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Submitted URL: http://www.tic.co.za/fnb
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Submission: On November 18 via api from ZA — Scanned from US

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CALL US: 0861 490 100 OR +27(0)11 521 4111


SYSTEM DOWNTIME

Notice first published: 2022-11-18

Please note that due to system maintenance and upgrading the self service portal
will be unavailable for the next 3 hours.

We thank you for your patience and understanding.

Kind regards

TIC Management

Global Travel Insurance
 
Global Travel Insurance will cover you no matter where your travels take you,
when you purchase your full travel (conveyance) ticket on your FNB qualifying
card.
 


TO QUALIFY FOR GLOBAL TRAVEL INSURANCE:

FirstRand provides travel insurance for clients who buy their full international
travel (conveyance) ticket, that means departure and return ticket, with their
qualifying FirstRand Limited card.

Clients up to and including the age of 74 years of age may qualify for
complimentary insurance. Clients that are 75 years and older, may qualify for
travel cover, at a premium cost that is subsidised by FirstRand Limited. Travel
insurance is offered for 90 days of an international journey.

Complete the details below, under "Issue your travel insurance policy" to secure
a travel insurance policy. When the policy is issued, a fulfillment pack will be
emailed, which includes a Schedule of Insurance detailing the benefits and
limits, a Visa letter and the policy wording. Please contact the Global Travel
Insurance Help Desk on 0861 490 100 with any questions.

Important to note:

 * The maximum number of travellers per cardholder per journey is :
   * 8 for Consumer Cardholder
   * 10 for Corporate or Lodge Cardholders
 * Travel (conveyance) tickets can be purchased by the cardholder for
   themselves, a member of their immediate family, or a travel companion who is
   travelling with the cardholder on the same itinerary.
 * Cardholders must be residents of South Africa, Lesotho, Namibia or Eswatini.
 * An international journey must depart and return to South Africa, Lesotho,
   Namibia or Eswatini.
 * Policies where premium is due, must be issued prior to the international
   journey starting.
 * Travellers over the age of 70 years are not insured for pre-existing
   illnesses, cardiovascular disease or cerebrovascular disease.
 * A pre-existing condition refers to medical treatment received for an illness
   or condition that has occurred within 6 (six) months prior to issuing the
   policy. On-going medication will also be considered “pre-existing”.
 * When a Corporate or Lodge card is used to purchase the conveyance tickets,
   only employee’s of the corporate can qualify for the complementary cover.
 * Make sure that terms and conditions are understood prior to departing on an
   international journey. Phone the Global Travel Insurance Help Desk if any
   assistance is required.


WHY DO I NEED THIS?

Travelling is exciting but it can also be stressful. With the volatile rand
exchange rate against many foreign currencies, travelling without travel
insurance could be financially crippling if hospitalisation is necessary due to
a serious injury. FirstRand Limited travel insurance provides peace of mind that
emergency medical costs in the foreign currency will be covered.

The complimentary cover, for clients up to and including 74 years of age,
includes cover for medical expenses, accidental death, and permanent total
disablement cover.

Emergency in-hospital medical expenses relating to a pre-existing medical
condition is only available for clients under the age of 70 years.

What is covered?

There is an Optimum option available for travellers up to the age of 74 years.
Additional premium is due and payable prior to the start of the international
journey. Additional benefits include more medical cover, luggage, cancellation
or curtailment, travel and luggage delays, denied visa, plus other benefits.


WHAT DO I GET?

The most important benefit on the travel insurance policy is the emergency
medical cover. This covers medical costs incurred in the event of injury or a
sudden illness whilst travelling internationally.

Higher limits for medical, accident death and disability can be purchased, as
well as additional benefits. The additional benefits include the following:
 * Losses due to unforeseen cancellation, cutting the journey short or having to
   extend the journey. This benefit only covers specific events. Please take
   careful note of what events are covered.“View Benefits – Click Here”
 * Personal liability and Legal expenses
 * Luggage
 * Weather Conditions
 * Missed Connection
 * Denied Visa
 * Various inconvenience benefits, namely Travel and Luggage Delay


COVID 19

What is covered?
Should a traveller contract covid whilst on an international journey, the
following is covered under the Emergency Medical benefit:
 * Medical costs incurred to treat covid
 * Quarantine costs
 * Accommodation and flight costs if medical treatment and quarantine forces an
   extension of the journey

What is not covered:

 * Compulsory covid testing, required by authorities upon arrival or departure
   from a country
 * Compulsory quarantine costs, required by authorities upon arrival into a
   country
 * Quarantine expenses if the accommodation is pre-paid and can be used for
   quarantine purposes


