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    PA Insurance For E-Ticket Passengers of IRCTC: Insured Details

    Uploaded by

    Kiran Kumar
    1) This document is an insurance certificate issued by Shriram General Insurance Company Limited to Kiran Kumar Midd for travel on an IRCTC train trip from Secunderabad to Narasapur. 2) It provides Rs. 1,000,000 each for death, permanent total disability, and permanent partial disability coverage, along with Rs. 200,000 for hospitalization expenses and Rs. 10,000 for transportation of mortal remains. 3) The premium of Rs. 0.49 including GST was paid at the time of booking the ticket.

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    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd

    PA Insurance For E-Ticket Passengers of IRCTC: Insured Details

    Uploaded by

    Kiran Kumar
    35 views1 page
    1) This document is an insurance certificate issued by Shriram General Insurance Company Limited to Kiran Kumar Midd for travel on an IRCTC train trip from Secunderabad to Narasapur. 2) It provides Rs. 1,000,000 each for death, permanent total disability, and permanent partial disability coverage, along with Rs. 200,000 for hospitalization expenses and Rs. 10,000 for transportation of mortal remains. 3) The premium of Rs. 0.49 including GST was paid at the time of booking the ticket.

    Original Title

    4526621396 (1)

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    1) This document is an insurance certificate issued by Shriram General Insurance Company Limited to Kiran Kumar Midd for travel on an IRCTC train trip from Secunderabad to Narasapur. 2) It provides Rs. 1,000,000 each for death, permanent total disability, and permanent partial disability coverage, along with Rs. 200,000 for hospitalization expenses and Rs. 10,000 for transportation of mortal remains. 3) The premium of Rs. 0.49 including GST was paid at the time of booking the ticket.

    Copyright:

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

    PA Insurance For E-Ticket Passengers of IRCTC: Insured Details

    Uploaded by

    Kiran Kumar
    1) This document is an insurance certificate issued by Shriram General Insurance Company Limited to Kiran Kumar Midd for travel on an IRCTC train trip from Secunderabad to Narasapur. 2) It provides Rs. 1,000,000 each for death, permanent total disability, and permanent partial disability coverage, along with Rs. 200,000 for hospitalization expenses and Rs. 10,000 for transportation of mortal remains. 3) The premium of Rs. 0.49 including GST was paid at the time of booking the ticket.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
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    CIN No.

    U66010RJ2006PLC029979 SHRIRAM GENERAL INSURANCE COMPANY LIMITED


    IRDA Registration Number: 137
    IN PARTNERSHIP WITH THE Sanlam GROUP
    Regd. & Corpt. Office: E-8, EPIP, RIICO INDUSTRIAL AREA, SITAPURA
    JAIPUR (Rajasthan) - 302022
    Website: www.shriramgi.com
    E-mail: customer.feedback@shriramgi.in
    Toll Free: 1800-100-3009, 1800-300-30000, ISO/IEC 27001:2013 certified

    PA Insurance for E-Ticket Passengers of IRCTC

    Certificate of Insurance

    Master Policy No: 10031/48/22/000001 Certificate No: 202107060016615

    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.

    Originating Station: SECUNDERABAD JN Destination Station: NARASAPUR

    Trip# details : Departure date and time: 07/07/2021 21:50:00 Arrival date and time: 08/07/2021 07:35:00

    #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. 4526621396
    Name Age Gender Mobile No. Email ID
    Mr. KIRAN KUMAR MIDD 42 Male 7396966821 kirann_nand@yahoo.com

    Nominee Details*
    Name of Nominee Age Relationship with Insured
    M Poornima 37 SPOUSE

    * In case if nominee details have not been provided then claim will be payable to Legal heir.

    Sum Insured (IN INR)


    Death Permanent total Permanent partial Hospitalization Transportation of
    disability disability upto expenses for Injury mortal remains
    upto
    1000000 1000000 750000 200000 10000

    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.

    IN WITNESS WHEREOF, this Policy of Insurance has been signed on 06/07/2021

    GST No.: 08AAKCS2509K1Z3 PAN Number: AAKCS2509K

    For Shriram General Insurance Company Limited.

    Duly Authorized Signatory

    Shriram General Insurance Co. Ltd.

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