LIBERTY TRAVELCARE

CERTIFICATE OF INSURANCE
LIBERTY INSURANCE LIMITED (hereafter called the "Company") hereby insures the Insured Person(s) named in the Certificate
of Insurance attached hereto if included hereunder, subject to the terms, conditions and exclusions contained herein.

Policy Number : S-TAI-00088273-00-22 Customer code : 00469854

Policy Holder : LẠI TĨNH NHÃ
Address : 12/11 Chu Văn An, Liên Nghĩa, Duc Trong, Lam Dong
Insured Name : LẠI TĨNH NHÃ
ID/Passport : C8726426 Date of Birth : 20/06/1994
Membership Number : IT-088827-00 Nationality : Vietnamese
Cover Type : TravelCare - Individual Plan Type : Classic
Insurance Period : From 18/03/2022 To: 17/04/2022
Length of trip : 31
Travel Region : Worldwide Total Premium : VND 630,000.

1. This Policy covers for fully Covid-19 vaccinated (02 doses) person only on the issuance date
2. The unvaccinated child(ren) will be covered when traveling with fully Covid-19 vaccinated relatives/father/mother on the issuance date

24/7 assistance by Liberty: (toll free in Vietnam)

24/7 overseas emergency assistance by APRIL International: (8428) 7300 2312
Please refer to the Liberty TravelCare Policy Wording (version UW-T00-W-001-09-E) and Claims Procedure
at www.LibertyInsurance.com.vn for more information.

IN WITNESS WHEREOF the company has caused this Policy to be executed and to commence from the Effective Date of
Insurance as stated in the Certificate.

LIBERTY INSURANCE LIMITED

Signature and Stamp

User code: 00099074
UW-T00-F-003-12-E

Producer name & code: 00099074-NGUYỄN ĐÌNH BẢO TRÂM - 00099074

Printing date: 16/03/2022 SYSTEM
Handler:

Liberty Insurance gives you Freedom to Move.