ISSUE YOUR TRAVEL INSURANCE POLICY

If you purchased your ticket with you FNB Botswana card, please click here
Your relationship to traveller(s):
:  Please select One of the travellers Sponsor (Parent/Family/Friend/etc.)
Personal banker Travel agent Broker
Your name and surname:
: 
Your mobile number:
: 
 * 
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 * 
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 * 
   Botswana+267
 * 
   Uganda+256
 * 
   Eswatini+268
 * 
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 * 
 * 
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 * 
   Albania (Shqipëri)+355
 * 
   Algeria (‫الجزائر‬‎)+213
 * 
   American Samoa+1
 * 
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 * 
   Angola+244
 * 
   Anguilla+1
 * 
   Antigua and Barbuda+1
 * 
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 * 
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 * 
   Aruba+297
 * 
   Ascension Island+247
 * 
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 * 
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 * 
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 * 
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 * 
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 * 
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 * 
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 * 
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 * 
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 * 
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 * 
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 * 
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 * 
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 * 
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 * 
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 * 
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 * 
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 * 
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 * 
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 * 
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 * 
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 * 
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 * 
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 * 
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 * 
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 * 
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 * 
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 * 
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 * 
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 * 
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 * 
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 * 
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 * 
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 * 
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 * 
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 * 
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 * 
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 * 
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 * 
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 * 
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 * 
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 * 
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 * 
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 * 
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 * 
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 * 
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 * 
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 * 
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 * 
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 * 
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 * 
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 * 
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 * 
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 * 
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 * 
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 * 
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 * 
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 * 
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 * 
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 * 
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 * 
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 * 
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 * 
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 * 
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 * 
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 * 
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 * 
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 * 
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 * 
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 * 
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 * 
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 * 
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 * 
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 * 
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 * 
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 * 
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 * 
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 * 
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 * 
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 * 
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 * 
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 * 
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 * 
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 * 
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 * 
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 * 
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 * 
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 * 
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 * 
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 * 
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 * 
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 * 
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 * 
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 * 
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 * 
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 * 
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 * 
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 * 
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 * 
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 * 
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 * 
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 * 
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 * 
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 * 
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 * 
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 * 
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 * 
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 * 
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 * 
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 * 
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 * 
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 * 
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 * 
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 * 
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 * 
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 * 
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 * 
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 * 
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 * 
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 * 
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 * 
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 * 
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 * 
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 * 
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 * 
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 * 
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 * 
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 * 
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 * 
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 * 
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 * 
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 * 
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 * 
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 * 
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 * 
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 * 
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 * 
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 * 
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 * 
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 * 
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 * 
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 * 
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 * 
   Sweden (Sverige)+46
 * 
   Switzerland (Schweiz)+41
 * 
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 * 
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 * 
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 * 
   Tanzania+255
 * 
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 * 
   Timor-Leste+670
 * 
   Togo+228
 * 
   Tokelau+690
 * 
   Tonga+676
 * 
   Trinidad and Tobago+1
 * 
   Tunisia (‫تونس‬‎)+216
 * 
   Turkey (Türkiye)+90
 * 
   Turkmenistan+993
 * 
   Turks and Caicos Islands+1
 * 
   Tuvalu+688
 * 
   U.S. Virgin Islands+1
 * 
   Uganda+256
 * 
   Ukraine (Україна)+380
 * 
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 * 
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 * 
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 * 
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 * 
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 * 
   Vanuatu+678
 * 
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 * 
   Venezuela+58
 * 
   Vietnam (Việt Nam)+84
 * 
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 * 
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 * 
   Yemen (‫اليمن‬‎)+967
 * 
   Zambia+260
 * 
   Zimbabwe+263
 * 
   Åland Islands+358

Your email address:
: 
Main member medical aid number:
: 
First 8 digits of card number used to purchase ticket(s):
: 
Purchase date of travel ticket:
: 
Number of traveller(s):
:  1 2 3 4 (When travellers exceeds 4, please repeat the process. A maximum of 8
travellers allowed.)
Your age group:
: Please select0 to 6970 to 7475 to 7980 to 85
Departure date:
As per travel itinerary.
: 
Returning on:
As per travel itinerary.
:   Travel days: 1 day(s)
Your country of residence:
: BotswanaEswatiniLesothoNamibiaSouth Africa
Validate your country of residence:
: Please selectI live in permanentlyI live in as a temporary resident and hold
citizenshipI live in as a temporary resident and have a work permitI live in as
a temporary resident for longer than 12 consecutive monthsNone of the above
Are you departing from on 2024/11/18?:
:  Please select Yes No
Is the USA part of your journey?:
Excluding when in transit.
:  Please select Yes No SelectWorldwide excluding USAWorldwide including USA
Main destination:
Longest duration of your trip in this country.
: AfghanistanAgalega Islands - MauritiusAlbaniaAlgeriaAndorraAngolaAntigua and
BarbudaArgentinaArmeniaAscension
IslandAustraliaAustriaAzerbaijanBahamasBahrainBajuni Islands - SomaliaBanc du
Geyser - FranceBangladeshBarbadosBassas da India - FranceBazaruto Archipelago -
MozambiqueBelgiumBelizeBeninBermudaBhutanBoliviaBosniaBotswanaBrazilBruneiBulgariaBurkina
FasoBurundiCambodiaCameroonCanadaCanary IslandsCape VerdeCargados Carajos -
MauritiusCaribbean Islands and St MartinsCayman IslandsCentral African
RepublicChadChagos ArchipelagoChagos Archipelago - Inc. Diego Garcia -
UKChileChinaColombiaComorosCongoCosta RicaCroatiaCubaCuracaoCyprusCzech
RepublicDemocratic Republic of CongoDenmarkDjiboutiDominicaDominican
RepublicEast TimorEcuadorEgyptEl SalvadorEngland - UKEquatorial
GuineaEritreaEstoniaEswatiniEthiopiaEuropa Island - FranceFalkland IslandsFaroe
IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench West
IndiesGabonGambiaGeorgiaGermanyGhanaGibraltarGlorioso Islands -
FranceGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernsey
IslandGuineaGuinea-BissauGuyanaHaitiHollandHondurasHong
KongHungaryIcelandIndiaIndonesiaInhaca Island - MozambiqueIranIraqIreland,
Republic ofIsland MartiniqueIsle of ManIsraelItalyIvory
CoastJamaicaJapanJordanJuan de Nova Island - FranceKazakhstanKenyaKiribatiKorea
- NorthKorea - SouthKosovoKuwaitKyrgyzstanLakshadweep Archipelago IndiaLamu
Archipelago -
KenyaLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacedoniaMadagascarMafia
Island - TanzaniaMalawiMalaysiaMaldivesMaliMaltaMarshall
IslandsMauritaniaMauritiusMayotte -
FranceMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMoroccoMozambiqueMyanmar -
BurmaNamibiaNauruNepalNetherlandsNetherlands AntillesNew CaledoniaNew
ZealandNicaraguaNigerNigeriaNorfolk IslandsNorthern CyprusNorthern Mariana
IslandsNorwayOmanPakistanPalauPalestinePanamaPapua New GuineaParaguayPemba -
TanzaniaPeruPhilippinesPolandPortugalPrince Edward IslandPuerto
RicoQatarQuirimbas Archipelago - MozambiqueRepublic of South SudanReunionRéunion
- FranceRodrigues - MauritiusRomaniaRwandaSabah - MalaysiaSaint
LuciaSaipanSamoaSamoaSan MarinoSao Tome and PrincipeSarawak - MalaysiaSaudi
ArabiaScotland - UKSenegalSerbiaSeychellesSharjah - Arab EmiratesSierra
LeoneSingaporeSlovakiaSloveniaSocotra Island - YemenSolomon
IslandsSomaliaSomalilandSouth AfricaSouth Georgia and the South Sandwich
IslandsSpainSri LankaSt Helena
IslandSurinameSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandThe
SudanTogoTongaTrinidad and TobagoTristan da CunhaTromelin Island -
FranceTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUgandaUkraineUnited
Arab EmiratesUnited KingdomUnited States of
AmericaUruguayUzbekistanVanuatuVatican CityVenezuelaVietnamVirgin IslandsWales -
UKWest AfricaYemenZambiaZanzibar - TanzaniaZimbabwe
  
