TRAVEL INSURANCE CERTIFICATE

REFERENCE: EGY-24- ISSUING 25/03/2024 PLAN : Inbound UAE Reduced AGENT Malda Online
0165308

DESTINATION FROM TO COUNTRY OF RESIDENCE+8801712292769

EGYPT 31/03/2024 02/04/2024
Bangladesh

FULL NAME DATE OF BIRTH PASSPORT NUMBER

MD ATIQUR RAHMAN KHAN 07/10/1979 B00227531

Contrary to any stipulations stated in the General Conditions, the Plan subscribed to, under this Letter of Confirmation, covers exclusively the below mentioned Benefits,
Limitations & Excesses shown in the table hereafter.
The General Conditions form an integral part of this Letter of Confirmation.
For more info/modification regarding your policy, kindly do not hesitate to contact your authorized agent or e-mail us on info@siassistance.com

BENEFITS SUM INSURED EXCESS

Emergency Medical expenses (including covid)* $ 5,000 $ 100

Above sums insured are per person & per period of cover

Important Notes:
- This coverage is underwriten by CML
- Upon calling the Alarm Center and claim being processed on direct billing procedure, no deductible shall apply for Insured up to 70 years old
In all cases,deductible shall apply for Insured above 70 years old.
Deductible shall be maintained for all Insured bracket of ages if claims are accepted and processed on reimbursement basis.
(Please refer to Art. C-1 of the General Conditions for all deductibles details)
In case claim is accepted on reimbursement, please refer to the General Conditions.
- The insurance premium as stated in this certificate of coverage must be paid exclusively in US Dollars, as it is due for the risk carrier.

Confirmation Code FOR SWAN INTERNATIONAL ASSISTANCE BROKERAGE

S.A.L

For official use, scan the above code to validate this confirmation letter.

PLEASE KEEP THIS LETTER OF CONFIRMATION In case of emergency or request of assistance,call us on:
WITH YOU AT ALL TIMES. +33 9 70 73 22 47 or +961 9 211 662 or
Claims must be reported within 48 hours from occurrence of the event and all
1-514-448-4417 or send an email to:
related original documents must be submitted to the Company by the request@swanassistance.com
beneficiary within four (4) months maximum. You will be asked to provide the reference of this letter and/or show this
document. This purchase is non-refundable. Please refer to your receipt. Page 1/1