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    Bajaj Allianz Pet Insurance Policy

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    Pet Details

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    Pet 1 Data

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    First 90 days waiting period

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    Submit Medical Tests: Medical test reports of the dog conducted in the last 7 days - Bio-chemistry test, Circulatory blood count, urine test and chest X-Ray

    First 90 Days waiting Period: No cover for the initial 90 days of the policy period from the date of inception of the policy for any of the illnesses listed in Annexure-I in policy wording

    Please tick "Vaccinated" if anti rabies and 7 in one vaccination have been provided.7 in one vaccination includes (distemper, hepatitis, adeno virus, leptospirosis, para-influenza, corona and parvovirus)

    Please note that Vaccination Certificates will have to be produced at time of any claim being made on the policy

    Pet Dog Insurance

    Thank you for filling the proposal from/submitting your details Kindly note your Reference no:2XYZZ for future correspondence. On the basis of the information provided by you, our executive shall contact you soon on the mobile no. provided by you. You can also call us at 1800-209-0144 or mail us at websales@bajajallianz.co.in for any queries.

    Thank you for filling the proposal from/submitting your details .Kindly note your Reference no: for future correspondence. On the basis of the information provided by you, the case is to be discussed with our Relationship Manager - Mr Ravish Jain. Kindly drop an email to prawal.shrivastava@bajajallianz.co.in or call him on 7573017225

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    Quote reference ID : 21454598

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    Pet 1 Details


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    Pet 2 Details


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    Pet 3 Details


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    Thank you for providing us with the details. Here is your quote

    Coverages

    These are illustrative packages and for more coverage options in the product call us on 1800-209-0144

    Coverages

    These are illustrative packages and for more coverage options in the product call us on 1800-209-0144

    Coverages

    These are illustrative packages and for more coverage options in the product call us on 1800-209-0144

    Coverages

    These are illustrative packages and for more coverage options in the product call us on 1800-209-0144

    Coverages

    These are illustrative packages and for more coverage options in the product call us on 1800-209-0144

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    Surgery Expenses: This cover allows you to claim the surgery expenses for treatment of dog, carried out by a qualified vet, up to a maximum of INR 50000. It also gives your pet cover for pre and post surgery expenses, so your pet can recover comfortably. Additionally, you also get protected against the treatment of a fractured limbs of the pet dog, subject to a maximum limit of INR 5000.

    Hospitalization Expenses: If your pet has to be hospitalized, this is the cover that will safeguard you financially for the expenses that will be incurred, subject to maximum of INR. 2500 per day of hospitalization of Insured dog for a maximum of 4 days.

    Third party cover: Where there are pets there are bound to be accidents. If your pet happens to be the cause of a mishap that results into an injury, death, disease or property damage of someone else, this cover will have your back for the legal liability, if you opt for it. Further, we will also protect you against the legal costs of defending a claim. You can opt for a Sum Insured of either INR 5 lakhs or INR 10 lakhs under this cover.

    Surgery Expenses: This cover allows you to claim the surgery expenses for treatment of dog, carried out by a qualified vet, up to a maximum of INR 50000. It also gives your pet cover for pre and post surgery expenses, so your pet can recover comfortably. Additionally, you also get protected against the treatment of a fractured limbs of the pet dog, subject to a maximum limit of INR 5000.

    Hospitalization Expenses: If your pet has to be hospitalized, this is the cover that will safeguard you financially for the expenses that will be incurred, subject to maximum of INR. 2500 per day of hospitalization of Insured dog for a maximum of 4 days.

    OPD pet cover: If your pet gets injured due to an accident, or contracts the diseases mentioned below, our optional OPD pet cover will be of great use. The diseases that are covered include:

    • Meningitis
    • Hepatitis/Liver Dysfunction
    • Pneumonia
    • Peritonitis
    • Inflamation of Prostate Glands
    • Pyometra
    • Vestibular Disorder
    • Eye Related Problems except for Glaucoma
    • Parvo virus

    This covers protects you up to an expense of INR 30,000. However, a deductible of 10% of the Claim amount, subject to a minimum of INR 1000, is applicable on every claim.

    Terminal diseases cover : Terminal Diseases cover provides you a lump sum compensation of INR 30,000, if your favourite pal is diagnosed with any of following critical illnesses

    • Cancer
    • Kidney failure
    • Coagulation disorders
    • Cardiac dysfunctions
    • Distemper
    • Leptospirosis

    Third party cover: Where there are pets there are bound to be accidents. If your pet happens to be the cause of a mishap that results into an injury, death, disease or property damage of someone else, this cover will have your back for the legal liability, if you opt for it. Further, we will also protect you against the legal costs of defending a claim. You can opt for a Sum Insured of either INR 5 lakhs or INR 10 lakhs under this cover.

