THE NEW INDIA ASSURANCE COMPANY LIMITED
Registered & Head Office- 87, M.G. Road, Fort, Mumbai-400001

PASSENGER FLIGHT INSURANCE
The New India Assurance Co. Ltd., (hereinafter called the
Company) having received the premium mentioned in the Schedule
hereto hereby undertakes SUBJECT TO THE CONDITIONS ENDORSED
HEREON to pay to the Insured named in the Schedule hereto or to
his legal personal representative the sums mentioned herein,
namely :-
If the Insured whilst in or entering into or descending from any
aircraft owned and/or operated by a regular airline over a
scheduled route by which the Insured is travelling as a passenger
during the flight specified in the Schedule hereto sustains any
bodily injury caused by violent accidental external and visible
means and not directly or indirectly occasioned or contributed to
by War, Invasion, Act of Foreign enemy, Hostilities (Whether war
be declared or not) Civil War, Mutiny, Rebellion, Revolution,
Insurrection, Military or Usurped Power then :
Clause (1) Should such injury, within The Capital
twelve calendar months from Sum Insured
the occurence thereof, solely
and directly :
(a) Cause the death of the Insured, or
(b) Cause or necessarily result in the loss
by physical separation of the whole of
(i) both hands or feet
(ii) one hand and one foot, or
(iii) one hand or foot and the complete
and irrecoverable loss of sight
in one eye or
(c) cause or necessarily result in the complete
and irrecoverable loss of sight in both eyes.
Clause (2) Should such injury, within twelve 50% of the
calendar months from the occurrence Capital
thereof,solely and directly cause Sum
or necessarily result in : Insured
(a) the loss by physical separation
of the whole of one hand or one
foot or
(b) the complete and irrecoverable
loss of sight in one eye.
Clause (3) Should such injury, solely directly 1%of the capital
and totally disable and prevent the sum insured per
Insured from attending to his business week Max. weekly
or occupation for the period of such benefit not to
total disablement with a maximum of 100 Exceed Rs.3000/-
. weeks from the date of the accident at
the rate of:
CONDITIONS
1) Either of the Capital sums mentioned in Clauses (1) and (2)
shall be payable only on delivery of this coupon cancelled
and discharged and the Insured shall not be entitled to
claim under more than one of the Clauses (1), (2), or (3) in
respect of same injury. No weekly compensation shall become
payable until the total amount shall have been ascertained
and agreed.
2) No compensation under this Insurance shall be payable in
respect of death or disablement.
(a) If the insured is under the influence of intoxicants
or suffering from lunacy or insanity.
(b) If due to disobedience to the instructions of the air
craft crew aircraft owners or operators or the agents
or servants.
3) Written Notice of any accident shall be given to the Company
as soon as possible but in any event within one calendar
month of the injury in respect of which the claim is to be
made.
4) If any dispute or difference shall arise as to the quantum to be
paid under the Policy (liability being otherwise admitted) such
difference shall independently of all other questions be referred
to the decision of a sole arbitrator to be appointed in writing by
the parties to or if they cannot agree upon a single arbitrator
within 30 days of any party invoking arbitration the same shall be
referred to a panel of three arbitrators, comprising of two
arbitrators, one to be appointed by each of the parties to the
dispute/difference and the third arbitrator to be appointed by such
two arbitrators and arbitration shall be conducted under and in
accordance with the provisions of the Arbitration and Concilliation
Act, 1996.
It is clearly agreed and understood that no difference or dispute
shall be referable to arbitraion as hereinbefore provided if the
Company has disputed or not accepted liability under or in respect
of this Policy.
"It is hereby expressly stipulated and declared that it shall be a
condition precedent to any right of action or suit upon this Policy
that award by such arbitrators or umpire of the amount of the loss
or damage shall be first obtained."
It is also hereby further expressly agreed and declared that if
the Company shall disclaim liability to the Insured for any claim
hereunder and such claim shall not, within twelve calendar months from
the date of such disclaimer have been made the subject matter of a suit
in a Court of Law, then the claim shall for all purposes be deemed to
have been abandoned and shall not thereafter be recoverable hereunder.
5) The due observance and the fulfillment of these conditions so
far as the nature of them respectively will permit and which
conditions are to be read as part of this Insurance, shall
be a condition precedent to any liability of the Company
under this Insurance.
6) Accidental death of the Insured shall not be presumed by
reason of his disappearance.
SCHEDULE
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Name of Insured Age :
Address :
Name of the Assignee: Age
Relationship
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Flight - From To :
Air Transport Company
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Date of Flight : Capital Sum Premium : Date
Insured : of Issue :
/ /20 Rs. Rs. / /20
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Signature of Insured For The New India Assurance Co.Ltd.
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Duly constituted Attorney(s)
NOTE : Issuing Agents are strictly prohibited from making alterations
or corrections in respect of sum insured and premium.
This Policy shall not be valid until the original and 2 copies
have been signed in ink or indelible pencil by the Insured and
authorised official or Agent of the Company.
THIS INSURANCE IS NOT VALID FOR MORE THAN one journey IN RESPECT OF
ANY ONE INSURED
ASSIGNMENT
I _______________________________________do hereby assign the
moneys
payable by The New India Assurance Co.Ltd., in the event of my death to
MR/MS. (name)
my, (relation to the insured) and I further declare
that in the event of death of the Assignee named herein all benefits
shall become payable to the children named in the policy and I further
declare that his/her/their receipt shall be sufficient discharge to the
Company.
Dated this ______________ day of ____________20 at ______________.
Witness :
Name & Address:
________________________
Signature of the Insured
N.B. Insurance is the subject matter of solicitation.