Generali Osiguranje Srbija a.d.o.

Vladimira Popovića 8
11070 Beograd / Srbija
T +381.11.222.0.555 POTVRDA PUTNOG OSIGURANJA /
F +381.11.711.43.81
kontakt@generali.rs TRAVEL INSURANCE CERTIFICATE
generali.rs

preuzmi aplikaciju:

Potvrda va`i isklju~ivo ukoliko je premija pla}ena u celosti, pre po~etka osiguravaju}eg pokri}a /
Certificate is valid only if the insurance premium is paid in full prior to the insurance start date.

POTVRDA BR/CERTIFICATE: 2689022 POKRI]E/COVERAGE: Standard

SUMA OSIGURANJA/SUM INSURED: 30.000 EUR

Ugovara~ osiguranja/Policyholder: Osiguranik/Insured:

Ime i prezime/Full name: Ime i prezime/Full name: Irina Todorovic
Irina Todorovic Adresa/Address: Ugrinovacki put 22 deo27/5a Beograd
Adresa/Address: JMBG/ID number: 3010988715111
Ugrinovacki put 22 deo E-po{ta/e-mail: maricic.irina@gmail.com
Mobilni telefon/Mobile: 0605314625
Dr`avljanstvo/Citizenship: R.SRBIJA

Ostali osiguranici/Other insured: Ostali osiguranici/Other insured:

Ime i prezime/Full name: Teodora Todorovic
Datum ro|enja/Date of birth: 11.01.2016 12:00:00AM
JMBG/ID number: 1101016715012

Svrha putovanja/Purpose of traveling Teritorija/Territory

Turisti~ki Ceo svet bez SAD-a, Kanade, Australije, Novog Zelanda i Japana
Premija/Premium 858.00 Trajanje osiguravaju}eg pokri}a/Coverage duration
Doplatak/Surcharge (___%) 0.00 Od/From 23.07.2018 12:00:00AM Do/To 27.07.2018 12:00:00AM
Popust/Discount (15%) Meseci/Months: Dana/Days: 5
Porez/Tax (5%) 43.00
Ukupno za naplatu / U~e{}e osiguranika u {teti (fran{iza ) /
901.00
Premium to be collected Participation of the insured (franchise) is 0 %
 Generali Osiguranje Srbija a.d.o.
Vladimira Popovića 8
11070 Beograd / Srbija
T +381.11.222.0.555 POTVRDA PUTNOG OSIGURANJA /
F +381.11.711.43.81
kontakt@generali.rs TRAVEL INSURANCE CERTIFICATE
generali.rs

Napomena: Putnik Irina je trudnica AKCIJA: 15% Porodicno WebShop

Napomene: Rizik rekreativnog bavljenja skija{kim sportom je pokriven ako je za njega obra~unat i pla}en doplatak/uve}ana
premija za ovaj rizik. Suma osiguranja za ovaj rizik iznosi 5000 EUR.
Ova potvrda se izdaje kao dokaz o zaklju~enom putnom osiguranju i va`i bez potpisa i pe~ata osigurava~a. Osigurava~
zadr`ava pravo ispravke ra~unskih i drugih gre{aka.
Putno osiguranje zaklju~eno je u skladu sa Zakonom o obligacionim odnosima i Uslovima za osiguranje putnika u inostranstvu,
koji su osiguraniku/ugovara~u osiguranja uru~eni, sa kojima je osiguranik/ugovara~ osiguranja upoznat i koji ~ine sastavni deo
ugovora o osiguranju.
Zaklju~enjem ugovora o putnom osiguranju ugovara~ osiguranja/osiguranik osloba|a profesionalne obaveze ~uvanja tajne lekare
i paramedicinsko osoblje koje je osiguranika pregledalo pre, u toku i posle nastanka osiguranog slu~aja i sla`e se da bolnica ili
zdravstvena ustanova koja je pru`ila negu saop{ti osigurava~u ili asistentskoj kompaniji sve neophodne informacije u vezi sa
zdravstvenim stanjem i le~enjem osiguranika i da ih osigurava~ mo`e obra|ivati u postupku likvidacije {teta. Na zahtev
osigurava~a osiguranik je u du`an da dostavi kompletnu medicinsku dokumentaciju za dokazivanje nastanka osiguranog slu~aja.

PA@NJA: U hitnom slu~aju odmah pozovite de`urni centar asistentske kompanije Europ Assistance. Za vi{e informacija
pogledajte ”Uputstvo za osiguranika kada se nalazi u inostranstvu”.
Tel: (+381) 11 414 4104 Fax: (+381) 11 411 9999 Mob: (+381) 64 8282 020 E-mail: operationsr@europ-assistance.hu

Notes: The risk of recreational skiing is covered if surcharge/higher premium for this risk is calculated and paid. The sum
insured is EUR 5,000.
This Certificate is issued as a proof of contracted travel insurance and it is valid without the insurer’s signature and stamp. The
insurer reserves the right to correct the calculation and any other errors.
International travel insurance is concluded in accordance with the Contract and Tort Act and with the Terms and Conditions for
insurance of travelers abroad, which have been delivered to the insured/policyholder who is familiar with them, and which
constitute an integral part of the insurance contract.
By concluding the travel insurance contract, the Policyholder/insured person releases from the confidentiality obligation the
doctor and medical staff who have medically examined the insured at and upon the occurrence of the insured event and agrees
that the hospital, or any other medical institution that has provided medical assistance to the insured, may furnish the insurer with
all the necessary information regarding the insured’s health condition and medical treatment. At the insurer’s request, the insured
person is obliged to submit complete medical documentation to prove the occurrence of the insured case.

Datum izdavanja / Date of issue: 21.07.2018

ATTENTION NOTE: In case of emergency contact the Call Centre of Europ Assistance immediately. For more information,
please see “Instructions for the Insured When Abroad”
Tel: (+381) 11 414 4104 Fax: (+381) 11 411 9999 Mob: (+381) 64 8282 020 E-mail: operationsreurop@assistance.hu