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T R AV E L I N S U R A N C E
CERTIFICATE OF COVERAGE
No: EM-VBOQ-C-240395
Operation Date: 04 Mar 2021

Beneficiary Name Birth Date Passport No. Gender

CHHATRA BAHADUR ARYAL 27/08/1973 08196174 Male

Coverage Details: Address Details:

Period of Coverage: 04 Mar 2021 to 01 Jun Country of Residence: Worldwide
2021
No of Days: 90 days Permanent Address: Unknown - b2b@princesstourism.com
-
Destination: United Arab Emirates Telephone: +97143257744
Area of Coverage: United Arab of Emirates
Medical Coverage: 50,000 USD

Premium
As per attached receipt voucher No. RV 243447
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-
548611.
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: I4SS5-5UU46-9LD4L-S2PZJ-ZKAOK-PMQQQ
(if Key is blank, then certificate is not valid)
For and on Behalf of
Eurocross Insurance B.V.

With the compliments of DSC35

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