Policy No.: P/700019095/00756/1 Previous Policy No.

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

Phone No.: +996 708 569 924 Toll Free No.: 0800 111 4004
E-mail id: Manzurairisbaeva99@gmail.com E-mail id: info@axahealth.co.uk
Proposal date: 29.05.2024 Fulfiller Code: SO700002 Sector: Urban
Date of Inception of first policy: 17.06.2024
Renewal Year: NEW
Receipt No.: 1272008603
Receipt Date: 29.05.2024
Service Tax: 250 USD
PERIOD OF INSURANCE FROM: 17.06.2024 TO: 17.12.2024

SCHEME - DESCRIPTION: 1 ADULT

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

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

KAMCHYBEKOVA RAATKAN FEMALE 05.04.1981 3629870