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You will be tended to by:

Mr.
Sreehari Buddappagari Jayapal Gowdu
Max- Planck Ring 18
98693 Ilmenau
Germany

Agency No.: 1079565


Siegfried-Wedells-Platz 1
20354 Hamburg
reiseinfo@hansemerkur.de
Telephone Number: 040 4119-1919
28/09/2016

insurance policy no. 783968748 / your premium note


Dear Mr. Buddappagari Jayapal Gowdu,
thank you for choosing an insurance policy with HanseMerkur Reiseversicherung. We confirm the chosen insurance cover subject
to the following conditions.
The following terms and conditions of insurance apply to your contract VB-RS2013(YT-OUT).
This insurance policy also acts as documentation for embassies, consuls and border offices.

insurance policy no.

Start

End

Booking date

783968748

01/10/2016

10/10/2016

28/09/2016

Tariff
Travel Accident and Liability
Insurance Komfort Premium
Outgoing (51354)

Extent of cover
Emergency Insurance
Travel Accident Insurance
- recovery costs, up to EUR 5,000.00
- in case of invalidity, up to a value of
EUR 40,000.00
- in case of death, EUR 20,000.00
- im Todesfall Kind EUR 10,000.00
Luggage Insurance without excess
- for individuals, up to a value of EUR
2,000.00
Travel Liability Insurance
- personal injury and damage to
property, up to a value of EUR
2,500,000.00
- damage to hired or rented property
25,000.00

HanseMerkur Reiseversicherung AG
Siegfried-Wedells-Platz 1, D 20354 - Hamburg
Postal Address: 20354 Hamburg
Tel.: + 49 40 4119-1000, Fax: -3040,
www.hmrv.de

Insured person(s)
Sreehari Buddappagari
Jayapal Gowdu
Date of birth: 11/11/1989

Management Board: Eberhard Sautter (Chairman)


Registered Address: Hamburg
Eric Bussert, Holger Ehses, Dr. Andreas Gent, Raik Mildner
Supervisory Board: Dr. Michael Ollmann

Worldwide 24h Emergency Service


Telephone: +49 40 55557877
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Premium
10.00 EUR
incl. 19% (1.60 EUR)
insurance tax

HRB: Hamburg 19768


VAT ID No.: DE175218900
Insurance tax No.: 9116/806/01005

Total Premium: 10.00 EUR


incl. 19% (1.60 EUR)
insurance tax

HanseMerkur Reiseversicherung AG
Siegfried-Wedells-Platz 1, D 20354 - Hamburg
Postal Address: 20354 Hamburg
Tel.: + 49 40 4119-1000, Fax: -3040,
www.hmrv.de

Management Board: Eberhard Sautter (Chairman)


Registered Address: Hamburg
Eric Bussert, Holger Ehses, Dr. Andreas Gent, Raik Mildner
Supervisory Board: Dr. Michael Ollmann

Worldwide 24h Emergency Service


Telephone: +49 40 55557877
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HRB: Hamburg 19768


VAT ID No.: DE175218900
Insurance tax No.: 9116/806/01005

The general terms and conditions of insurance to which the contract is subject were taken note of by you before the booking.
NOTE: In order to maintain your insurance cover, you must immediately notify us in writing by post, fax or email of any changes to
your travel information. Failure to do so may result in the loss of insurance cover.
According to your chosen payment method, we debit the premium due once only from your PayPal account. After receipt of the
insurance premium, immediate insurance cover exists.
Please note that incorrect and/or false disclosures at the time of concluding the insurance contract can result in loss of the
insurance cover, even if the insurance premium has been paid.
HanseMerkur Reiseversicherung wishes you a pleasant stay.
Yours sincerely, HanseMerkur Reiseversicherung AG

Holger Ehses

Dr. Andreas Gent

HanseMerkur Reiseversicherung AG
Siegfried-Wedells-Platz 1, D 20354 - Hamburg
Postal Address: 20354 Hamburg
Tel.: + 49 40 4119-1000, Fax: -3040,
www.hmrv.de

Management Board: Eberhard Sautter (Chairman)


Registered Address: Hamburg
Eric Bussert, Holger Ehses, Dr. Andreas Gent, Raik Mildner
Supervisory Board: Dr. Michael Ollmann

Worldwide 24h Emergency Service


Telephone: +49 40 55557877
Page 3 / 3

HRB: Hamburg 19768


VAT ID No.: DE175218900
Insurance tax No.: 9116/806/01005

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