





Travel Details
Country Of Origin:
Indonesia
Country(ies) To Be Visited:
Indonesia
Period Of Insurance:
09/28/2024 - 09/28/2024
Number Of Days:
1 Day(s)
Premium Type:
Single - Individual
Broker:
-
Declaration:
I hereby apply for a Bon Voyage Travel Insurance Policy to be based on the above statements, and warrant that to the best of my knowledge and belief that no Insured Person is travelling contrary to the advice of a medical practitioner or for the purpose of obtaining medical treatment and that I understand treatment of any pre-existing, existing, recurne or congental medical conditions is not insured. I further warrant that I am not aware of any condition, cause or circumstances that may necessitate the cancellation or curtailment of the joumey as planned. I further authorize the Company to provide my personal data including but not limited to health and details of the claims incurred to reinsurance companies with whom the Company has or proposes to have dealings or to any agent, contractor or third party service provider who provides services to the Company in connection with the operation of its business.
Insurance Plan : Premium
Country Of Origin:
Indonesia
Country(ies) To Be Visited:
Indonesia
Period Of Insurance:
10-10-2020 - 11-11-2020
Number of Days:
- days
Premium Type:
- days
Broker:
-
TRAVEL DETAILS
POLICYHOLDER INFORMATION
INSURED INFORMATION
More than just insurance, Pacific Cross provides peace of mind.
Pacific Cross Insurance Team
customerservice@pacificcross.com https://www.pacificcross.comIf you encounter any issues with the transaction, please contact the admin.