- per annum.

Reliance Travel Care Policy. UIN No.:RELTIOP08002V010708

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IMPORTANT:
The information that you give to Reliance General Insurance Company Ltd in this online form will be treated as the proposal form and
details in any supplemental information form or documentation supplied by you or on behalf will influence our decision to offer insurance
and the terms upon which to offer it. Further, any policy we issue will be based on what you have told us. It is there for important that your
answers are complete and accurate in all respects.
• The questions in this online form are indicative rather than exhaustive. You must provide us with all information relative to the risk to be
insured, even if it is not the subject of a question in this online form. If you are in any doubt as to what information should be given,
please email us [Link]@[Link] Any failure to provide us with full and accurate material information may mean that
your policy can be declared as void.
• No insurance cover will be in force until we have approved it and the premium has been paid.

STATUTORY WARNING - PROHIBITION OF REBATES - SECTION 41 OF THE INSURANCE ACT, 1938 AS AMENDED BY
INSURANCE LAWS (AMENDMENT) ACT, 2015.
• No person shall allow or offer to allow either directly or indirectly as an inducement to any person to take out or renew or continue an
insurance in respect of any kind of risk relating to lives or property, in India, any rebate of the whole or part of the commission payable
or any rebate of the premium shown on the policy, nor shall any person taking out or renewing or continuing a policy accept any
rebate, except such rebate as may be allowed in accordance with the published prospectuses or tables of the insurer
• Any person making default in complying with the provisions of this section shall be liable for a penalty which may extend to ten lakh
rupees.

Reliance Travel Care Policy. UIN No.:RELTIOP08002V010708

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RELTIOP08002V010708

CUSTOMER INFORMATION SHEET/KNOW YOUR POLICY

THIS DOCUMENT PROVIDES KEY INFORMATION ABOUT YOUR POLICY. YOU ARE ALSO ADVISED TO
GO THROUGH YOUR POLICY DOCUMENT.

POLICY
SI DESCRIPTION (PLEASE REFER TO APPLICABLE
TITLE CLAUSE
NO POLICY CLAUSE NUMBER IN NEXT COLUMN)
NUMBER
1 Name of Insurance
R Travel Care Insurance-Individual Age 0-60
Product/Policy
2 Policy number 260722528170051673
3 Type of Insurance Indemnity (Where insured losses are covered upto
Product/Policy the Sum Insured under the policy)
4 Sum Insured (Basis) Cover type - Individual Sum Insured - USD 250000
(Along with amount) (Where each member has a separate sum insured
under the policy)
5 Policy Coverage Medical Expenses Including Transportation Benefits 1
Evacuation And Repatriation Of Mortal Remains -
It covers, Reasonable And Customary Charges for
medical emergency inpatient and outpatient
treatment, diagnostic services, the extra costs of
Medically Necessary Treatment and evacuation to
India or the nearest Hospital, Transporting the
mortal remains back to the Republic of India or, up
to an equivalent amount, for a local burial or
cremation in the Destination Country where the
death occurred.
Dental Treatment - Covers expenses incurred on Benefits 2
acute anaesthetic treatment of a Healthy Natural
Tooth or Teeth during Policy Period and whilst
being overseas.
Loss of Passport - In the event that the passport Benefits 3
lost during the Trip, the actual expenses
necessarily and reasonably incurred in connection
with obtaining a duplicate or fresh passport will be
reimbursed.
Total loss of checked Baggage - It covers Insured Benefits 4
Person for the total loss of checked-in baggage on
an Insured Trip.
Reliance General Insurance Company Limited. IRDAI Registration No. 103 An ISO 9001:2015 Certified Company

Registered & Corporate Office: Reliance General Insurance Company Limited 6th Floor, Oberoi Commerz, International Business Park, Oberoi
Garden City, Off Western Express Highway, Goregaon (East), Mumbai – 400 063.
Corporate Identity No. U66603MH2000PLC128300. UIN No.RELTIOP08002V010708 Trade Logo displayed above belongs to Anil Dhirubhai
Ambani Ventures Private Limited and used by Reliance General Insurance Company Limited under License.
RGI/MCOM/CO/TCPFI/PS/VER.1.0/300124.
Page 10 of 17
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Delay Of Checked In Baggage - It covers the Benefits 5

