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

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

Phone No.: Toll Free No.: 0800 111 4004

E-mail id: E-mail id: info@axahealth.co.uk
Proposal date: 25.04.2024 Fulfiller Code: SO700002 Sector: Urban
Date of Inception of first policy: 25.04.2024
Renewal Year: NEW
Receipt No.: 1272007864
Receipt Date: 25.04.2024
Service Tax:
PERIOD OF INSURANCE FROM: 25.04.2024 TO: 25.04.2025

SCHEME - DESCRIPTION: 1 ADULT

PLAN - DESCRIPTION: STANDARD
LIMIT OF COVERAGE: 295,000 GBP

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

IBODULLAEV IZZATJON MALE 21.09.2004 3629867