Dear Crispino Aranilla OUTBOUND* Cover

Congratulations on your purchase of the Buruj Guard International Travel Insurance. In consideration of your payment of
premium, Buruj hereby confirms that you are covered for the trip(s) as shown on your Travel Itinerary/Ticket
(PNR/Travel Itinerary 95124889).

Gender :Male
Trip :Return Trip
Your Journey :RUH - SHJ - RUH
Departure Date (Gregorian) :2018-08-15
Certificate No :T2P-2018-SA-0017034-1
Selected Plan Name :SA-OUTBOUND-GOLD
Premium :USD 15.11

1. Outbound Coverage starts upon departure from the country of issuance.

2. Note that Buruj Guard International Travel Insurance cannot be reassigned, changed and/or upgraded after it is issued.
3. Refund is only allowed when your visa is not approved and Buruj is notified of the unsuccessful application at least 24
hours prior to the scheduled flight.
4. Return Trip - coverage commences upon crossing Passport Control at the airport of departure and ceases upon
crossing Passport Control at the airport of return as per the dates stated on your Certificate of Insurance.
Single Trip – coverage commences upon crossing Passport Control at the airport of departure & ceases upon 72 hours
after disembarking from the Air Arabia flight.

Buruj Guard International Travel Insurance underwritten by Buruj Cooperative Insurance Company

Riyadh: Jeddah: Khobar:

Canary Center 1st Floor, The International Economy Tower, A l-Diwan Commercial Center 1st Floor
Dhabab Street, 1st Floor, King Abdullah Street, Dhahran Street
Riyadh Saudi Arabia P.O. Box 742 Jeddah 21421 P.O. Box 1961 Khobar 31952
P.O. Box 51855 Riyadh 11553 Jeddah, Saudi Arabia Saudi Arabia
Tel: (011) 293 8383 Tel: (012) 6529121 – (012) 6529131 Tel: (013) 8946828 – (013) 8947117
Fax: (011) 2172350 Fax: (012) 6529136 Fax: (013) 8951662
e-mail: claimstrv@burujinsurance.com e-mail: claimstrv@burujinsurance.com e-mail: claimstrv@burujinsurance.com
‫ﺗﻐﻄﻴﺔ *‪OUTBOUND‬‬ ‫ﻋﺰﻳﺰﻧﺎ ‪Crispino Aranilla‬‬

‫ﻧﻬﻨﺌﻚ ﻟﺸﺮﺍﺋﻚ ﺑﺮﻭﺝ ﻏﺎﺭﺩ ﻟﺘﺄﻣﻴﻦ ﺍﻟﺴﻔﺮ ﺍﻟﺪﻭﻟﻲ ‪ .‬ﻣﻘﺎﺑﻞ ﺗﺴﺪﻳﺪﻙ ﻟﻠﻘﺴﻂ ﺍﻟﻤﺘﺮﺗﺐ‪ ٬‬ﺗﺆﻛﺪ ﺷﺮﻛﺔ ﺑﺮﻭﺝ ﺑﻬﺬﺍ ﺃﻧﻚ ﻣﻐﻄﻰ ﻟﻠﺮﺣﻠﺔ‬
‫‪ /‬ﺍﻟﺮﺣﻼﺕ ﻛﻤﺎ ﻫﻲ ﻣﺒﻴﻨﺔ ﻓﻲ ﺩﻟﻴﻞ ﻣﺴﺎﺭ ‪ /‬ﺗﺬﻛﺮﺓ ﺳﻔﺮﻙ ‪ .‬ﺭﻗﻢ ﻣﺮﺟﻊ ﺍﻟﺮﺍﻛﺐ ‪ /‬ﻣﺴﺎﺭ ﺍﻟﺴﻔﺮ ‪95124889‬‬