Traveller's cover is conditional upon traveller departs from on 2024/11/18. We
regret traveller is not eligible for cover.


SUMMARY INFORMATION

Number of travellers:
: 1
Age of all travellers:
: 0 to 70 (at date of issue)
Departure date:
: 
Returning on:
: 
Country of residence:
: 
Final destination:
: 
Main member medical aid number:
: 
First 8 digits of card number:
: 
Purchase date of travel ticket:
: 
Validate your country of residence:
: 
Are you departing from on 2024/11/18?:
: 
Is the USA part of your journey?:
: 
Selected cover:
: Comprehensive
Require underwriting:
: No
Premium payable:
: R 300
Contact number:
: 
Email address for policy documentation:
: 
Please
click here
if you wish to change any details.
Cover Options you qualify for, from which you can choose:

Name :

Contact number :

Email address :

Travellers Details


TRAVELLER 1

Title:
: 
Are you South African?:
: 
First name:
: 
Surname:
: 
Mobile number:
: 
 * 
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 * 
   Namibia (Namibië)+264
 * 
   Botswana+267
 * 
   Uganda+256
 * 
   Eswatini+268
 * 
   Kenya+254
 * 
 * 
   Afghanistan (‫افغانستان‬‎)+93
 * 
   Albania (Shqipëri)+355
 * 
   Algeria (‫الجزائر‬‎)+213
 * 
   American Samoa+1
 * 
   Andorra+376
 * 
   Angola+244
 * 
   Anguilla+1
 * 
   Antigua and Barbuda+1
 * 
   Argentina+54
 * 
   Armenia (Հայաստան)+374
 * 
   Aruba+297
 * 
   Ascension Island+247
 * 
   Australia+61
 * 
   Austria (Österreich)+43
 * 
   Azerbaijan (Azərbaycan)+994
 * 
   Bahamas+1
 * 
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 * 
   Bangladesh (বাংলাদেশ)+880
 * 
   Barbados+1
 * 
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 * 
   Belgium (België)+32
 * 
   Belize+501
 * 
   Benin (Bénin)+229
 * 
   Bermuda+1
 * 
   Bhutan (འབྲུག)+975
 * 
   Bolivia+591
 * 
   Bosnia and Herzegovina (Босна и Херцеговина)+387
 * 
   Botswana+267
 * 
   Brazil (Brasil)+55
 * 
   British Indian Ocean Territory+246
 * 
   British Virgin Islands+1
 * 
   Brunei+673
 * 
   Bulgaria (България)+359
 * 
   Burkina Faso+226
 * 
   Burundi (Uburundi)+257
 * 
   Cambodia (កម្ពុជា)+855
 * 
   Cameroon (Cameroun)+237
 * 
   Canada+1
 * 
   Cape Verde (Kabu Verdi)+238
 * 
   Caribbean Netherlands+599
 * 
   Cayman Islands+1
 * 
   Central African Republic (République centrafricaine)+236
 * 
   Chad (Tchad)+235
 * 
   Chile+56
 * 
   China (中国)+86
 * 
   Christmas Island+61
 * 
   Cocos (Keeling) Islands+61
 * 
   Colombia+57
 * 
   Comoros (‫جزر القمر‬‎)+269
 * 
   Congo (DRC) (Jamhuri ya Kidemokrasia ya Kongo)+243
 * 
   Congo (Republic) (Congo-Brazzaville)+242
 * 
   Cook Islands+682
 * 
   Costa Rica+506
 * 
   Côte d’Ivoire+225
 * 
   Croatia (Hrvatska)+385
 * 
   Cuba+53
 * 
   Curaçao+599
 * 
   Cyprus (Κύπρος)+357
 * 
   Czech Republic (Česká republika)+420
 * 
   Denmark (Danmark)+45
 * 
   Djibouti+253
 * 
   Dominica+1
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 * 
   Åland Islands+358

  (ONLINE CLAIM SUBMISSIONS will require authentication via a OTP that will be
sent to this number)
Passport number:
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TRAVELLER 2

Title:
: 
Are you South African?:
: 
First name:
: 
Surname:
: 
Mobile number:
: 
 * 
   South Africa+27
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   Namibia (Namibië)+264
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   Botswana+267
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   Uganda+256
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 * 
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   Palestine (‫فلسطين‬‎)+970
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   Philippines+63
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   Saint Helena+290
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 * 
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   Vanuatu+678
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   Vatican City (Città del Vaticano)+39
 * 
   Venezuela+58
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 * 
   Wallis and Futuna (Wallis-et-Futuna)+681
 * 
   Western Sahara (‫الصحراء الغربية‬‎)+212
 * 
   Yemen (‫اليمن‬‎)+967
 * 
   Zambia+260
 * 
   Zimbabwe+263
 * 
   Åland Islands+358

