Digitally signed by Reliance

General Insurance
Company Limited
Date: 2024.12.03 11:23:51
Trejhara IST

Reliance Travel Care Policy - Corporate Short Term

Policy Issuing Office: Policy Servicing Office Name & Address - null
Reliance General Insurance Company Limited 6th Floor, Oberoi Commerz, 507-510, Evershine Tower, F-1 Amrapali Circle, Vaishali Nagar, Jaipur, JAIPUR,
International Business Park,Oberoi Garden City, Off Western Express Highway, JAIPUR, RAJASTHAN - 302021 Phone No. : 0141-9136988810
Goregaon (East), Mumbai � 400 063.
Branch Contact No. : 0141-9136988810
Certificate No. - 260792428221076341 Master Policy No. - 920292428220000147
Br. Code- DIRECT-918210-26071 PSO No. - MTMINFIF41525623689562 Dept. - TRAVEL Intermediary Code - Direct
Tax Invoice No & Date : Y120324076497 & 03-Dec-2024
Details of the Insured
Name of the Policy Holder MAKEMYTRIP (INDIA) PRIVATE LIMITED-DS
Address of the policy holder 19TH FLOOR TOWER B , BUILDING NO. 5, LEVEL 19 DLF EPITOME, NEAR DLF CYBER CITY, DLF PHASE 2, SECTOR

Details of the Insured Person

Name of the Insured Person Passport No. Gender Nominee Relationship of the Nominee Date of Birth ABHA ID or ABHA
Name with the Insured Person address
SIDIQUE FUZAIL IYAD U4107819 MALE LEGAL HEIR LEGAL HEIR
DLF CYBER CITY, GURGAON , HARYANA, DLF CYBER CITY, GURGAON ,
Communication Address & Place of Supply
HARYANA, GURGAON, HARYANA - 122002
E mail id GAURAV.TIWARI@ULYSTA.COM
Telephone Number 8800332770
GSTIN / UIN Of Insured :null
Geographical Coverage
Country Visiting KAZAKHSTAN
Policy Period From 04-Dec-2024 time to 14-Dec-2024 time 11days
Name of the Plan opted MMT EUROPE/AUSTRALIA DS OPTION 1
Any Pre existing disease NO
POLICY COVERAGE Sum Insured ( in USD ) Deductible ( in USD )
Emergency medical expenses 100000 50
Emergency Medical Evacuation 3000 nil
Repatriation of Mortal Remains 4000 nil
Dental Treatment Expenses 300 50
Personal Accident 20000 nil
Total Loss of Checked in baggage 250 nil
Delay of Checked-In Baggage 100 12hours
Loss of Passport and Documents 200 25
Trip Cancellation and/or Interruption 1000 Nil
Trip Delay 30 6hours
Hijack Distress Allowance 250 12hours
USD100or10percentofadmissibleclaimamountwhic
Visa Cancellation 1500
heveri
Any one illness applicable only for age 61 to 70 years 13500 nil
Any one accident applicable only for age 61 to 70 years 25000 nil
Consolidated Stamp duty Paid vide Letter of Authorisation “NO LOA/ENF-1/CSD/70/2024-25/(Validity Period Dt.01/11/2024 to Dt.01/12/2025)/5162 Date 30-10-2024” at
General Stamp Office, Mumbai. ** Not Applicable for the State of Jammu & Kashmir.
#Warranted that:

Net Premium : Rs. 561.00

IGST : (18.00%) Rs. 100.98
Total Premium : Rs. 661.98
In witness whereof this policy has been signed at Mumbai on :03-Dec-2024
GSTIN : 08AABCR6747B1ZG SAC : 997142 As per Description of Servicesthe
: Freight
amountInsurance
of GST will&not
Travel Insurance
the GST regulations, be refunded if the policy / endorsement is cancelled after 30th Septe
As per the GST regulations, the amount of GST will not be refunded if the policy / endorsement is cancelled after 30th September of the next financial year.
“In case of a renewal, the benefits provided under the policy and/or terms and conditions of the policy including premium rate may be subject to change”.

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. RELTIOP07004V010607 Trade Logo displayed above belongs to Anil Dhirubhai Ambani Ventures Private
Limited and used by Reliance General Insurance Company Limited under License. RGI/UW/CO/2822/PS/1.0/010218.