‫‪Male :‬‬ ‫ﺍﻟﺠﻨﺲ‬

‫‪Return Trip :‬‬ ‫ﺍﻟﺮﺣﻠﺔ‬
‫‪RUH - SHJ - RUH :‬‬ ‫ﺭﺣﻠﺘﻚ‬
‫‪2018-08-15 :‬‬ ‫ﺗﺎﺭﻳﺦ ﺍﻟﻤﻐﺎﺩﺭﺓ )ﻣﻴﻼﺩﻱ (‬
‫‪T2P-2018-SA-0017034-1 :‬‬ ‫ﺭﻗﻢ ﺍﻟﺸﻬﺎﺩﺓ‬
‫‪SA-OUTBOUND-GOLD :‬‬ ‫ﺇﺳﻢ ﺍﻟﺒﺮﻧﺎﻣﺞ ﺍﻟﻤﺨﺘﺎﺭ‬
‫‪USD 15.11 :‬‬ ‫ﺍﻟﻘﺴﻂ‬
‫‪.1‬ﺗﺒﺪﺃ ﺗﻐﻄﻴﺔ ﺍﻟﺴﻔﺮ ﻟﻠﺨﺎﺭﺝ ﻋﻨﺪ ﺍﻟﻤﻐﺎﺩﺭﺓ ﻣﻦ ﺑﻠﺪ ﺍﻹﺻﺪﺍﺭ ‪.‬‬
‫‪.2‬ﻧﻠﻔﺖ ﺍﻧﺘﺒﺎﻫﻚ ﺇﻟﻰ ﺃﻧﻪ ﻻ ﻳﻤﻜﻦ ﺗﺤﻮﻳﻞ ﺃﻭ ﺗﻐﻴﻴﺮ ﺃﻭ ﺗﺮﻗﻴﺔ ﺑﺮﻭﺝ ﻏﺎﺭﺩ ﻟﺘﺄﻣﻴﻦ ﺍﻟﺴﻔﺮ ﺑﻌﺪ ﺇﺻﺪﺍﺭﻫﺎ ‪.‬‬
‫‪ .3‬ﻳﺴﻤﺢ ﺑﺈﻋﺎﺩﺓ ﺍﻟﻘﺴﻂ ﻓﻘﻂ ﻓﻲ ﺣﺎﻝ ﻋﺪﻡ ﺍﻟﻤﻮﺍﻓﻘﺔ ﻋﻠﻰ ﺗﺄﺷﻴﺮﺓ ﺯﻳﺎﺭﺗﻚ ﻭﺗﺒﻠﻴﻎ ﺑﺮﻭﺝ ﺑﺬﻟﻚ ﻗﺒﻞ ﻣﻮﻋﺪ ﺭﺣﻠﺔ ﺍﻟﻄﻴﺮﺍﻥ ﺍﻟﻤﺠﺪﻭﻟﺔ ﺏ ‪ 24‬ﺳﺎﻋﺔ‬
‫ﻋﻠﻰ ﺍﻷﻗﻞ‬
‫‪ .4‬ﺗﺒﺪﺃ ﺗﻐﻄﻴﺔ ﺭﺣﻠﺔ ﺍﻟﺬﻫﺎﺏ ﻭﺍﻟﻌﻮﺩﺓ ﻋﻨﺪ ﻋﺒﻮﺭ ﻧﻘﻄﺔ ﻣﺮﺍﻗﺒﺔ ﺍﻟﺠﻮﺍﺯﺍﺕ ﻓﻲ ﻣﻄﺎﺭ ﺍﻟﻤﻐﺎﺩﺭﺓ‪ ٬‬ﻭﺗﻨﺘﻬﻲ ﻋﻨﺪ ﻋﺒﻮﺭ ﻧﻘﻄﺔ ﺍﻟﻤﺮﺍﻗﺒﺔ ﻓﻲ ﻣﻄﺎﺭ ﺍﻟﻌﻮﺩﺓ‬
‫ﻭﺫﻟﻚ ﺣﺴﺐ ﺍﻟﺘﻮﺍﺭﻳﺦ ﺍﻟﻤﺬﻛﻮﺭﺓ ﻓﻲ ﺷﻬﺎﺩﺓ ﺍﻟﺘﺄﻣﻴﻦ ﺧﺎﺻﺘﻚ‬
‫ﺗﺒﺪﺃ ﺗﻐﻄﻴﺔ ﺍﻟﺮﺣﻠﺔ ﺍﻟﻮﺍﺣﺪﺓ ﻋﻨﺪ ﻋﺒﻮﺭ ﻧﻘﻄﺔ ﻣﺮﺍﻗﺒﺔ ﺍﻟﺠﻮﺍﺯﺍﺕ ﻓﻲ ﻣﻄﺎﺭ ﺍﻟﻤﻐﺎﺩﺭﺓ‪ ٬‬ﻭﺗﻨﺘﻬﻲ ﻋﻨﺪ ﺍﻧﻘﻀﺎء ﻓﺘﺮﺓ ‪ 72‬ﺳﺎﻋﺔ ﺑﻌﺪ ﺍﻟﺨﺮﻭﺝ ﻣﻦ ﻁﺎﺋﺮﺓ‬
‫ﺍﻟﻌﺮﺑﻴﺔ ﻟﻠﻄﻴﺮﺍﻥ‬

