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Overseas Travel Health Insurance Policies from India
 
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(1) Overseas Travel Health Insurance   (2) Salient Points of Overseas Travel Insurance
(3) Best & Economical Policy for Overseas Travel   (4) Selection of Overseas Travel Insurance
(5) Specimen proposal form of ICICI Lombard   (6) Policy wording individual overseas travel insurance (Tata AIG)*
(7) Policy Wording/ Proposal Form/ Brochure   (8) Policy wording overseas travel insurance (ICICI Lombard)
(9) Product details of Various Companies for Overseas Travel Insurance/Policy
 
General/ Health Insurance Companies Products
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
5- Specimen proposal form of ICICI Lombard Students Overseas Mediclaim policy
  1. Details of Family Physician
    • Name
    • Regis. No
    • Address
    • Tel. No
I declare that all the particulars, information, declarations and confirmations given in this form (and all documents referred or provided therewith) are true, correct, complete and up-to-date in all respects and I have not withheld any information. I further agree and undertake to provide any further information that ICICI Lombard General Insurance Company may require in relation to the said details. I further declare and confirm and undertake that I will not be travelling against the advice of my family physician; that I am not on the waiting list for any medical treatment and/ or that I will not be travelling for the purpose of obtaining medical treatment/. I further affirm that I have not received a terminal prognosis for a medical condition before this day.

Signature of Proposer :
Date :
DOCTOR'S STATEMENT(To be completed by the doctor with minimum M.D. qualifications( registration stamp required ) conducting the tests, unless otherwise required/specified below) History of the Proposer
  1. Any past history of disease, operation, accidents, investigation etc.
  2. General Examination
  3. Systematic Examination
Electrocardiography
  • Does the attached electrocardiogram in your professional opinion show any abnormalities? If so, please describe
  • Does the abnormality represent a current illness or disease that may possibly require medical treatment during the proposer's forthcoming trip?
  • Does the proposer now or did he/she in the past, require medication for this abnormality?
  • Please describe any treatment taken by the proposer in the past or being taken at present
  • Does the urine strip test show any sugar?
  • Do you consider that the proposer is fit to travel anywhere abroad, due account being taken of the stress of air travel adversely affecting his/ her health/ medical condition?
I declare that all the particulars and information given in this form (and all documents referred or provided therewith) are true, correct, complete and up-to-date in all respects and I have not withheld any information. I further agree and undertake to provide any further information that ICICI Lombard General Insurance Company may require in relation to the said details.
Signature of the Doctor
  • Date
  • Name of the Doctor
  • Qualification
  • Telephone Number
  • Address
Please also append the following test reports to the doctor's certificate:
  • ECG Printout with report (ECG to be carried out by cardiologists)
  • Fasting and blood sugar and urine sugar or urine strip test report etc
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