Page 1 of 10
 Trejhara

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
rgicl.services@relianceada.com. In case the insured is not satisfied with the response of the office, insured may contact the Nodal Grievance Officer of the Company at
rgicl.grievances@relianceada.com. In the event of unsatisfactory response from the Nodal Grievance Officer, insured may email to Head Grievance Officer at
rgicl.headgrievances@relianceada.com. 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 www.irda.gov.in or on
company website www.reliancegeneral.co.in or on www.gbic.co.in. 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: Bimalokpal.jaipur@cioins.co.in

For and on behalf of Reliance General Insurance Company Limited.

Category-General Insurance Business Service 00440005

Authorized Signatory

Note : The policy wording with detailed terms, conditions and exclusions are available on our website www.reliancegeneral.co.in
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.In case
of non receipt of the policy terms and conditions, please ensure to obtain the same from the Agent / Our nearest Office / from our Website
http://www.reliancegeneral.co.in
Europ Assistance India Pvt Ltd.
7th Floor, Star Hub, Bldg No. 2,Near ITC Maratha Hotel,Sahar, Andheri East, Mumbai – 400 059.

Please provide Immediate intimation of any claim / requirement for emergency assistance while abroad to ensure that the
Claim is not prejudiced. Please contact the International Toll Free Helpline numbers given below.

In case of any requirement for emergency assistance whilst abroad, please contact the toll free helpline numbers given below:
This document shall be treated as a Tax Invoice as per Rule 46 of the Central Goods and Services Tax Rules 2017
International Toll Free line : Singapore and Thailand — 001-80099441111, Hong Kong — 001-80099441111 and 006-80099441111, USA — 18337426673, Canada
-011-80099441111 , Australia —0011- 80099441111, Japan — 001-010-80099441111 and 010-80099441111, Israel — 00-80099441111 and 014-80099441111, Greece
—86002038017, Argentina, Austria, Belgium, China, Czech Republic, Denmark, France, Germany, Hungary, Italy, Malaysia, Netherlands, New Zealand, Norway,
Philippines, Poland, Portugal, South Africa, Spain, Sweden, Switzerland, Taiwan & United Kingdom — 00-80099441111
Dedicated National Toll Free Help Line : 1800 209 5522 Land Line : +91 22 67347843 & +91 22 67347844 Fax Number: +91 22 67347888
Email : reliance@europ-assistance.in Website: www.europ-assistance.com
Intermediary Code/Name : Direct

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. RELTIOP07004V010607 Trade Logo displayed above belongs to Anil Dhirubhai Ambani Ventures Private
Limited and used by Reliance General Insurance Company Limited under License. RGI/UW/CO/2822/PS/1.0/010218.

Page 2 of 10
 Trejhara

CUSTOMER INFORMATION SHEET/KNOW YOUR POLICY

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

DESCRIPTION (PLEASE REFER TO POLICY

SI
TITLE APPLICABLE POLICY CLAUSE NUMBER IN CLAUSE
NO
NEXT COLUMN) NUMBER
HEALTH-RELIANCE TRAVEL CARE
1 Name of Insurance Product/Policy
INSURANCE-CORPORATE SHORT TERM
2 Policy number 260792428221076341
Payment on Indemnity and Benefit Basis
3 Type of Insurance Product/Policy
(As per plan coverage opted)
Sum Insured (Basis) (Along with
4 Individual - INR 1,00,000
amount)
Policy Coverage (What the policy
5 covers?) • POLICY COVERAGE
(Policy clause Number/s)
• Total Loss of Checked in baggage
• Personal Accident
• Hijack Distress Allowance
• Trip Delay
• Any one illness applicable only for age 61
to 70 years
• Any one accident applicable only for age
61 to 70 years
• Emergency medical expenses
• Emergency Medical Evacuation
• Repatriation of Mortal Remains
• Dental Treatment Expenses
• Loss of Passport and Documents
• Trip Cancellation and/or Interruption
• Visa Cancellation
• Delay of Checked-In Baggage
6 Exclusions (What the policy does Conditions:
not covers) 1.This policy is applicable to registered
passengers who book flight travel by

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.RELTIOP07004V010607 Trade Logo displayed above belongs to Anil Dhirubhai
Ambani Ventures Private Limited and used by Reliance General Insurance Company Limited under License. RGI/UW/CO/2822/PS/1.0/010218.