‫ﻭﺛﻴﻘﺔ ﺑﺮﻭﺝ ﻏﺎﺭﺩ ﻟﺘﺄﻣﻴﻦ ﺍﻟﺴﻔﺮ ﺍﻟﺪﻭﻟﻲ ﻣﻜﺘﺘﺒﺔ ﻣﻦ ﻗﺒﻞ ﺷﺮﻛﺔ ﺑﺮﻭﺝ ﻟﻠﺘﺄﻣﻴﻦ ﺍﻟﺘﻌﺎﻭﻧﻲ‬

‫ﺍﻟﺨﺒﺮ‪:‬‬ ‫ﺟﺪﻩ‪:‬‬ ‫ﺍﻟﺮﻳﺎﺽ – ﺍﻟﻤﺮﻛﺰ ﺍﻟﺮﺋﻴﺴﻲ‪:‬‬

‫ﻣﺮﻛﺰ ﺍﻟﺪﻳﻮﺍﻥ ﺍﻟﺘﺠﺎﺭﻱ‪ ٬‬ﺍﻟﻄﺎﺑﻖ ﺍﻷﻭﻝ‬
‫ﺷﺎﺭﻉ ﺍﻟﻈﻬﺮﺍﻥ‬
‫ﺹ‪.‬ﺏ ‪ 1961‬ﺍﻟﺨﺒﺮ ‪31952‬‬
‫ﻫﺎﺗﻒ ‪(013) 8947117 - (013) 8946828:‬‬
‫ﻓﺎﻛﺲ‪(013) 8951662 :‬‬
‫‪Fax: (011) 2172350‬‬
‫ﺑﺮﻳﺪ ﺇﻟﻜﺘﺮﻭﻧﻲ‪claimstrv@burujinsurance.com :‬‬
‫ﺑﺮﺝ ﺍﻻﻗﺘﺼﺎﺩ ﺍﻟﻌﺎﻟﻤﻲ‪ ٬‬ﺍﻟﻄﺎﺑﻖ ﺍﻷﻭﻝ‬ ‫ﻣﺮﻛﺰ ﻛﻨﺎﺭﻱ ‪ ٬‬ﺍﻟﻄﺎﺑﻖ ﺍﻷﻭﻝ‬
‫ﺷﺎﺭﻉ ﺍﻟﻤﻠﻚ ﻋﺒﺪ ﷲ‬ ‫ﺷﺎﺭﻉ ﺍﻟﻀﺒﺎﺏ‬
‫ﺹ‪.‬ﺏ ‪ 742‬ﺟﺪﺓ ‪21421‬‬ ‫ﺹ‪.‬ﺏ ‪ 51855‬ﺍﻟﺮﻳﺎﺽ ‪11553‬‬
‫ﻫﺎﺗﻒ ‪(012) 6529131 - (012)6529121 :‬‬ ‫ﻫﺎﺗﻒ ‪(011) 2938383 :‬‬
‫ﻓﺎﻛﺲ‪(012) 6529136 :‬‬ ‫ﻓﺎﻛﺲ ‪(011) 2172350 :‬‬
‫ﺑﺮﻳﺪ ﺇﻟﻜﺘﺮﻭﻧﻲ‪claimstrv@burujinsurance.com :‬‬ ‫ﺑﺮﻳﺪ‪claimstrv@burujinsurance.com :‬‬
‫ﺇﻟﻜﺘﺮﻭﻧﻲ‬