expense of Necessary Personal Effects incurred
during the Insured Trip if the Insured's Checked-in
Baggage is delayed or misdirected by a Common
Carrier more than 12 hours from the actual arrival
time of the common carrier at the destination.
Personal Accident - This covers the Insured Benefits 6
Person or their legal heir, for any injury solely and
directly caused by accident whilst on the Insured
Trip, resulting in permanent disablement or death
within 365 continuous days of occurrence of such
injury.
Accidental Death Common Carrier - This Benefits 7
compensates the Insured / Insured Person or their
legal heir, for an accident occurring during the
Insured Trip and resulting in death while riding in or
on, boarding or alighting from any common carrier
as a fare-paying passenger within 365 continuous
days from the date of the accident, where the
accident was caused
Personal Liability - This indemnifies the Insured Benefits 8
Person in the event the Insured Person becomes
legally liable to a third party under the law
applicable in the jurisdiction / destination
mentioned as the Insured Trip for an incident which
results in death, injury or damage to the health of
such third party or damage to his/her properties.

Daily Allowance in case of Hospitalization - In the Benefits 9

event of Hospitalization for more than two
consecutive Days (as defined below) for which a
Claim is admissible due to a illness or injury
sustained or contracted of this Policy, a Daily
Allowance starting from the third Day of the
Hospitalization until the limits mentioned in the
Policy Schedule (and excluding the first two Day).
Financial Emergency Assistance - The Company Benefits 10
shall pay the Insured / Insured Person in the event
of a financial emergency arising due to theft,
mugging, robbery, dacoity of the funds of the
Insured / Insured Person.

Reliance General Insurance Company Limited. IRDAI Registration No. 103 An ISO 9001:2015 Certified Company

Registered & Corporate Office: Reliance General Insurance Company Limited 6th Floor, Oberoi Commerz, International Business Park, Oberoi
Garden City, Off Western Express Highway, Goregaon (East), Mumbai – 400 063.
Corporate Identity No. U66603MH2000PLC128300. UIN No.RELTIOP08002V010708 Trade Logo displayed above belongs to Anil Dhirubhai
Ambani Ventures Private Limited and used by Reliance General Insurance Company Limited under License.
RGI/MCOM/CO/TCPFI/PS/VER.1.0/300124.
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Hijack Distress Allowance - In the event of Hijack Benefits 11

of a Common Carrier in which the Insured Person
is travelling on the Insured Trip during Policy period
an allowance specified will be provided.
Trip Delay - It covers the Insured / Insured Person Benefits 12
the reasonable additional expenses incurred by the
Insured / Insured Person if the Insured / Insured
Person's trip is delayed due to unforeseen reasons
for more than twelve (12) hours from the scheduled
time. This benefit is payable only once per trip.
Trip Cancellation & Interruption - If an Insured Trip Benefits 13
is cancelled due to a listed reasons, the it covers
the Insured Person(s) the forfeited, non-refundable
prepaid payments for travel made prior to the start
of the originally scheduled Insured Trip.
Missed Connections - If the Insured misses a Benefits 14
connecting flight resulting from cancellation or
delay, caused by the Common Carrier, it covers
reasonable additional Expenses not provided by
the Common Carrier and Non-refundable, unused
portion of the prepaid expenses.
Compassionate visit - If Insured Person is Benefits 15
hospitalized for more than seven (7) consecutive
days, the Company, after obtaining confirmation of
need for assistance of a companion from the
attending doctor and the Emergency Assistance
Service Provider, will provide A round trip economy
class air ticket and Expenses towards
accommodation.

Home Burglary Insurance in Indian Rs - It covers Benefits 16

insured person for a sum as compensation for any
Loss or Damage sustained by the Insured or
Insured Person and caused by burglary and/or
attempted burglary, to the contents of Policyholder's
Residence in India.

Reliance General Insurance Company Limited. IRDAI Registration No. 103 An ISO 9001:2015 Certified Company

Registered & Corporate Office: Reliance General Insurance Company Limited 6th Floor, Oberoi Commerz, International Business Park, Oberoi
Garden City, Off Western Express Highway, Goregaon (East), Mumbai – 400 063.
Corporate Identity No. U66603MH2000PLC128300. UIN No.RELTIOP08002V010708 Trade Logo displayed above belongs to Anil Dhirubhai
Ambani Ventures Private Limited and used by Reliance General Insurance Company Limited under License.
RGI/MCOM/CO/TCPFI/PS/VER.1.0/300124.
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6 Exclusions (What the Policy Exclusions - Without prejudice to anything General

policy does not cover) contained in this Policy, the Company shall not be Exclusions
liable to make any payment in respect of (applicable To
1. Any claim relating to events occurring before the All Benefits
commencement of the cover or otherwise outside Under This
of the period of insurance. Policy)
2. Any pre-existing disease or complications
thereof.
3. Treatment abroad if that is the sole reason or
one of the reasons for the Insured / Insured
Person`s temporary stay abroad.
4. Any claim if the Insured / Insured Person
a. is travelling against the advice of a physician;

