T R AV E L I N S U R A N C E

CERTIFICATE OF COVERAGE
No: EM-VBOQ-C-192393
Operation Date: 09 Feb 2021

Beneficiary Name Birth Date Passport No. Gender

NARESHGOUD GUMMADI
12/04/1998 P8326324 Male
LIMBAIAH GUMMADI

Coverage Details: Address Details:

Period of Coverage:
No of Days:
Destination:
Area of Coverage:
Medical Coverage:
09 Feb 2021 to 09 May 2021 Country of Residence: Worldwide
90 days Permanent Address: Unknown - b2b@princesstourism.com -
United Arab Emirates Telephone: +97143257744
United Arab of Emirates
50,000 USD

Premium
As per attached receipt voucher No. RV 195120
This policy is valid for both single & multiple entry trips.

Period of coverage will automatically be extended up to 10 days from the expiry date of your visa to provide cover during the 10-day grace period allowed by the
local authorities.
If your date of entry into UAE changes from the cover dates shown on your certificate of insurance, your cover dates will be automatically amended to start from
the date you entered the UAE (as stamped on your passport) and run for the same duration as the original policy period.
Should the need arise to extend your policy cover period as a result of extending your visa, please reach out to the agent/broker that issued your policy who will be
able to arrange an extension for an additional premium. Medical and Hospitalization Expenses up to 50,000 USD- Excluding COVID-19
Medical Evacuation/Repatriation up to 25,000 USD- Excluding COVID-19
COVID-19 Medical and Hospitalization Expenses up to 50,000 USD
Emergency Dental Care up to 200 USD

In case of death:
Repatriation of Mortal Remains up to 25,000 USD - Excluding COVID-19
COVID-19 Quarantine Expenses up to 5,000 USD

Deductibles per claim (applicable on both COVID-19 and Medical expenses benefits):

USD 100 if the beneficiary is under 70 years old

USD 250 if the beneficiary is between 71 and 75 years old
USD 500 if the beneficiary is between 76 and 85 years old

Kindly contact Eurocross Assistance within 48 hours from occurrence of an accident or a sudden illness on : 00961-4-548311.
By receiving this certificate, the beneficiary agrees on the terms, exclusions, and limitations of the General Conditions attached. Travel
Insurance Policies can be falsified, check the Authentication Key or QrCode on the following website: www.mideast-assistance.com to avoid
legal pursuit.
Certificate of Coverage authentication key: G2QQR-24444-7JB2J-Q0NWM-GIYKI-BKNOO
(if Key is blank, then certificate is not valid)
For and on Behalf of
Eurocross Insurance B.V.

With the compliments of DSC35

Tohme Bldg 955A, 3rd floor, near le Mall, MTV Nacchache Road, Dbayeh, Lebanon Tel: +961 4 548601
www.mideast-assistance.com e-mail: claims@mideast-assistance.com