SME MaXX Travel Care

Traveling to :
Sum Insured : 
No. of days :
Price per day :  Rs.
36/- including tax 
Personal Information
Address Information

Is the above address same for permanent address.

Do you have any Pre-existing diseases?

Nominee Details
Occupation Class Info

Occupation Class 1: Employees without exposure to manual work outside Office (Admin/Finance and Accounting/Sales & Marketing/BPO/IT/Actuaries/Audit/Operations/HR/R & D)

Occupation Class 2: Professionals without exposure to manual work outside Office (Academicians/Healthcare/Legal/ Consultants/Architects/Engineers/Real-Estate)

Occupation Class 3: Technicians / Mechanics (Except Heavy machinery Operators/Electrician/Nuclear and chemical Lab Technician)

Occupation Class 4: Business owners (Excluding Chemical, Arms and Ammunitions, Explosives, Fireworks)

Occupation Class 5: None of the above, needs to be filled by customer, If filled case to be assigned to UW