Summary of Application Details for:
Application ID №: GPS0
Telephone:
Email:
Date of Birth: 01 Jan 1970
Occupation:
Passport Country of Issue:
Passport №:
Home Address:
,
Departure Date: 01 Jan 1970
Return Date: 01 Jan 1970
Date of Procedure: 01 Jan 1970
Procedure:
Rating Class:
Maximum Sum Limit: $0.00
Insurance and Services Cost: $ 0.00
Crisis24 Horizon Mobile app for travel security: $0.00 for 0 total travellers for 0 days.
TOTAL: $0.00
Medical Facility:
,
Beneficiary Information:
Number of Beneficiaries: 0
Medical Fit to Travel - Certification:
No
Fraudulent Statement Acknowledgement:
No
Pre-existing conditions are not covered accidents:
No
Covid Coverage: $25,000.00 - Included for enrolled insured and companion(s):
No
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