Travel

This policy provides financial protection for you and your family during traveling abroad either you are traveling on leisure or business from unexpected events that impact your trips such as medical emergencies, luggage losses, travel delays and trip cancellations.

Terms & Conditions \ Wording:

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Your Resident Country *

Your Resident Currency *

Individual Information

Title*

First Name

Last Name

Email *

Mobile *

Address *

Passport *

Passport No *

Date of birth:

Travel Destination:

Travel Duration:

Remarks

I hereby acknowledge and confirm that all the submitted data above are correct and I did not hide any information related to the risk to be insured. And I authorize Brokerage Insurance Brokerage in executing this insurance request with the concerned insurance company and facilitate the policy issuance, renewals and claims follow-up and communicate specific information about me and my account to third parties if needed, in accordance with the privacy policy. I also accept that this insurance application and approval be the basis of the contract and an integral part of the insurance policy.