    Long term care cover: Long term care cover provides you a lump sum compensation of INR 25,000, if your furry friend is diagnosed with any of following illnesses, which requires long term care:

    • Epilepsy
    • Pancreatitis
    • Cushing’s Syndrome
    • Diabetes
    • Thyroid Dysfunction
    • Ascites
    • Glaucoma
    • Inflammatory Bowel Disease

    Coverage

    Surgery Expenses & Accidental Fracture Expenses:This cover allows you to claim the surgery expenses for treatment of dog, carried out by a qualified vet, up to a maximum of INR 50000. It also gives your pet cover for pre and post surgery expenses, so your pet can recover comfortably. Additionally, you also get protected against the treatment of a fractured limbs of the pet dog, subject to a maximum limit of INR 5000.

    Hospitalization Expenses:If your pet has to be hospitalized, this is the cover that will safeguard you financially for the expenses that will be incurred, subject to maximum of INR. 2500 per day of hospitalization of Insured dog for a maximum of 4 days.

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    Please note Color photos of Pet in standing position (Left, Right and Front) with newspaper of application date in same frame or photos to be with digital date mentioned as on application date (To be provided only if Pet is not Microchipped)

    List of Pet Dog Insurance Documents:

    • Color photos of dog in standing position (Left, Right and Front) with newspaper of application date in same frame or photos to be with digital date mentioned as on application date (To be provided only if dog is not Microchipped)

    The diseases are .... Read More

    Please select an option

    Please upload document

    Please note Color photos of Pet in standing position (Left, Right and Front) with newspaper of application date in same frame or photos to be with digital date mentioned as on application date (To be provided only if Pet is not Microchipped)

    List of Pet Dog Insurance Documents:

    • Color photos of dog in standing position (Left, Right and Front) with newspaper of application date in same frame or photos to be with digital date mentioned as on application date (To be provided only if dog is not Microchipped)

    The diseases are .... Read More

    Please select an option

    Please upload document

    Please note Color photos of Pet in standing position (Left, Right and Front) with newspaper of application date in same frame or photos to be with digital date mentioned as on application date (To be provided only if Pet is not Microchipped)

    List of Pet Dog Insurance Documents:

    • Color photos of dog in standing position (Left, Right and Front) with newspaper of application date in same frame or photos to be with digital date mentioned as on application date (To be provided only if dog is not Microchipped)

    The diseases are .... Read More

    Please select an option

    Please upload document

    Please note Color photos of Pet in standing position (Left, Right and Front) with newspaper of application date in same frame or photos to be with digital date mentioned as on application date (To be provided only if Pet is not Microchipped)

    List of Pet Dog Insurance Documents:

    • Color photos of dog in standing position (Left, Right and Front) with newspaper of application date in same frame or photos to be with digital date mentioned as on application date (To be provided only if dog is not Microchipped)

    The diseases are .... Read More

    Please select an option

    Please upload document

    Please note Color photos of Pet in standing position (Left, Right and Front) with newspaper of application date in same frame or photos to be with digital date mentioned as on application date (To be provided only if Pet is not Microchipped)

    List of Pet Dog Insurance Documents:

    • Color photos of dog in standing position (Left, Right and Front) with newspaper of application date in same frame or photos to be with digital date mentioned as on application date (To be provided only if dog is not Microchipped)

    To support our Go Green initiative, we will send the policy copy on your email. This is a digitally signed valid document. The hard copy of the policy would be sent on request only. Please confirm if you still want to receive the physical hard copy of your insurance policy.

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    Quote reference ID : 21454598

    Personal Details

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    Pet register information

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    Premium Break up

    Pet Dog Insurance Premium
    30,000
    Total Goods & Services Tax (GST) 18%
    8,000
    Total Premium Amount
    38,500

    Thank you for filling the proposal from/submitting your details Kindly note your Reference no:2XYZZ for future correspondence. On the basis of the information provided by you, our executive shall contact you soon on the mobile no. provided by you. You can also call us at 1800-209-0144 or mail us at websales@bajajallianz.co.in for any queries.

    Thank you for filling the proposal from/submitting your details .Kindly note your Reference no: for future correspondence. On the basis of the information provided by you, the case is to be discussed with our Relationship Manager - Mr Prawal Shrivastava. Kindly drop an email to prawal.shrivastava@bajajallianz.co.in or call him on 7259035401

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    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.

    6. I authorize Bajaj Allianz to share my details to GoQii for service fulfilment.

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    Congratulations!

    Thank you for submitting the policy details.
    For future correspondence, kindly use the Quote Reference ID: ATU22731047.

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    It is taking us slightly longer than expected to issue your policy. Don’t worry, we will share a copy of your policy via email and SMS within 48 hours.

    Thank you for submitting your details.

    Thanks for taking the time in providing us with the details. Our executive will get in touch with you shortly and assist you in making the payment. For future correspondence, kindly use the Quote Reference ID: ATU22731047. You can also call on our toll-free number 1800-209-0144 or mail us at websales@bajajallianz.co.in in case of any queries.

    You've taken the right step towards your pet's health and care.

    Here is your Pet policy details

    Brand Name

    Your Policy No. is :

    OG-18-9906-1801-001234

    Start date :

    29 May 2018

    End date :

    29 May 2018
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