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  • Certificate of Insurance: Insured Details

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    marcell riardy
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    This certificate of insurance provides coverage for three individuals - Djasa Ginting, Namsi Sitepu, and Laris Ginting - for a one day domestic flight on October 10, 2014. The certificate outlines the insured's names and dates of birth, the flight and trip details, premium amount of IDR 58,500, and benefit schedule including flight accident coverage up to Rp450,000,000, trip cancellation up to the full flight cost, personal baggage up to Rp3,500,000, and flight delay and travel postponement benefits. The certificate is subject to the full policy terms at www.citilink.co.id/insurance and is underwritten by PT AIG

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    PB730557.pdf

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    This certificate of insurance provides coverage for three individuals - Djasa Ginting, Namsi Sitepu, and Laris Ginting - for a one day domestic flight on October 10, 2014. The certificate outlines the insured's names and dates of birth, the flight and trip details, premium amount of IDR 58,500, and benefit schedule including flight accident coverage up to Rp450,000,000, trip cancellation up to the full flight cost, personal baggage up to Rp3,500,000, and flight delay and travel postponement benefits. The certificate is subject to the full policy terms at www.citilink.co.id/insurance and is underwritten by PT AIG

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    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
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    8 views1 page

    Certificate of Insurance: Insured Details

    Uploaded by

    marcell riardy
    This certificate of insurance provides coverage for three individuals - Djasa Ginting, Namsi Sitepu, and Laris Ginting - for a one day domestic flight on October 10, 2014. The certificate outlines the insured's names and dates of birth, the flight and trip details, premium amount of IDR 58,500, and benefit schedule including flight accident coverage up to Rp450,000,000, trip cancellation up to the full flight cost, personal baggage up to Rp3,500,000, and flight delay and travel postponement benefits. The certificate is subject to the full policy terms at www.citilink.co.id/insurance and is underwritten by PT AIG

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Flag for inappropriate content
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    of 1

    CERTIFICATE OF INSURANCE

    Certificate Number
    Issuance Date
    Effective Date
    Expiry Date

    : PB730557
    : 09 October 2014
    : 10 October 2014
    : 10 October 2014

    Plan
    Route
    Length of Trip
    Premium

    : Flight Only
    : Domestic
    : 1 Day
    : IDR 58,500.00

    INSURED DETAILS
    Name
    Djasa Ginting
    Namsi Sitepu
    Laris Ginting

    Date of Birth
    01 January 1994
    01 January 1994
    01 January 1994

    Address:

    BENEFIT SCHEDULE
    Benefit
    Flight Accident
    Trip Cancellation
    Personal Baggage
    Flight Delay
    Travel Postponement

    Sum Insured
    Rp450,000,000
    Up to the total original flight cost
    Rp3,500,000
    Rp450,000 per 6-hour delay period, up to Rp6,750,000
    Rp1,000,000

    To view or download the full Policy Wordings, please visit us online at www.citilink.co.id/insurance

    This Certificate of Insurance issued by PT AIG Insurance Indonesia is forming part of Citilink Shield and subject to
    terms, conditions and provisions of the Policy.
    Citilink Shield is underwritten by PT AIG Insurance Indonesia.

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