  (ONLINE CLAIM SUBMISSIONS will require authentication via a OTP that will be
sent to this number)
Passport number:
: 
Birth date:
: 
Age:
: 


TRAVELLER 3

Title:
: 
Are you South African?:
: 
First name:
: 
Surname:
: 
Mobile number:
: 
 * 
   South Africa+27
 * 
   Namibia (Namibië)+264
 * 
   Botswana+267
 * 
   Uganda+256
 * 
   Eswatini+268
 * 
   Kenya+254
 * 
 * 
   Afghanistan (‫افغانستان‬‎)+93
 * 
   Albania (Shqipëri)+355
 * 
   Algeria (‫الجزائر‬‎)+213
 * 
   American Samoa+1
 * 
   Andorra+376
 * 
   Angola+244
 * 
   Anguilla+1
 * 
   Antigua and Barbuda+1
 * 
   Argentina+54
 * 
   Armenia (Հայաստան)+374
 * 
   Aruba+297
 * 
   Ascension Island+247
 * 
   Australia+61
 * 
   Austria (Österreich)+43
 * 
   Azerbaijan (Azərbaycan)+994
 * 
   Bahamas+1
 * 
   Bahrain (‫البحرين‬‎)+973
 * 
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 * 
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 * 
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 * 
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 * 
   Belize+501
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 * 
   Bermuda+1
 * 
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 * 
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 * 
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 * 
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 * 
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 * 
   British Indian Ocean Territory+246
 * 
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 * 
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 * 
   Bulgaria (България)+359
 * 
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 * 
   Burundi (Uburundi)+257
 * 
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 * 
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 * 
   Canada+1
 * 
   Cape Verde (Kabu Verdi)+238
 * 
   Caribbean Netherlands+599
 * 
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 * 
   Chad (Tchad)+235
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   Chile+56
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   China (中国)+86
 * 
   Christmas Island+61
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   Cocos (Keeling) Islands+61
 * 
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 * 
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 * 
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 * 
   Cook Islands+682
 * 
   Costa Rica+506
 * 
   Côte d’Ivoire+225
 * 
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 * 
   Cuba+53
 * 
   Curaçao+599
 * 
   Cyprus (Κύπρος)+357
 * 
   Czech Republic (Česká republika)+420
 * 
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 * 
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 * 
   Dominica+1
 * 
   Dominican Republic (República Dominicana)+1
 * 
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 * 
   Egypt (‫مصر‬‎)+20
 * 
   El Salvador+503
 * 
   Equatorial Guinea (Guinea Ecuatorial)+240
 * 
   Eritrea+291
 * 
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 * 
   Eswatini+268
 * 
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 * 
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 * 
   Faroe Islands (Føroyar)+298
 * 
   Fiji+679
 * 
   Finland (Suomi)+358
 * 
   France+33
 * 
   French Guiana (Guyane française)+594
 * 
   French Polynesia (Polynésie française)+689
 * 
   Gabon+241
 * 
   Gambia+220
 * 
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 * 
   Germany (Deutschland)+49
 * 
   Ghana (Gaana)+233
 * 
   Gibraltar+350
 * 
   Greece (Ελλάδα)+30
 * 
   Greenland (Kalaallit Nunaat)+299
 * 
   Grenada+1
 * 
   Guadeloupe+590
 * 
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 * 
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 * 
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Passport number:
: 
Birth date:
: 
Age:
: 


TRAVELLER 4

Title:
: 
Are you South African?:
: 
First name:
: 
Surname:
: 
Mobile number:
: 
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 * 
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 * 
   Åland Islands+358

  (ONLINE CLAIM SUBMISSIONS will require authentication via a OTP that will be
sent to this number)
Passport number:
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Birth date:
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TRAVELLER 5

Title:
: 
Are you South African?:
: 
First name:
: 
Surname:
: 
Mobile number:
: 
 * 
   South Africa+27
 * 
   Namibia (Namibië)+264
 * 
   Botswana+267
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   Uganda+256
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 * 
 * 
   Afghanistan (‫افغانستان‬‎)+93
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   Andorra+376
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 * 
   Åland Islands+358

  (ONLINE CLAIM SUBMISSIONS will require authentication via a OTP that will be
sent to this number)
Passport number:
: 
Birth date:
: 
Age:
: 


TRAVELLER 6

Title:
: 
Are you South African?:
: 
First name:
: 
Surname:
: 
Mobile number:
: 
 * 
   South Africa+27
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   Namibia (Namibië)+264
 * 
   Botswana+267
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   Uganda+256
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 * 
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 * 
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   United Kingdom+44
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   United States+1
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 * 
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 * 
   Vanuatu+678
 * 
   Vatican City (Città del Vaticano)+39
 * 
   Venezuela+58
 * 
   Vietnam (Việt Nam)+84
 * 
   Wallis and Futuna (Wallis-et-Futuna)+681
 * 
   Western Sahara (‫الصحراء الغربية‬‎)+212
 * 
   Yemen (‫اليمن‬‎)+967
 * 
   Zambia+260
 * 
   Zimbabwe+263
 * 
   Åland Islands+358

  (ONLINE CLAIM SUBMISSIONS will require authentication via a OTP that will be
sent to this number)
Passport number:
: 
Birth date:
: 
Age:
: 


