TATA AIG Renewal/Extension Form for TATA Travel and Student Insurance

Proposal form for Extension/Renewal of TATA-AIG policy
Original TATA-AIG Policy Schedule No (eight characters):
Name of Applicant :
Applicant Date of Birth:	(dd/mmm/yyyy)
Policy Name:
Email :
Phone:
Original Policy Start date (First policy start date in case of second renewal):	(dd/mmm/yyyy)
Original Policy End date :	(dd/mmm/yyyy)
Duration of Initial Policy :
Number of Days Extension Required:
Have you Filed Any Claims on the Original Policy?	Yes No
I hereby declare that there has been NO CLAIM whatsoever till date, against the above TATA-AIG Insurance Policy and further state and confirm that there has been NO CHANGE till now in my Personal physical & medical condition since the date of issue of the first policy. I understand that sub limits will apply on Accident and Sickness Medical Reimbursements cover for Insured Persons aged between 56 and 70 years. You are now requested to kindly treat this letter as an Application / Proposal for the New Insurance Policy as requested above. I declare that the information provided in this application is correct. Please do the needful at the earliest and oblige. Thanking You,

Please note that sum total number of insurance coverage days under the first policy and subsequent renewals for TRAVEL GUARD policies should not exceed 270 days. Any travel policy extended beyond 270 days will not be valid. However STUDENT GUARD policies can be initially purchased for a year and renewed for the second year

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Mr. Rodney Fernandez, Head Travel Services at Tata AIG says "NRIOL has been one of our key partners in India for the past 6 years and has been pivotal in providing Tata AIG customers an opportunity to purchase their Travel policies online".

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• NRIOL has been providing online insurance services since 2006

• 25,000+ satisfied online customers so far

• Buy / Renew from anywhere in the world with credit card (Indian and International cards accepted) or pay by Cheque (Only Indian Rupees cheques accepted)

• Policy will be issued (emailed & couriered) within 24 hours

• TATA AIG Travelguard offers cashless settlement (direct billing to insurance company) for hospitalisation

• The TATA AIG insurance provides coverage to the customer up to the policy maximum per ailment. In other words under a $50,000/- policy, the customer is covered up to $50,000/- for each ailment. He or she can even avail insurance claims of $100,000/- in the event of the traveler having two independent ailments during the coverage period.

• TATA AIG will cancel the StudentGuard policy and provide a refund on a pro-rate basis if the University does not accept TATA AIG's StudentGuard policy.

Insurance is the subject matter of solicitation

TATA AIG Renewal/Extension Form for TATA Travel and Student Insurance

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