Policy No.: P/700019093/00754/1 Previous Policy No.

: -
Proposer's Code: 3629868 Issuing Office Code: 03148119
Proposer's Name: KHAKIMOV BOTIR Issuing Office Name: Online Business
Address: Address:
UZBEKISTAN 20 Gracechurch Street,
London,
United Kingdom,
EC3V 0BG

Phone No.: +7 902 534‑44‑86 Toll Free No.: 0800 111 4004
E-mail id: botirbekxakim@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: 11.06.2024
Renewal Year: NEW
Receipt No.: 1272008025
Receipt Date: 28.05.2024
Service Tax: 390GBP
PERIOD OF INSURANCE FROM: 11.06.2024 TO: 11.12.2024

SCHEME - DESCRIPTION: 1 ADULT

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

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

KHAKIMOV BOTIR MALE 18.09.1992 3629868