b. s receiving, or is on a waiting list to receive,

specified medical treatment declared in the
physician`s report or certificate;
c. has received terminal prognosis for a medical
condition;
d. is taking part in a naval, military or air force
operation.
5. Deductibles as specified in the Schedule.
6. Any claim arising out of illnesses or accidents
that the Insured / Insured Person has caused
intentionally or by committing a crime or as a result
of drunkenness or addiction (drugs, alcohol).
7. Any claim arising out of mental disorder, anxiety,
stress, depression, venereal disease or any loss,
directly or indirectly, attributable to HIV (Human
Immuno Deficiency Virus) and/or any HIV related
illness including AIDS (Acquired Immuno
Deficiency Syndrome) and / or any mutant derivative
or variations thereof howsoever caused.
8. Illness / injury that are results of war and war like
occurrence or invasion, acts of foreign enemies,
hostilities, civil war, rebellion, insurrection, civil
commotion assuming the proportions of or
amounting to an uprising, military or usurped
power, active participation in riots, confiscation or
nationalisation or requisition of or destruction of or
damage to property by or under the order of any
government or local authority..

Reliance General Insurance Company Limited. IRDAI Registration No. 103 An ISO 9001:2015 Certified Company

Registered & Corporate Office: Reliance General Insurance Company Limited 6th Floor, Oberoi Commerz, International Business Park, Oberoi
Garden City, Off Western Express Highway, Goregaon (East), Mumbai – 400 063.
Corporate Identity No. U66603MH2000PLC128300. UIN No.RELTIOP08002V010708 Trade Logo displayed above belongs to Anil Dhirubhai
Ambani Ventures Private Limited and used by Reliance General Insurance Company Limited under License.
RGI/MCOM/CO/TCPFI/PS/VER.1.0/300124.
Page 13 of 17
 Trejhara

9. Any act of terrorism which means an act,

including but not limited to the use of force or
violence and/or the threat thereof, of any person or
group(s) of persons, whether acting alone or on
behalf of or in connection with any organization(s)
or government(s), committed for political, religious,
ideological, or ethnic purposes or reasons
including the intention to influence any government
and/or to put the public, or any section of the public,
in fear.
10 Any claim arising from damage to any property
or any loss or expense whatsoever resulting or
arising from or any consequential loss, directly or
indirectly, caused by or contributed to or arising
from:
a. Ionizing radiation or contamination by
radioactivity from any nuclear fuel or from any
nuclear waste from the combustion of nuclear fuel
or
b. The radioactive, toxic, explosive or other
hazardous properties of any explosive nuclear
assembly or nuclear component thereof. 11. 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, unless declared beforehand and
necessary additional premium paid.

Specific Exclusions - As per policy wording and

prospectus
7 Waiting period Initial waiting Period - Delay of Checked In
Benefit-5.1.a
Baggage - 12 Hours
- Daily Allowance in case of Hospitalisation ? 2
Benefit 9
Days
- Hijack Distress Allowance - 12 Hours Benefit 11.1
- Trip Delay - 12 Hours Benefit 12
Specific Waiting periods (Not applicable for claims
arising due to an accident) - As per policy wording
and prospectus
Pre-existing diseases - Not Applicable
8 Financial limits of
Sub-limit - Not Applicable
coverage

Reliance General Insurance Company Limited. IRDAI Registration No. 103 An ISO 9001:2015 Certified Company

Registered & Corporate Office: Reliance General Insurance Company Limited 6th Floor, Oberoi Commerz, International Business Park, Oberoi
Garden City, Off Western Express Highway, Goregaon (East), Mumbai – 400 063.
Corporate Identity No. U66603MH2000PLC128300. UIN No.RELTIOP08002V010708 Trade Logo displayed above belongs to Anil Dhirubhai
Ambani Ventures Private Limited and used by Reliance General Insurance Company Limited under License.
RGI/MCOM/CO/TCPFI/PS/VER.1.0/300124.
Page 14 of 17
 Trejhara

Co-payment - Not Applicable

Deductible - a. Medical Expenses Including Benefit - 1

transportation, Evacuation and Repatriation of
Mortal Remains - $50
Benefit - 2
- b. Dental Treatment - $50

Benefit - 3
- c. Loss of Passport - $25

Any other limit (as applicable) - As per policy

wording and prospectus
9 Claims/Claims
Details of procedure to be followed for cashless
Procedure
service as well as for reimbursement of claim
including pre and post hospitalization.