Page 3 of 10
 MAKEMYTRIP only
2.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 certificate and
before the commencement of the trip.
3.Warranted that Purpose of visit will be for
leisure or personal business purpose only
4.Warranted that the Insured / Insured
Person(s) has no past history of any illness
/ hospitalization
5.If Point No. 4 is "Yes" Warranted that
Declaration of any Pre existing Condition,
using words / terms which mean any
disease/illness which are same or similar
to - Cancer / Leukemia / Malignant Tumor,
Cardiac ailments, COPD, HIV /AIDS, Insulin
Dependent Diabetes, Kidney Ailment, Liver
Disease, Neurological Disorder / Stroke
/Paralysis, Thalasemia will render this
policy null and Void-ab-initio and the
Company shall have no liability under the
policy clean health history
6.Any expenses related to pre existing
illness/ disability/diseases and its related
complications/ consequences are not
payable under the certificate.
7.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%.
8.Repatriation of Mortal remains - For sum
insured $ 2.5 lakh is USD 7,500 and For
sum insured $ 1 lakh is USD 4,000
9.In case of Financial emergency occuring
in Asian countries the maximum Sum
Insured applicable would be USD 250

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.RELTIOP07004V010607 Trade Logo displayed above belongs to Anil Dhirubhai
Ambani Ventures Private Limited and used by Reliance General Insurance Company Limited under License. RGI/UW/CO/2822/PS/1.0/010218.
Page 4 of 10
 10.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.
11. The policy covers emergency
hospitalisation incurred whilst on the trip
including COVID-19. The final decision on
claim will be on the claims team basis the
terms and conditions of the policy.
12.*Visa Cancellation- Deductible - USD
100 or 10% of admissible claim amount
whichever is higher
13.Warranted that the Policy does not cover
Insured Person who is less than 6 months
and more than 70 years of age (as on
completed Birthday) and if found otherwise
the policy will be considered Null and Void
ab-initio and the Company shall have no
liability under the policy.
14.�Single Trip� means only one trip to a
destination outside of the Republic of India
during the policy period, the details of which
are specified in the Schedule.

Exclusion:
1.Any Pre-existing medical conditions and
its related complications/ consequences.
2.Travelling against the advice of a
physician
3.Receiving or are on a waiting list for a
specified medical treatment
4.Travelling to receive treatment abroad
5.Under given terminal prognosis for a
medical condition
6.Partial loss of checked baggage � Only
the loss of your entire baggage is covered,
not partial loss
7.War or nuclear perils in the country
you�re visiting

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.RELTIOP07004V010607 Trade Logo displayed above belongs to Anil Dhirubhai
Ambani Ventures Private Limited and used by Reliance General Insurance Company Limited under License. RGI/UW/CO/2822/PS/1.0/010218.
Page 5 of 10
 delayed until the Insured/Insured Person's
return to the Republic of India
9.Any claim relating to events occurring
before the commencement of the cover or
otherwise outside of the period of
insurance.
10.Rest Other terms and conditions,
Exclusions as per Policy Wordings

7 Waiting period

Time period during which

specified diseases/treatments Not Applicable
are not covered
It is counted from the beginning
of the policy coverage.
i.Financial limits of coverage

I Sub-limit (It is a pre-defined limit • POLICY COVERAGE - Sum Insured ( in

8
and the insurance company will INR )
not pay any amount in excess of
this limit)
• Any one accident applicable only for age
61 to 70 years - 25000
• Any one illness applicable only for age 61
to 70 years - 13500
• Delay of Checked-In Baggage - 100
• Dental Treatment Expenses - 300
• Emergency Medical Evacuation - 3000
• Emergency medical expenses - 100000
• Hijack Distress Allowance - 250
• Loss of Passport and Documents - 200
• Personal Accident - 20000
• Repatriation of Mortal Remains - 4000
• Total Loss of Checked in baggage - 250
• Trip Cancellation and/or Interruption -
1000
• Trip Delay - 30

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.RELTIOP07004V010607 Trade Logo displayed above belongs to Anil Dhirubhai
Ambani Ventures Private Limited and used by Reliance General Insurance Company Limited under License. RGI/UW/CO/2822/PS/1.0/010218.
Page 6 of 10
 • Visa Cancellation - 1500
ii Co-payment (It is a specified
amount/percentage of the
Not Applicable
admissible claim amount to be
paid by policyholder/insured).
iii Deductible (It is a specified
amount:
-up to which an insurance
company will not pay any claim,
• POLICY COVERAGE - Deductibles
and
-which will be deducted from total
claim amount (if claim amount is
more than the specified amount)
• Delay of Checked-In Baggage - 12hours
• Dental Treatment Expenses - 50
• Emergency medical expenses - 50
• Hijack Distress Allowance - 12hours
• Loss of Passport and Documents - 25
• Trip Delay - 6hours
• Visa Cancellation -
USD100or10percentofadmissibleclaimam
ountwhicheveri
iv. Any other limit (as applicable) Not Applicable
9 Claims/Claims Details of procedure to be followed for
Procedure cashless 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 Section 6.11
documents.
ii. TAT for cashless final bill authorization –
1 hour from receipt of complete documents
iii. For reimbursement claims - The
Company shall settle the claim within 30
days from the date of receipt of last
necessary document. However, where the
circumstances of a claim warrant an