TRAVELLER 7

Title:
: 
Are you South African?:
: 
First name:
: 
Surname:
: 
Mobile number:
: 
 * 
   South Africa+27
 * 
   Namibia (Namibië)+264
 * 
   Botswana+267
 * 
   Uganda+256
 * 
   Eswatini+268
 * 
   Kenya+254
 * 
 * 
   Afghanistan (‫افغانستان‬‎)+93
 * 
   Albania (Shqipëri)+355
 * 
   Algeria (‫الجزائر‬‎)+213
 * 
   American Samoa+1
 * 
   Andorra+376
 * 
   Angola+244
 * 
   Anguilla+1
 * 
   Antigua and Barbuda+1
 * 
   Argentina+54
 * 
   Armenia (Հայաստան)+374
 * 
   Aruba+297
 * 
   Ascension Island+247
 * 
   Australia+61
 * 
   Austria (Österreich)+43
 * 
   Azerbaijan (Azərbaycan)+994
 * 
   Bahamas+1
 * 
   Bahrain (‫البحرين‬‎)+973
 * 
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 * 
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 * 
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 * 
   Belize+501
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   Bermuda+1
 * 
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 * 
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 * 
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 * 
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 * 
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 * 
   British Indian Ocean Territory+246
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 * 
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 * 
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 * 
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 * 
   Burundi (Uburundi)+257
 * 
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 * 
   Cameroon (Cameroun)+237
 * 
   Canada+1
 * 
   Cape Verde (Kabu Verdi)+238
 * 
   Caribbean Netherlands+599
 * 
   Cayman Islands+1
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 * 
   Chad (Tchad)+235
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   Chile+56
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   China (中国)+86
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   Christmas Island+61
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   Cocos (Keeling) Islands+61
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 * 
   Congo (Republic) (Congo-Brazzaville)+242
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   Cook Islands+682
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   Costa Rica+506
 * 
   Côte d’Ivoire+225
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 * 
   Cuba+53
 * 
   Curaçao+599
 * 
   Cyprus (Κύπρος)+357
 * 
   Czech Republic (Česká republika)+420
 * 
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 * 
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 * 
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 * 
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 * 
   Fiji+679
 * 
   Finland (Suomi)+358
 * 
   France+33
 * 
   French Guiana (Guyane française)+594
 * 
   French Polynesia (Polynésie française)+689
 * 
   Gabon+241
 * 
   Gambia+220
 * 
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 * 
   Germany (Deutschland)+49
 * 
   Ghana (Gaana)+233
 * 
   Gibraltar+350
 * 
   Greece (Ελλάδα)+30
 * 
   Greenland (Kalaallit Nunaat)+299
 * 
   Grenada+1
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   Guadeloupe+590
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 * 
   Guinea (Guinée)+224
 * 
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 * 
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 * 
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 * 
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 * 
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 * 
   Liberia+231
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 * 
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 * 
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 * 
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 * 
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 * 
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 * 
   Malaysia+60
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   Maldives+960
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   Mali+223
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   Malta+356
 * 
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 * 
   Martinique+596
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 * 
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 * 
   Mayotte+262
 * 
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 * 
   Micronesia+691
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 * 
   Monaco+377
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 * 
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 * 
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 * 
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 * 
   Mozambique (Moçambique)+258
 * 
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   Namibia (Namibië)+264
 * 
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 * 
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   Nicaragua+505
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   Nigeria+234
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   Niue+683
 * 
   Norfolk Island+672
 * 
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 * 
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 * 
   Northern Mariana Islands+1
 * 
   Norway (Norge)+47
 * 
   Oman (‫عُمان‬‎)+968
 * 
   Pakistan (‫پاکستان‬‎)+92
 * 
   Palau+680
 * 
   Palestine (‫فلسطين‬‎)+970
 * 
   Panama (Panamá)+507
 * 
   Papua New Guinea+675
 * 
   Paraguay+595
 * 
   Peru (Perú)+51
 * 
   Philippines+63
 * 
   Poland (Polska)+48
 * 
   Portugal+351
 * 
   Puerto Rico+1
 * 
   Qatar (‫قطر‬‎)+974
 * 
   Réunion (La Réunion)+262
 * 
   Romania (România)+40
 * 
   Russia (Россия)+7
 * 
   Rwanda+250
 * 
   Saint Barthélemy+590
 * 
   Saint Helena+290
 * 
   Saint Kitts and Nevis+1
 * 
   Saint Lucia+1
 * 
   Saint Martin (Saint-Martin (partie française))+590
 * 
   Saint Pierre and Miquelon (Saint-Pierre-et-Miquelon)+508
 * 
   Saint Vincent and the Grenadines+1
 * 
   Samoa+685
 * 
   San Marino+378
 * 
   São Tomé and Príncipe (São Tomé e Príncipe)+239
 * 
   Saudi Arabia (‫المملكة العربية السعودية‬‎)+966
 * 
   Senegal (Sénégal)+221
 * 
   Serbia (Србија)+381
 * 
   Seychelles+248
 * 
   Sierra Leone+232
 * 
   Singapore+65
 * 
   Sint Maarten+1
 * 
   Slovakia (Slovensko)+421
 * 
   Slovenia (Slovenija)+386
 * 
   Solomon Islands+677
 * 
   Somalia (Soomaaliya)+252
 * 
   South Africa+27
 * 
   South Korea (대한민국)+82
 * 
   South Sudan (‫جنوب السودان‬‎)+211
 * 
   Spain (España)+34
 * 
   Sri Lanka (ශ්‍රී ලංකාව)+94
 * 
   Sudan (‫السودان‬‎)+249
 * 
   Suriname+597
 * 
   Svalbard and Jan Mayen+47
 * 
   Sweden (Sverige)+46
 * 
   Switzerland (Schweiz)+41
 * 
   Syria (‫سوريا‬‎)+963
 * 
   Taiwan (台灣)+886
 * 
   Tajikistan+992
 * 
   Tanzania+255
 * 
   Thailand (ไทย)+66
 * 
   Timor-Leste+670
 * 
   Togo+228
 * 
   Tokelau+690
 * 
   Tonga+676
 * 
   Trinidad and Tobago+1
 * 
   Tunisia (‫تونس‬‎)+216
 * 
   Turkey (Türkiye)+90
 * 
   Turkmenistan+993
 * 
   Turks and Caicos Islands+1
 * 
   Tuvalu+688
 * 
   U.S. Virgin Islands+1
 * 
   Uganda+256
 * 
   Ukraine (Україна)+380
 * 
   United Arab Emirates (‫الإمارات العربية المتحدة‬‎)+971
 * 
   United Kingdom+44
 * 
   United States+1
 * 
   Uruguay+598
 * 
   Uzbekistan (Oʻzbekiston)+998
 * 
   Vanuatu+678
 * 
   Vatican City (Città del Vaticano)+39
 * 
   Venezuela+58
 * 
   Vietnam (Việt Nam)+84
 * 
   Wallis and Futuna (Wallis-et-Futuna)+681
 * 
   Western Sahara (‫الصحراء الغربية‬‎)+212
 * 
   Yemen (‫اليمن‬‎)+967
 * 
   Zambia+260
 * 
   Zimbabwe+263
 * 
   Åland Islands+358

