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    Insurance 2019NSTCA16157 PDF

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    Budi Oloan Sihombing
    This document is a certificate of travel insurance for Raja Inal Siregar for domestic travel from July 21, 2019 to July 21, 2019. The certificate lists Raja's personal details and insurance benefits including up to IDR 250,000,000 for personal accident, medical expenses, trip cancellation by passenger, flight delay, missed travel connection, baggage delay, child care, hijacking, golf equipment cover, and terrorism. Contact information is provided for emergency assistance while traveling and for policy questions.

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    Insurance 2019NSTCA16157 PDF

    Uploaded by

    Budi Oloan Sihombing
    30 views2 pages
    This document is a certificate of travel insurance for Raja Inal Siregar for domestic travel from July 21, 2019 to July 21, 2019. The certificate lists Raja's personal details and insurance benefits including up to IDR 250,000,000 for personal accident, medical expenses, trip cancellation by passenger, flight delay, missed travel connection, baggage delay, child care, hijacking, golf equipment cover, and terrorism. Contact information is provided for emergency assistance while traveling and for policy questions.

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    Insurance-2019NSTCA16157.pdf

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    This document is a certificate of travel insurance for Raja Inal Siregar for domestic travel from July 21, 2019 to July 21, 2019. The certificate lists Raja's personal details and insurance benefits including up to IDR 250,000,000 for personal accident, medical expenses, trip cancellation by passenger, flight delay, missed travel connection, baggage delay, child care, hijacking, golf equipment cover, and terrorism. Contact information is provided for emergency assistance while traveling and for policy questions.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Flag for inappropriate content
    Download as pdf or txt
    30 views2 pages

    Insurance 2019NSTCA16157 PDF

    Uploaded by

    Budi Oloan Sihombing
    This document is a certificate of travel insurance for Raja Inal Siregar for domestic travel from July 21, 2019 to July 21, 2019. The certificate lists Raja's personal details and insurance benefits including up to IDR 250,000,000 for personal accident, medical expenses, trip cancellation by passenger, flight delay, missed travel connection, baggage delay, child care, hijacking, golf equipment cover, and terrorism. Contact information is provided for emergency assistance while traveling and for policy questions.

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    © All Rights Reserved
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    of 2

    CERTIFICATE OF TRAVEL INSURANCE

    Policy Details

    Policyholder name: Raja Inal Siregar


    Policy number: 2019NSTCA16157
    Product Name: Domestic
    Booking Reference: 20NR6A
    Period of Insurance: From 21 Jul 2019 to 21 Jul 2019

    Traveler Details

    Insured Name Date of Birth

    Raja Inal Siregar 1992-10-21

    Benefit Summary

    Benefit description Sum Insured / Limit

    Personal Accident Up to IDR 250,0000,000 / up to USD 19,230

    Medical Expenses -

    Trip cancellation by passenger Up to IDR 3,000,000 / up to USD 230

    Flight delay Up to IDR 2,500,000 / up to USD 192

    Missed travel connection Up to IDR 2,500,000 / up to USD 192

    Baggage delay Up to IDR 750,000 / up to USD 57

    Child care and compassionate benefit Up to IDR 500,000 / up to USD 38

    Hijacking

    Golfing equipment cover Up to IDR 500,000 / up to USD 38

    Terrorism
    WHAT YOU SHOULD DO
    Keep this Insurance Certificate as record of your travel insurance cover
    This Insurance Certificate should be read in conjuction with the applicable Terms and Conditions
    for Flight Product purchased terms and conditions of full list of benefits and any exclusions click
    here
    for Hotel Product purchased and conditions of full list of benefits and any exclusions click here

    IMPORTANT NOTE
    In case of emergency while travelling, please contact us at our 24-hour emergency hotline number :
    Indonesia : 0078036510063
    France : 0800911337
    Singapore : 18003222009
    Hong Kong : 800961721
    Australia : 1800870691
    USA : 18448916855
    Other countries : 60376283985 (non-toll free)

    If you need assistance with changing your trip, please contact Nusatrip at 021 5060 8747
    If the payment of premium shall be made in Rupiah currency, the compensation hereunder is carried
    out in Rupiah currency and also applicable for US Dollar currency.

    If you have any questions on your policy, please contact us at 1500 733 from 07.00 am to 07.00pm Monday
    to Friday or email us at customer@axa-insurance.co.id

    Yours sincerely,

    PT. Asuransi AXA Indonesia

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