Bharat Bhraman Travel Insurance

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Pincode of your current residence*

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House No./Building No.*

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Pincode*

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Disclaimer

1. I hereby declare, on my behalf and on behalf of all persons proposed to be insured, that the above statements, answers
and/or particulars given by me are true and complete in all respects to the best of my knowledge and that I am authorised to
propose on behalf of these other persons.
2. I understand that the information provided by me will form the basis of the insurance policy, is subject to the Board approved
underwriting policy of the insurer and that the policy will come into force only after full payment of the premium chargeable.
3. I further declare that I will notify in writing any change occurring in the occupation or general health of the life to be
insured/proposer after the proposal has been submitted but before communication of the risk acceptance by the company.
4. I declare that I consent to the company seeking medical information from any doctor or hospital who/which at any time has
attended on the person to be insured/proposer or from any past or present employer concerning anything which affects the physical or
mental health of the person to be insured/proposer and seeking information from any insurer to whom an application for insurance
on the person to be insured /proposer has been made for the purpose of underwriting the proposal and/or claim settlement.
5. I authorize the company to share information pertaining to my proposal including the medical records of the insured/proposer
for the sole purpose of underwriting the proposal and/or claims settlement and with any Governmental and/or Regulatory authority.

I Agree

Key Features

Offers cashless claim procedures.
Offers fast claim settlements.
Automatic claim settlement service for the customers through Travel Ezee

Disclaimer: I hereby authorize Bajaj Allianz General Insurance Co. Ltd. to call me on the contact number made available by me on the website with a specific request to call back. I further declare that, irrespective of my contact number being registered on National Customer Preference Register (NCPR) under either Fully or Partially Blocked category, any call made or SMS sent in response to my request shall not be construed as an Unsolicited Commercial Communication even though the content of the call may be for the purposes of explaining various insurance products and services or solicitation and procurement of insurance business. Furthermore, I understand that these calls will be recorded & monitored for quality & training purposes, and may be made available to me if required.

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Total square feet area mentioned in the registered sale deed agreement (A)	Ready Reckoner price per sq. ft. for mentioned location as on date of proposal (B)	Sum Insured = (A)*(B)
1200 sq. ft.	4800 sq. ft.	57,60,000

Total square feet area mentioned in the registered sale deed agreement (A)	Cost of construction per sq. ft. at mentioned location as on date of proposal as per the data available with the local government authority (B)	Sum Insured= (A)*(B)
1000 sq. ft.	2000 sq. ft.	20,00,000

Age of the building	Total square feet area mentioned in the registered sale deed agreement (A)	Cost of construction per sq. ft. at mentioned location as on date of proposal as per the data available with the local government authority (B)	Reconstruction cost ( C ) = (A*B)	Depreciation = 2.5% per annum * 5 years i.e. age of the building (D)	Sum insured (without escalation)= (C)-(D)	Escalation of 20% opted (E)
5 years	590 sq. ft.	2000 per sq. ft.	11,80,000	1,47,500	10,32,500	20%

1800-209-0144

Bharat Bhraman Travel Insurance

(For travel within India)

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Key Features

OR

Bharat Bhraman Travel Insurance

(For travel within India)

Flight Details

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Disclaimer

Already have a Quote?

Key Features