Professional Documents
Culture Documents
Allianz Global Assistance Oshc Claim Summary
Allianz Global Assistance Oshc Claim Summary
Allianz Global Assistance Oshc Claim Summary
Incident Number 16467302
Your Policy Number: 100027818SUT
Policy Holder:
Name: MR TIEN TRAN DUY
Gender: Male
Date of Birth: 26Oct1989
Email: duytien.tran89@gmail.com
Claim Details:
Have you ever suffered from this or a related condition before? No
Are these expenses related to an injury that occurred at work or as a result of Neither
a motor vehicle accident?
Are the expenses claimed for a medical assessment, xray or blood test No
required for the renewal of your student visa?
Doctors, Xray or Pathology
APPROXIMATE AMOUNT CLAIMED: $180.00
Payment Details
Direct Credit
Bank Name: Not Supplied
Bank Account Name: Tien duy tram
Bank Account Number: 759645
BSB Number: 733047