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| Overseas Travel Health Insurance |
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| Policy information of health insurance products for overseas travel health insurance policies including comparison rates, policy language, coverage etc. |
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Overseas Travel Health Insurance |
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(2) |
Salient Points Of Overseas Travel Insurance |
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Best & Economical Policy for Overseas Travel |
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(4) |
Selection of Overseas Travel Insurance |
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Specimen proposal form of ICICI Lombard |
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(6) |
Policy wording individual overseas travel insurance (Tata AIG)* |
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Policy Wording /Proposal Form/ Brochure |
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(8) |
Policy wording overseas travel insurance (ICICI Lombard) |
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Product details of Various Companies for Overseas Travel Insurance/Policy |
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| General/Health Insurance Companies Products |
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| Apollo Munich Insurance Company Limited |
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Easy Travel - Individual Plan |
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Easy Travel Family |
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Easy Travel Senior Citizen |
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Easy Travel Annual Multi Trip |
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Easy Travel Plan Comparison |
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| Bajaj Allianz General Insurance Company Limited |
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Travel Asia |
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Travel Assist |
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Travel Companion |
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Travel Elite |
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| Cholamandalam Ms General Insurance Company Ltd. |
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Short Term Travel |
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| Future Generali India Insurance Co. Ltd. |
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Travel Suraksha |
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Overseas Travel |
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Multi Trip |
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Asia Travel |
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Superior Care |
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| HDFC Ergo General Insurance Company Limited |
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Travel Insurance |
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| ICICI Lombard General Insurance Company Limited |
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Annual Multi trip |
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Senior Citizen Plan |
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Single Round Trip |
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| IFFCO-Tokio General Insurance Company Limited |
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Travel Protector |
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| National Insurance Company Limited |
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Overseas Mediclaim |
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| Reliance General Insurance Co. Limited |
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Reliance Travel Care Insurance Policy – Asia |
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Reliance Travel Care Insurance Policy – Schengen |
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Reliance Travel Care Insurance Policy for Individuals and Families |
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| Royal Sundram Alliance Insurance Company Limited |
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Travel Shield Online |
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| Star Health And Allied Insurance Company Limited |
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Travel Individual |
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Travel Family |
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| Tata AIG General Insurance Co. Ltd. |
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Travel Guard |
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Asia Travel Guard |
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| The New India Assurance Co. Ltd. |
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Overseas Mediclaim Policy |
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| The Oriental Insurance Company Limited |
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Overseas Mediclaim Business and Holiday |
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| United India Insurance Company Limited |
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Overseas Mediclaim Policy for Business & Holiday |
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| 5- Specimen proposal form of ICICI Lombard Students Overseas Mediclaim policy |
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ICICI LOMBARD GENERAL INSURANCE COMPANY LIMITED
Regd. Office: ICICI Bank Towers, Bandra Kurla Complex, Mumbai - 400
051,Tel: (+91 22) 2653 1414 Fax: (+91 22) 2653 1657
GLOBETROTTER PROPOSAL FORM OVERSEAS INDIVIDUAL TRAVEL INSURANCE POLICY |
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| 1. Personal Details |
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| Proposer's name
(as per passport) |
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| Passport No |
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| Date of Birth |
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| Nominee Name & Address |
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| Corresspondence Address |
House No. |
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Street |
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Locality |
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City |
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State |
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Pin |
| Phone number |
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| Fax number |
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| E-mail ID |
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| Married |
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| Mother's full maiden name |
Yes
No |
2. Primary purpose of visit Business1
Leisure
VFR* Others
*visiting friends / relatives
3. Place (s) of visit ...........................................................
4. Geographical Scope
- worldwide( excl US/Canada )
worldwide
5. Plan Requested
Salt & Pepper Cover (For traveler aged 71 years and above)
a) Single Trip
Royal 25
Royal 50
(Please refer to brochure for details and eligibility)
Q. 6 - 8 to be filled for Single Trip options only
| 6. Departure Date ( first day of insurance ) |
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8.Insurance required for (no. of days)
9.Insured no. of days
10. For persons above the age of 70, please enclose the results of the
detailed medical test and the medical statement in enclosed format.
11. Please tick the appropriate option and fill the amount details
Cash Premium
Amount Rs. |
| Cheque No. |
| Cheque Date |
| Bank Name Name |
| Branch (if cheque) |
12. Any additional information relevant to the policy applied for
Note: Please use additional sheets if space is not sufficient to complete details
I/We authorise the Company and all other group companies of ICICI Bank Group and their agents to exchange, share or part with all the information relating to my personal and financial details and information to other ICICI Bank Group companies/ Banks/ Financial Institutions/ Credit Bureau/ Agencies/ Statutory Bodies as may be required and I/We will not hold the Company and all other group companies of ICICI Bank Group and their agents liable for use of this information. |
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