CRESCENT STAR INSURANCE LIMITED

PABX: +92 21 32415471-2 Ext:319

URL: www.cstarinsurance.com
travel.cstarinsurance.com
Email: travel@cstarinsurance.com

Policy No. CST/P/1001/000165/22

Printing Date & Time: 10-07-2022 11:33:40 PM
Particulars of Insured
Plan COMFORT Type Individual Trip Type MULTIPLE Premium Rs. 11500

Issue Date 10-Jul-2022 Phone No 03471553340 Issuing City Capital Branch Islamabad

Insured Name Ishrat Fatima Email Ishratf220@gmail.com Jurisdiction Pakistan

Date of Birth 28-Jan-1992 Purpose Study Agent Rawalpindi Branch

Passport No FR8453542 Destination Schengen Countries, Sub Agent FAHAD ZAHEER

CNIC 37103-5780354-0 Tenure 365 Days

Agent Contact
Effective Date From 25-Aug-2022
To 23-Aug-2023 House # B iii 317 roshan pura Hassan Abdal Hazara road Attock
Address

Beneficiary Information
Beneficiary Name Shakeel Nawaz Relation Brother Percentage % 100

Benefits Schedule (US$)

Emergency Medical Expenses Cover

Medical Expenses & Hospitilization Abroad (Deductable $ 100 eel*) 50,000 (Euro 30,000)
Medical Refferal Actual Expenses
Repatriation of Mortal Remains Actual Expenses
Repatriation in case of illness or accident Actual Expenses
Personal Accidental (Injury & Death) PTD*
Accidental Death (During travel using recognized means of transport, plans, public buses,taxies,etc. Deductible $ 100 eel*) 10000
Covid cover T & C apply US$ 2000

Declaration
i hereby declare and affirm that the information provided in the Application From is true to the best of my knowledge and I am in sound health. I am neither
traveling against the advice of my medical practitioner nor am I traveling with purpose of making a claim under this policy. All terms & conditions and as well as
the exclusions are available at the Crecent Star Insurance Limited's website: http://travel.cstarinsurance.com

I have read and accepted the policy wording

Geographical Coverage
SCHENGEN COUNTRIES

24 x 7 Helpline
In case of emergency , insured shall immediately contact the Help Line stating the necessary details. The contact details of the Help Line are :

The policy shall be nun and void and no benefits shall be payable in the event of untrue of incorrect statements, misrepresentation,Mis-Disclosure of any material particular in the
application/proposal form , personal statement declaration and /or any other connected documentes, pandemic not included.
Self-quarantine / quarantine in Private Hotles or Hospitals or at home is not covered under the said policy terms & conditions.