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.RELTIOP07004V010607 Trade Logo displayed above belongs to Anil Dhirubhai
Ambani Ventures Private Limited and used by Reliance General Insurance Company Limited under License. RGI/UW/CO/2822/PS/1.0/010218.
Page 7 of 10
 investigation, Company shall settle the
claim within 45 days from the date of receipt

i. Network Hospital details-

https://www.reliancegeneral.co.in/Insurance
/Self-Help/Cashless-Garages-and-Hospital
s.aspx?network=Hospitals
ii. Helpline number- 022-4890 3009
iii. Hospitals which are blacklisted or from
where no claims will be accepted by
insurer-
www.reliancegeneral.co.in
iv. Downloading/getting claim form-
www.reliancegeneral.co.in
10 Policy Servicing Any issues related with respect to policy,
kindly E-mail us at rgicl.
services@relianceada.com and for
correspondence contact us Reliance
General 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 Section 7.27
refer the link
(https://www.reliancegeneral.co.in/
Insurance/About-Us/Grievance-Redressal.a
spx
b. IRDAI Integrated Grievance Management
System-https://igms.irda.gov.in/
c. Insurance Ombudsman - The contact
details of the Insurance Ombudsman
offices have been provided as Annexure-B
of Policy document.
12 Things to remember Free Look cancellation: You may cancel the
insurance policy if you do not want it, within
15 days from the beginning of the policy.
The Company shall refund premium for the
unexpired policy period as defined in the
policy wording.

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.RELTIOP07004V010607 Trade Logo displayed above belongs to Anil Dhirubhai
Ambani Ventures Private Limited and used by Reliance General Insurance Company Limited under License. RGI/UW/CO/2822/PS/1.0/010218.
Page 8 of 10
 Policy renewal: The policy shall ordinarily
be renewable except on grounds of fraud,
moral hazard, misrepresentation by the
insured person. Renewal shall not be
denied on the ground that the insured had
made a claim or claims in the preceding
policy years.
Migration and Portability: When your policy
is due for renewal, you may migrate to
another policy with us or port your policy to
another insurer. (if applicable as per the
policy wording)
Change in Sum Insured: change or
alteration with respect to increase/
decrease of the Sum Insured shall be
permissible only at the time of renewal of
the Policy subject to underwriting decision
of the Company.

Moratorium Period: After completion of

eight continuous years under the policy no
look back to be applied. This period of eight
years is called as moratorium period. The
moratorium would be applicable for the
sums insured of the first policy and
subsequently completion of eight
continuous years would be applicable from
date of enhancement of sums insured only
on the enhanced limits. After the expiry of
Moratorium Period no health insurance
policy shall be contestable except for
proven fraud and permanent exclusions
specified in the policy contract.

13 Your Obligations Please disclose all pre-existing disease/s Section 7.1

or condition/s before buying a
policy.Non-disclosure may affect the claim
settlement.
The policy shall be void and all premium
paid thereon shall be forfeited to the

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.RELTIOP07004V010607 Trade Logo displayed above belongs to Anil Dhirubhai
Ambani Ventures Private Limited and used by Reliance General Insurance Company Limited under License. RGI/UW/CO/2822/PS/1.0/010218.
Page 9 of 10
 Company in the event of misrepresentation,
mis description or non-disclosure of any
material fact by the policyholder
"material facts" for the purpose of this policy
shall mean all relevant information sought
by the Company in the proposal form and
other connected documents to enable it to
take informed decision in the context of

The enclosed Customer Information Sheet bearing reference number CIS /260792428221076341 is
an essential part of your policy schedule, please acknowledge that you have read and understood
the CIS on the communication sent on your registered mobile number/e-mail ID.
Disclaimer : The information must be read in conjunction with the policy document. In case of any
conflict between the CIS and the policy document, the terms and conditions mentioned in the
policy document shall prevail.

Declaration by the Policy Holder:

I have read and understood the benifits and details of the product as mentioned in this sheet.

Place : JAIPUR
Date : 03-Dec-2024 (Signature of the Policyholder)

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.RELTIOP07004V010607 Trade Logo displayed above belongs to Anil Dhirubhai
Ambani Ventures Private Limited and used by Reliance General Insurance Company Limited under License. RGI/UW/CO/2822/PS/1.0/010218.
Page 10 of 10