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Insurance Region

Region

Pax

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Trip End Date

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Langtang Valley Shield (10 Days)

Package Code:

LVS/5000

Elevation:

up to 5000m

Age Limit:

15 to 65 years

Duration:

Up to 10 days

Age: 15-50

$105

Age: 51-65

$135

Select Insurance

Hospitalization expenses for illness & injury

Up to US $50,000
Hospital benefits/allowances

Up to $30 per day (max 4 days)
Emergency evacuation to the nearest hospital (including AMS coverage)

Up to US $5,000
Repatriation of remains in case of death

Up to US $4,000
Death & dismemberment

Up to US $10,000
Loss, damage, or theft

Up to US $500
Single item limit

Up to US $250
Valuable items in total

Up to US $250
Baggage delay (post delay of 24 hours)

Up to US $200
Loss of passport/driving license (temporary replacement cost)

Up to US $500
Cancellation of trip due to death of immediate family member

Up to US $1,000
Policy Excess (Non Indian)

Policy Excess of $300 applicable for Medical Emergency and Medical Evacuation/Repatriation on Adventure Care Policy Benefits.
Policy Access (Indian)

Policy Excess of $100 applicable for Medical Emergency and Medical Evacuation/Repatriation on Adventure Care Policy Benefits.

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Personal Information

Surname*

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Phone no*

Email Address*

Permanent Address*

Emergency contact no*

DOB*

Travelling Details

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Travelling To*

Identification

Nationality*

Passport no.*

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Start Date:

End Date:

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