  (ONLINE CLAIM SUBMISSIONS will require authentication via a OTP that will be
sent to this number)
Passport number:
: 
Birth date:
: 
Age:
: 


TRAVELLER 8

Title:
: 
Are you South African?:
: 
First name:
: 
Surname:
: 
Mobile number:
: 
 * 
   South Africa+27
 * 
   Namibia (Namibië)+264
 * 
   Botswana+267
 * 
   Uganda+256
 * 
   Eswatini+268
 * 
   Kenya+254
 * 
 * 
   Afghanistan (‫افغانستان‬‎)+93
 * 
   Albania (Shqipëri)+355
 * 
   Algeria (‫الجزائر‬‎)+213
 * 
   American Samoa+1
 * 
   Andorra+376
 * 
   Angola+244
 * 
   Anguilla+1
 * 
   Antigua and Barbuda+1
 * 
   Argentina+54
 * 
   Armenia (Հայաստան)+374
 * 
   Aruba+297
 * 
   Ascension Island+247
 * 
   Australia+61
 * 
   Austria (Österreich)+43
 * 
   Azerbaijan (Azərbaycan)+994
 * 
   Bahamas+1
 * 
   Bahrain (‫البحرين‬‎)+973
 * 
   Bangladesh (বাংলাদেশ)+880
 * 
   Barbados+1
 * 
   Belarus (Беларусь)+375
 * 
   Belgium (België)+32
 * 
   Belize+501
 * 
   Benin (Bénin)+229
 * 
   Bermuda+1
 * 
   Bhutan (འབྲུག)+975
 * 
   Bolivia+591
 * 
   Bosnia and Herzegovina (Босна и Херцеговина)+387
 * 
   Botswana+267
 * 
   Brazil (Brasil)+55
 * 
   British Indian Ocean Territory+246
 * 
   British Virgin Islands+1
 * 
   Brunei+673
 * 
   Bulgaria (България)+359
 * 
   Burkina Faso+226
 * 
   Burundi (Uburundi)+257
 * 
   Cambodia (កម្ពុជា)+855
 * 
   Cameroon (Cameroun)+237
 * 
   Canada+1
 * 
   Cape Verde (Kabu Verdi)+238
 * 
   Caribbean Netherlands+599
 * 
   Cayman Islands+1
 * 
   Central African Republic (République centrafricaine)+236
 * 
   Chad (Tchad)+235
 * 
   Chile+56
 * 
   China (中国)+86
 * 
   Christmas Island+61
 * 
   Cocos (Keeling) Islands+61
 * 
   Colombia+57
 * 
   Comoros (‫جزر القمر‬‎)+269
 * 
   Congo (DRC) (Jamhuri ya Kidemokrasia ya Kongo)+243
 * 
   Congo (Republic) (Congo-Brazzaville)+242
 * 
   Cook Islands+682
 * 
   Costa Rica+506
 * 
   Côte d’Ivoire+225
 * 
   Croatia (Hrvatska)+385
 * 
   Cuba+53
 * 
   Curaçao+599
 * 
   Cyprus (Κύπρος)+357
 * 
   Czech Republic (Česká republika)+420
 * 
   Denmark (Danmark)+45
 * 
   Djibouti+253
 * 
   Dominica+1
 * 
   Dominican Republic (República Dominicana)+1
 * 
   Ecuador+593
 * 
   Egypt (‫مصر‬‎)+20
 * 
   El Salvador+503
 * 
   Equatorial Guinea (Guinea Ecuatorial)+240
 * 
   Eritrea+291
 * 
   Estonia (Eesti)+372
 * 
   Eswatini+268
 * 
   Ethiopia+251
 * 
   Falkland Islands (Islas Malvinas)+500
 * 
   Faroe Islands (Føroyar)+298
 * 
   Fiji+679
 * 
   Finland (Suomi)+358
 * 
   France+33
 * 
   French Guiana (Guyane française)+594
 * 
   French Polynesia (Polynésie française)+689
 * 
   Gabon+241
 * 
   Gambia+220
 * 
   Georgia (საქართველო)+995
 * 
   Germany (Deutschland)+49
 * 
   Ghana (Gaana)+233
 * 
   Gibraltar+350
 * 
   Greece (Ελλάδα)+30
 * 
   Greenland (Kalaallit Nunaat)+299
 * 
   Grenada+1
 * 
   Guadeloupe+590
 * 
   Guam+1
 * 
   Guatemala+502
 * 
   Guernsey+44
 * 
   Guinea (Guinée)+224
 * 
   Guinea-Bissau (Guiné Bissau)+245
 * 
   Guyana+592
 * 
   Haiti+509
 * 
   Honduras+504
 * 
   Hong Kong (香港)+852
 * 
   Hungary (Magyarország)+36
 * 
   Iceland (Ísland)+354
 * 
   India (भारत)+91
 * 
   Indonesia+62
 * 
   Iran (‫ایران‬‎)+98
 * 
   Iraq (‫العراق‬‎)+964
 * 
   Ireland+353
 * 
   Isle of Man+44
 * 
   Israel (‫ישראל‬‎)+972
 * 
   Italy (Italia)+39
 * 
   Jamaica+1
 * 
   Japan (日本)+81
 * 
   Jersey+44
 * 
   Jordan (‫الأردن‬‎)+962
 * 
   Kazakhstan (Казахстан)+7
 * 
   Kenya+254
 * 
   Kiribati+686
 * 
   Kosovo+383
 * 
   Kuwait (‫الكويت‬‎)+965
 * 
   Kyrgyzstan (Кыргызстан)+996
