Policy No.: P/700024693/01597/0 Previous Policy No.

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Proposer's Code: 3629870 Issuing Office Code: 03148119
Proposer's Name: CHOTKARAEVA GULIRA Issuing Office Name: Online Business
Address: Address:
KYRGYZ REPUBLIC 20 Gracechurch Street,
London,
United Kingdom,
EC3V 0BG

Phone No.: +996 771 515 161 Toll Free No.: 0800 111 4004
E-mail id: Gulirachotkaraeva89@gmail.com E-mail id: info@axahealth.co.uk
Proposal date: 28.05.2024 Fulfiller Code: SO700002 Sector: Urban
Date of Inception of first policy: 10.06.2024
Renewal Year: NEW
Receipt No.: 1272010059
Receipt Date: 28.05.2024
Service Tax: 880GBP
PERIOD OF INSURANCE FROM: 10.06.2024 TO: 10.12.2024

SCHEME - DESCRIPTION: 1 ADULT

PLAN - DESCRIPTION: PRIME
LIMIT OF COVERAGE: 575,000 GBP

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

CHOTKARAEVA GULIRA FEMALE 21.10.1989 3629870