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Travel Policy
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Additional Details
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Basic
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Additional Details
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Insured Info
Branch
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HEAD-OFFICE
Insured Type
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Corporate
Individual
Source Type
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BROKER
CORPORATE
DIRECT
ONLINE
Partner Code
Customer Code
Payment Category
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Cash
Credit
Travel Plan
Trip Period
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Upto 30 days
Upto 60 days
Upto 90 days
Upto 120 days
Upto 150 days
Upto 180 days
Upto 210 days
Upto 240 days
Upto 270 days
Upto 300 days
Upto 330 days
Upto 365 days
Number of Travellers
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1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
Number of Travellers (Above 71 to 75 Age)
Number of Travellers (Above 76 to 80 Age)
Number of Travellers in Sports Activity
Passport No
Travel Start Date
Travel End Date
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The policy coverage will start from the date of arrival in Qatar
Information
Fields in red color are mandatory
Reference No
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Select Your Plan
Information
Fields in red color are mandatory
The calculated premium is for 1 passengers
Reference No
:
Premium (QAR)
:
Value(QAR)
:
Commission(QAR)
:
Deductible (QAR)
:
+
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Product
:
Travel Zone
:
Policy Period
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No of Travellers
:
Sports Activity
:
Number of Travellers
:
Number of Travellers
:
Insured Info
Insured Name
Gender
Male
Female
Date Of Birth
Mobile Number
Email Address
Nationality
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AFGHANISTAN
ALBANIA
ALGERIA
ANGOLA
ANTIGUA AND BARBUDA
ARGENTINA
ARMENIA
AUSTRALIA
AUSTRIA
AZERBAIJAN
BAHAMAS
BAHRAIN
BANGLADESH
BARBADOS
BELARUS
BELGIUM
BELIZE
BENIN
BERMUDA
BHUTAN
BOLIVIA
BOSNIA AND HERZEGOVINA
BOTSWANA
BRAZIL
BRUNEI DARUSSALAM
BULGARIA
BURKINA FASO
BURUNDI
CAMBODIA
CAMEROON
CANADA
CAPE VERDE
CAYMEN ISLANDS
CENTRAL AFRICAN
CHAD
CHILE
CHINA
COLOMBIA
COMOROS
CONGO
COSTA RICA
COTE DIVOIRE
CROATIA
CUBA
CYPRUS
CZECHO
DEMOCRATIC CONGO
DENMARK
DJIBOUTI
DOMINICA
DOMINICAN REPUBLIC
ECUADOR
EGYPT
EL SALVADOR
EQUATORIAL GUINEA
ERITREA
ETHIOPIA
Estonia
FIJI
FINLAND
FRANCE
GABON
GAMBIA
GEORGIA
GERMANY
GHANA
GREECE
GRENADA
GUATEMALA
GUINEA
GUINEA-BISSAU
GUYANA
HAITI
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HONG KONG
HUNGARY
ICELAND
INDIA
INDONESIA
IRAN
IRAQ
IRELAND
ISRAEL
ITALY
JAMAICA
JAPAN
JORDAN
KAZAKHSTAN
KENYA
KOREA ST
KUWAIT
KYRGYZSTAN
LAO
LATVIA
LEBANON
LESOTHO
LIBERIA
LIBYA
LIECHTENSTEIN
LITHUANIA
LUXEMBOURG
MACAO
MACEDONIA
MADAGASCAR
MALAWI
MALAYSIA
MALDIVES
MALI
MALTA
MAURITANIA
MAURITIUS
MEXICO
MOLDOVA
MONGOLIA
MONTENEGRO
MOROCCO
MOZAMBIQUE
MYANMAR
NAMIBIA
NEPAL
NETHERLANDS
NETHERLANDS ANTILLES
NEW ZEALAND
NICARGUA
NIGER
NIGERIA
NO NATIONALY
NORTH KOREA
NORWAY
OMAN
PAKISTAN
PALESTIN
PANAMA
PAPUA NG
PARAGUAY
PERU
PHILIPPINES
POLAND
PORTUGAL
QATAR
Qatar
R.O.C.TAIWAN
ROMANIA
RUSSIA
RUSSIA
RWANDA
SAINT KITTS AND NEVIS
SAINT LUCIA
SAMOA
SAUDI ARABIA
SENEGAL
SERBIA
SEYCHELLES
SIERRA LEONE
SINGAPORE
SLOVAKIA
SLOVENIA
SOMALIA
SOUTH AFRICA
SOUTH SUDAN
SPAIN
SRILANKA
SUDAN
SURINAME
SWAZILAND
SWEDEN
SWITZERLAND
SYRIA
TAJIKISTAN
TANZANIA
THAILAND
TOGO
TONGA
TRAVEL DOCUMENT
TRINIDAD AND TOBAGO
TUNISIA
TURKEY
TURKMENIST
Travel document eng
U K
U.A.E.
UGANDA
UKRAINE
URUGUAY
USA
UZBEKISTAN
VANUATU
VATICAN
VENEZUELA
VIETNAM
YEMEN
ZAMBIA
ZIMBABWE
Passport Expiry Date
Will engage in any sports activity?
Yes
No
Document Upload - Passport / Qatar ID
X
Additional Passenger Info
Information
Information
Fields in red color are mandatory
The calculated premium is for 1 passengers
Reference No
:
Premium (QAR)
:
Product
:
Value(QAR)
:
Commission(QAR)
:
Deductible (QAR)
:
+
More Travel Info...
Insured Age
:
Travel Zone
:
Policy Period
:
No of Travellers
:
Number of Travellers
:
Number of Travellers
:
Sports Activity
:
Partner Details
X
Code
Name
Customer Details
X
Code
Name
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