Travel Insurance

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INFORMATION TO BE FILLED

INSURED NAME/CUSTOMER NAME *

DATE OF BIRTH *

GENDER *

PASSPORT NO.

ADDRESS *

PRE EXISITING HEALTH DETAILS OF PAX

TELEPHONE NO.

MOBILE NO. *

NOMINEE NAME *

RELATIONSHIP *

COUNTRY TO BE VISITED *

PERIOD OF TRAVEL DATE

START DATE *

END DATE *

EMAIL ADDRESS *

PLAN OPTED

Plans: * Click here to view all plans

If Student Travel Insurance *
Yes No

University Name & Address :

Course Duration :

Course Fees :

No.Of semester :

* Plans Information
Plan Name	Description	Download
Reliance Standard	Standard plan covers Dental Treatment, Loss of Passport, Total Loss of Checked baggage*, Delay of Checked Baggage, Personal Accident, AD & D Common Carrier, Personal Liability, Compassionate visit	Click here to View
Reliance Silver	Silver plan covers Dental Treatment, Loss of Passport, Total Loss of Checked baggage*, Delay of Checked Baggage, Personal Accident, AD & D Common Carrier, Personal Liability, Daily Allowance in case of Hospitalisation, Financial Emergency Assistance, Hijack Distress Allowance, Trip Delay, Trip Cancellation & Interruption, Trip Cancellation & Interruption, Compassionate visit, Home Burglary Insurance	Click here to View
Reliance Gold	Gold plan covers Dental Treatment, Loss of Passport, Total Loss of Checked baggage*, Delay of Checked Baggage, Personal Accident, AD & D Common Carrier, Personal Liability, Daily Allowance in case of Hospitalisation, Financial Emergency Assistance, Hijack Distress Allowance, Trip Delay, Trip Cancellation & Interruption, Trip Cancellation & Interruption, Compassionate visit, Home Burglary Insurance	Click here to View
Reliance Platinum	Platinum plan covers Dental Treatment, Loss of Passport, Total Loss of Checked baggage*, Delay of Checked Baggage, Personal Accident, AD & D Common Carrier, Personal Liability, Daily Allowance in case of Hospitalisation, Financial Emergency Assistance, Hijack Distress Allowance, Trip Delay, Trip Cancellation & Interruption, Trip Cancellation & Interruption, Compassionate visit, Home Burglary Insurance	Click here to View

Documentation Requirement

Air Ticket showing travel within 60 days
Valid Passport
Valid Visa (if required)

1. Company PAN card – Self Attested by the Company with Company Stamp
2. Certificate of Incorporation - Self Attested by the Company with Company Stamp
3. Authority Letter given in respect of authorized signatories – On the Letter Head of the Company
4. List of Directors – On the letter Head of the Company
5. Address Proof of Registered office – Self Attested by the Company with Company stamp
6. MOA & AOA (only the cover page need to be scanned and sent Hard copy of full document to be sent subsequently)
7. Aadhaar Card Copy (Mandatory If Payment is above Rs. 50,000) - Self Attested by the Customer
1. Form A2
2. Copy of student Passport, VISA & Air ticket.
3. University Admission letter / I-20 form
4. Copy of PAN & Aadhar of the student
5. Copy of PAN & Aadhar of the parent / Guardian.
1. Passport with address page
Foreign exchange for undertaking business travel or attending a conference or specialised training or for maintenance expenses of a patient going abroad for medical treatment or check-up abroad or for accompanying as attendant to a patient going abroad for medical treatment/check-up to the limits specified in Schedule III to the Rules.
2. PAN card
3. Valid Travel Ticket
4. Valid Visa [except for visa on arrival]
To release of foreign exchange for the purpose of shooting sequences of feature films at overseas locations by film production companies registered in India.
1. Form A2
2. Approval letter from Information and Broadcasting Ministry.
3. An application from the production house on their letterhead detailing the name, location, duration of shooting, list of crew members with their PAN no [ copy of PAN ], Passport numbers [ copy of Passport with address page ], & Aadhar no [ copy of Aadhar ] (Annexure AF).
4. An estimate of expenses likely to be incurred during the shoot which tallies with the amount of Forex applied for release.
5. An undertaking an appropriate use of Forex for the purpose for which it has been drawn.
6. An undertaking for submission of a statement of account detailing the expense incurred during the film shoot with all supporting attached.
7. Submission of statement of account detailing the expenses incurred along with copies of bills, supports attached. This statement has to be verified & certified by a qualified CA, after completion of shootings.
8. On letter head of the company, Name of the film & Synopsis of the film.
1. Form A2
2. Copy of Passport & PAN of the patient and relative accompanying abroad.
3. Copy of overseas hospital correspondence amount applied exceeds USD 250,000/-
4. Estimate of likely expenses to be incurred duly certified by a local doctor on his letter head or by an overseas doctor/hospital.
6. Beneficiary Bank account details [ for direct remittance ].
5. Annexure - AE
5. Form A2