UNITED INDIA INSURANCE COMPANY LIMITED

LARGE CORPORATE CELL , NO. 98/A, DR. RADHAKRISHNAN SALAI. CHENNAI, PIN: 600004 TAMIL NADU
PH: (044) 28478641,(044) 28478640 E Mail Id : [email protected]

OPTIONAL TRAVEL INSURANCE COVER FOR E-TICKET PASSENGERS OF IRCTC

Certificate of Insurance
Master policy No. : 5002004224P101121449000
Certificate Number : 66425319560105102024
Name and Address of the : Indian Railway Catering and Tourism Corporation Limited.
Group Organizer/Group B-148, 11th Floor, Statesman House, Barakhamba Road, New Delhi-110001.
Policy holder
Name of the Insured : shanta buwade
Trip : From 14/10/2024 01:20:00 To 14/10/2024 06:44:00
Originating Station : AMLA JN
Destination Station : MANDI DIP
Train Number : 19344
Train Name : PANCHVALLEY EXP
PNR Number : 6642531956
Insured Details :
Name of Insured Person Age Gender (Male / Female) Mobile Number E-Mail ID
shanta buwade 67 Female 9522162473 [email protected]
Policy coverage details :
Death Permanent Total Permanent Partial Hospitalization Transportation Of Mortal
Disability Disability Expenses For Injury Remains
1 2 3 4 5
10,00,000/- 10,00,000/- upto 7,50,000 Upto 2,00,000/- 10,000/-
• The coverage starts from the date & time when the Insured Person (s) boards the train and ending on the date & time of arrival at the
destination station as mentioned in the Policy schedule including ‘process of entraining’ and ‘process of detraining’.
• The certificate is valid only if Insured Person (s) are travelling with a valid e-ticket issued by IRCTC.
• The Insurance coverage will be applicable only to Indian resident. Coverage’s, Terms & Conditions are only outlined briefly in this
document. For complete details, Policy wording needs to be referred.

Schedule Of Premium (In Rs.) :

Base Premium 0.38
IGST 0.07
Total Premium 0.45
Nominee Details :
Name Age Relationship
Krishna Buade 18 Others
In case of any claim you may contact the office or sent mail to : [email protected] or you may contact us
Through Website: www.uiic.co.in Toll free: 1800 425 333 33 (from 10 a.m to 5.45 p.m. Monday to Friday)
E-mail: [email protected]
IN WITNESS WHEREOF, this Certificate of Insurance has been signed on 13/10/2024
Date : 13/10/2024 For United India insurance Co. Ltd.

GST No. 33AAACU5552CIZQ Authorized Signatory

PAN No. AAACU5552C
United India Insurance Co. Ltd. Registered Head Office No.24, Whites Road, Chennai 600 014 Website: http://www.uiic.co.in
UIN code : IRDAN545CP0275V01200708
 UNITED INDIA INSURANCE COMPANY LIMITED
LARGE CORPORATE CELL , NO. 98/A, DR. RADHAKRISHNAN SALAI. CHENNAI, PIN: 600004 TAMIL NADU
PH: (044) 28478641,(044) 28478640 E Mail Id : [email protected]

OPTIONAL TRAVEL INSURANCE COVER FOR E-TICKET PASSENGERS OF IRCTC

Certificate of Insurance
Master policy No. : 5002004224P101121449000
Certificate Number : 66425319560205102024
Name and Address of the : Indian Railway Catering and Tourism Corporation Limited.
Group Organizer/Group B-148, 11th Floor, Statesman House, Barakhamba Road, New Delhi-110001.
Policy holder
Name of the Insured : usha buwade
Trip : From 14/10/2024 01:20:00 To 14/10/2024 06:44:00
Originating Station : AMLA JN
Destination Station : MANDI DIP
Train Number : 19344
Train Name : PANCHVALLEY EXP
PNR Number : 6642531956
Insured Details :
Name of Insured Person Age Gender (Male / Female) Mobile Number E-Mail ID
usha buwade 57 Female 9522162473 [email protected]
Policy coverage details :
Death Permanent Total Permanent Partial Hospitalization Transportation Of Mortal
Disability Disability Expenses For Injury Remains
1 2 3 4 5
10,00,000/- 10,00,000/- upto 7,50,000 Upto 2,00,000/- 10,000/-
• The coverage starts from the date & time when the Insured Person (s) boards the train and ending on the date & time of arrival at the
destination station as mentioned in the Policy schedule including ‘process of entraining’ and ‘process of detraining’.
• The certificate is valid only if Insured Person (s) are travelling with a valid e-ticket issued by IRCTC.
• The Insurance coverage will be applicable only to Indian resident. Coverage’s, Terms & Conditions are only outlined briefly in this
document. For complete details, Policy wording needs to be referred.

Schedule Of Premium (In Rs.) :

Base Premium 0.38
IGST 0.07
Total Premium 0.45
Nominee Details :
Name Age Relationship
Krishna Buade 18 Others
In case of any claim you may contact the office or sent mail to : [email protected] or you may contact us
Through Website: www.uiic.co.in Toll free: 1800 425 333 33 (from 10 a.m to 5.45 p.m. Monday to Friday)
E-mail: [email protected]
IN WITNESS WHEREOF, this Certificate of Insurance has been signed on 13/10/2024
Date : 13/10/2024 For United India insurance Co. Ltd.

GST No. 33AAACU5552CIZQ Authorized Signatory

PAN No. AAACU5552C
United India Insurance Co. Ltd. Registered Head Office No.24, Whites Road, Chennai 600 014 Website: http://www.uiic.co.in
UIN code : IRDAN545CP0275V01200708