Travel Insurance

1. Are you planning a trip abroad?

Yes No

2. Would you like to insure yourself alone or also your family?

Individual plan Family plan

Are there children in the household under 18 (if yes, how many)?

3. Which coverage is interesting for you? (Multiple choice possible)

International travel health insurance (incl. assistance services such as doctor referral, cost coverage and medical repatriation in case of emergency) Travel baggage (Protection in case of loss or damage to your luggage) Trip cancellation (Coverage of costs in case of cancellation before departure)

4. What is your full name?

5. Under which telephone/WhatsApp number can you be reached?

6. Under which email address can you be reached?

I agree that my information may be processed in accordance with the applicable data protection regulations.

Nour Al Eid