 * 
   Laos (ລາວ)+856
 * 
   Latvia (Latvija)+371
 * 
   Lebanon (‫لبنان‬‎)+961
 * 
   Lesotho+266
 * 
   Liberia+231
 * 
   Libya (‫ليبيا‬‎)+218
 * 
   Liechtenstein+423
 * 
   Lithuania (Lietuva)+370
 * 
   Luxembourg+352
 * 
   Macau (澳門)+853
 * 
   Madagascar (Madagasikara)+261
 * 
   Malawi+265
 * 
   Malaysia+60
 * 
   Maldives+960
 * 
   Mali+223
 * 
   Malta+356
 * 
   Marshall Islands+692
 * 
   Martinique+596
 * 
   Mauritania (‫موريتانيا‬‎)+222
 * 
   Mauritius (Moris)+230
 * 
   Mayotte+262
 * 
   Mexico (México)+52
 * 
   Micronesia+691
 * 
   Moldova (Republica Moldova)+373
 * 
   Monaco+377
 * 
   Mongolia (Монгол)+976
 * 
   Montenegro (Crna Gora)+382
 * 
   Montserrat+1
 * 
   Morocco (‫المغرب‬‎)+212
 * 
   Mozambique (Moçambique)+258
 * 
   Myanmar (Burma) (မြန်မာ)+95
 * 
   Namibia (Namibië)+264
 * 
   Nauru+674
 * 
   Nepal (नेपाल)+977
 * 
   Netherlands (Nederland)+31
 * 
   New Caledonia (Nouvelle-Calédonie)+687
 * 
   New Zealand+64
 * 
   Nicaragua+505
 * 
   Niger (Nijar)+227
 * 
   Nigeria+234
 * 
   Niue+683
 * 
   Norfolk Island+672
 * 
   North Korea (조선 민주주의 인민 공화국)+850
 * 
   North Macedonia (Северна Македонија)+389
 * 
   Northern Mariana Islands+1
 * 
   Norway (Norge)+47
 * 
   Oman (‫عُمان‬‎)+968
 * 
   Pakistan (‫پاکستان‬‎)+92
 * 
   Palau+680
 * 
   Palestine (‫فلسطين‬‎)+970
 * 
   Panama (Panamá)+507
 * 
   Papua New Guinea+675
 * 
   Paraguay+595
 * 
   Peru (Perú)+51
 * 
   Philippines+63
 * 
   Poland (Polska)+48
 * 
   Portugal+351
 * 
   Puerto Rico+1
 * 
   Qatar (‫قطر‬‎)+974
 * 
   Réunion (La Réunion)+262
 * 
   Romania (România)+40
 * 
   Russia (Россия)+7
 * 
   Rwanda+250
 * 
   Saint Barthélemy+590
 * 
   Saint Helena+290
 * 
   Saint Kitts and Nevis+1
 * 
   Saint Lucia+1
 * 
   Saint Martin (Saint-Martin (partie française))+590
 * 
   Saint Pierre and Miquelon (Saint-Pierre-et-Miquelon)+508
 * 
   Saint Vincent and the Grenadines+1
 * 
   Samoa+685
 * 
   San Marino+378
 * 
   São Tomé and Príncipe (São Tomé e Príncipe)+239
 * 
   Saudi Arabia (‫المملكة العربية السعودية‬‎)+966
 * 
   Senegal (Sénégal)+221
 * 
   Serbia (Србија)+381
 * 
   Seychelles+248
 * 
   Sierra Leone+232
 * 
   Singapore+65
 * 
   Sint Maarten+1
 * 
   Slovakia (Slovensko)+421
 * 
   Slovenia (Slovenija)+386
 * 
   Solomon Islands+677
 * 
   Somalia (Soomaaliya)+252
 * 
   South Africa+27
 * 
   South Korea (대한민국)+82
 * 
   South Sudan (‫جنوب السودان‬‎)+211
 * 
   Spain (España)+34
 * 
   Sri Lanka (ශ්‍රී ලංකාව)+94
 * 
   Sudan (‫السودان‬‎)+249
 * 
   Suriname+597
 * 
   Svalbard and Jan Mayen+47
 * 
   Sweden (Sverige)+46
 * 
   Switzerland (Schweiz)+41
 * 
   Syria (‫سوريا‬‎)+963
 * 
   Taiwan (台灣)+886
 * 
   Tajikistan+992
 * 
   Tanzania+255
 * 
   Thailand (ไทย)+66
 * 
   Timor-Leste+670
 * 
   Togo+228
 * 
   Tokelau+690
 * 
   Tonga+676
 * 
   Trinidad and Tobago+1
 * 
   Tunisia (‫تونس‬‎)+216
 * 
   Turkey (Türkiye)+90
 * 
   Turkmenistan+993
 * 
   Turks and Caicos Islands+1
 * 
   Tuvalu+688
 * 
   U.S. Virgin Islands+1
 * 
   Uganda+256
 * 
   Ukraine (Україна)+380
 * 
   United Arab Emirates (‫الإمارات العربية المتحدة‬‎)+971
 * 
   United Kingdom+44
 * 
   United States+1
 * 
   Uruguay+598
 * 
   Uzbekistan (Oʻzbekiston)+998
 * 
   Vanuatu+678
 * 
   Vatican City (Città del Vaticano)+39
 * 
   Venezuela+58
 * 
   Vietnam (Việt Nam)+84
 * 
   Wallis and Futuna (Wallis-et-Futuna)+681
 * 
   Western Sahara (‫الصحراء الغربية‬‎)+212
 * 
   Yemen (‫اليمن‬‎)+967
 * 
   Zambia+260
 * 
   Zimbabwe+263
 * 
   Åland Islands+358

