Policy No.: P/700019092/00753/0 Previous Policy No.

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Proposer's Code: 3629867 Issuing Office Code: 03148119
Proposer's Name: YULDASHEV ELDOR Issuing Office Name: Online Business
Address: Address:
UZBEKISTAN 20 Gracechurch Street,
London,
United Kingdom,
EC3V 0BG

Phone No.: +998 90 033 36 06 Toll Free No.: 0800 111 4004
E-mail id: turgunbayeva2025@mail.ru E-mail id: info@axahealth.co.uk
Proposal date: 24.04.2024 Fulfiller Code: SO700002 Sector: Urban
Date of Inception of first policy: 26.04.2024
Renewal Year: NEW
Receipt No.: 1272007864
Receipt Date: 24.04.2024
Service Tax: 205GBP
PERIOD OF INSURANCE FROM: 26.04.2024 TO: 26.10.2024

SCHEME - DESCRIPTION: 1 ADULT

PLAN - DESCRIPTION: BASIC
LIMIT OF COVERAGE: 125,000 GBP

Name of the Insured Sex Date of Birth ID Card No.

YULDASHEV ELDOR MALE 05.09.2004 3629867