Turn Around Time (TAT) for claims settlements

i. TAT for preauthorization of cashless facility – 6
hours from receipt of complete documents.
ii. TAT for cashless final bill authorization – 4 hours
from receipt of complete documents.
iii. TAT for Reimbursement Claims – 7 to 10
workings days.
Provide the details / web link for following:
i. Network Hospital details- Not Applicable for
Overseas Travel Insurance.
a. In case of an emergency the customer in
overseas can visit the nearest hospital and avail
medical facility.
ii. Helpline number- National Toll-Free Number
(1800 209 5522) Paid Support Numbers
(91-22-67347843, 91-22-67347844)
iii. Hospitals which are blacklisted or from where no
claims will be accepted by insurer- Not Applicable
for Overseas Travel Insurance.

iv. Downloading/getting claim form- Reliance

General Insurance Website
10 Policy Servicing Any issues related with respect to policy, kindly
E-mail us at [Link]@[Link] and
for correspondence contact us Reliance General

Reliance General Insurance Company Limited. IRDAI Registration No. 103 An ISO 9001:2015 Certified Company

Registered & Corporate Office: Reliance General Insurance Company Limited 6th Floor, Oberoi Commerz, International Business Park, Oberoi
Garden City, Off Western Express Highway, Goregaon (East), Mumbai – 400 063.
Corporate Identity No. U66603MH2000PLC128300. UIN No.RELTIOP08002V010708 Trade Logo displayed above belongs to Anil Dhirubhai
Ambani Ventures Private Limited and used by Reliance General Insurance Company Limited under License.
RGI/MCOM/CO/TCPFI/PS/VER.1.0/300124.
Page 15 of 17
 Trejhara

Insurance Company Limited Correspondence

Address – Reliance General Insurance., Winway
Building 2nd & 3rd Floor, 11/12 Block No-4, Old
no-67, South Tukoganj, Indore (M.P) - 452001
Contact No.- 022- 41112600
11 Grievances/Complaints a. Details of Grievance redressal officer refer the Grievance
link Clause
[Link]
us/[Link]

[Link] Integrated Grievance Management System-

[Link]
c. Insurance Ombudsman - The contact details of
the Insurance Ombudsman offices have been
provided under the link
[Link]
us/[Link]
12 Things to remember Free Look Cancellation: Not Applicable
Policy Renewal: Not Applicable
Migration and Portability: Not Applicable
Migration: Not Applicable
Change in Sum Insured: Not Applicable
Moratorium Period: Not Applicable
13 Your Obligations Please disclose all pre-existing disease/s or
condition/s before buying a policy. Non-disclosure
may affect the claim settlement. Disclosure of other
material information during the policy period.)
Insurer to specify the material information

The enclosed Customer Information Sheet bearing reference number CIS 260722528170051673
is essential part of your policy schedule, Kindly review it carefully.

Declaration by the Policy Holder:

I have read the above and confirm having noted the details.

Place:HYDERABAD,TELANGANA
Reliance General Insurance Company Limited. IRDAI Registration No. 103 An ISO 9001:2015 Certified Company

Registered & Corporate Office: Reliance General Insurance Company Limited 6th Floor, Oberoi Commerz, International Business Park, Oberoi
Garden City, Off Western Express Highway, Goregaon (East), Mumbai – 400 063.
Corporate Identity No. U66603MH2000PLC128300. UIN No.RELTIOP08002V010708 Trade Logo displayed above belongs to Anil Dhirubhai
Ambani Ventures Private Limited and used by Reliance General Insurance Company Limited under License.
RGI/MCOM/CO/TCPFI/PS/VER.1.0/300124.
Page 16 of 17
 Trejhara

Date :05-10-2025 (Signature of the Policyholder)

Note:
In case of any conflict, the terms and conditions mentioned in the policy document shall prevail.

Reliance General Insurance Company Limited. IRDAI Registration No. 103 An ISO 9001:2015 Certified Company

Registered & Corporate Office: Reliance General Insurance Company Limited 6th Floor, Oberoi Commerz, International Business Park, Oberoi
Garden City, Off Western Express Highway, Goregaon (East), Mumbai – 400 063.
Corporate Identity No. U66603MH2000PLC128300. UIN No.RELTIOP08002V010708 Trade Logo displayed above belongs to Anil Dhirubhai
Ambani Ventures Private Limited and used by Reliance General Insurance Company Limited under License.
RGI/MCOM/CO/TCPFI/PS/VER.1.0/300124.
Page 17 of 17