  (ONLINE CLAIM SUBMISSIONS will require authentication via a OTP that will be
sent to this number)
Passport number:
: 
Birth date:
: 
Age:
: 
 
Please note ages of travellers are calculated at date of issue.
 
 
Which traveller are you?: 
: 
 
Invoice Details / Premium Notification Details
 
Invoice required:
:  Yes  No    
Company name:
:     
Address details:
: 
VAT number:
:     
 
Payment Details
 
Payment method:
:  Credit card     Upload proof of payment    
Card type:
:  SelectAmerican expressDiners cardMaster cardVisa card   
Card number:
:     
Expiry date:
: 
Select2024/112024/122025/012025/022025/032025/042025/052025/062025/072025/082025/092025/102025/112025/122026/012026/022026/032026/042026/052026/062026/072026/082026/092026/102026/112026/122027/012027/022027/032027/042027/052027/062027/072027/082027/092027/102027/112027/122028/012028/022028/032028/042028/052028/062028/072028/082028/092028/102028/112028/122029/012029/022029/032029/042029/052029/062029/072029/082029/092029/102029/112029/122030/012030/022030/032030/042030/052030/062030/072030/082030/092030/102030/112030/122031/012031/022031/032031/042031/052031/062031/072031/082031/092031/102031/112031/12   
CCV:
:     
Budget period:
:  None6 months12 months18 months24 months36 months   
Bank details
Account name :- Santam Limited - TIC
Bank :- Nedbank
Account number :- 1452034923
Branch code :- 145 209 00
Reference :- 
Proof of payment:
In order for us to accept uploaded proof of payment (PDF format not exceeding
4MB in size), please note the following:
 * Screen shots will not be accepted, only official payment confirmation
   generated by the bank;
 * Reflects bank account number stipulated;
 * Reflects payment reference stipulated; and
 * Amounts to the displayed premium payable.

:       


Premium payable:
: 
TESTING ONLY
Process executed by?
:  Traveller Traveller - multiple travellers Third party
Exclude : - I am acting on behalf of ....
Exclude : - I accept responsibility to distribute .....
display Residence declaration
Cancellation cover exist
Display Pre-Existing medical on cancellation
Unspecified benefit exist
Pre-Existing medical cover exist
Medical consent declaration
Display Cardio declaration
Display Pregnancy declaration
Display Luggage declaration
Display incoming declaration
Display Cover declaration
Display Pre-Authorisation declaration
Display Terms and conditions
Display declaration
Exclude - I accept responsibility to make all travellers aware of above
declarations....
I, Pieter Smit herewith declare that:

South Africa is my/our country of residence because it is the country where I/we
live. It is regarded as my/our permanent home. I/We will be within the borders
of South Africa on 29/01/2021;
I understand that the journey cancellation cover lists the events I am insured
for; any event(s) not listed will not be covered/insured by this policy. Note: a
pre-existing medical condition is not covered under this section. View
covered/insured events here
I accept that I only qualify for unspecified event cover under the cancellation
and curtainment sections when 2020/11/26 (issue date of policy) is within 48
hours of making the first payment, whether in part or in full, of my travel
arrangements. View unspecified event terms here
I accept that medical expenses relating to a pre-existing medical condition is
limited to in-hospital expenses only. I agree to disclose and/or consent to the
disclosure, when required, of all medical information deemed necessary for
verification of Pre-existing* medical condition(s) by myself and/or my medical
practitioner(s)/specialist(s). I acknowledge the pre-exisitng* benefit is
excluded from this policy if I withheld required disclosure and/or consent;
I accept that any claim under the emergency medical benefit resulting from a
Pre-existing* condition of mine is excluded from cover. I agree to disclose
and/or consent to the disclosure, when required, of all medical information
deemed necessary for verification of Pre-existing* medical condition(s) by
myself and/or my medical practitioner(s)/specialist(s). I acknowledge the
emergency medical benefit is excluded from this policy if I withheld required
disclosure and/or consent;
I consent to the disclosure, when required, of my medical information by us
and/or our appointed assistance company to any medical service
provider(s)/specialist(s) and vice versa to enable us to provide you with the
appropriate cover under this policy. Such consent does not allow us to obtain
any of your personal medical information that is not relevant to the emergency
medical accident or illness event(s) whilst on your journey. I acknowledge the
emergency medical benefit is excluded from this policy if I withheld required
consent;
I accept that any claim resulting from vascular, cardiovascular or
cerebrovascular condition of mine or my travel companion or a member of my
immediate family or business associate is excluded from cover.
I accept that emergency medical expenses relating to pregnancy or childbirth
from the 1st day of the 26th week of pregnancy are excluded;
I accept that any item(s) I claim under the luggage benefit is limited to a
single item limit of R2 500, irrespective of the overall cover limit;
I accept that my journey must be a direct route, including connecting stop
overs, to Angola, Botswana, Lesotho, Malawi, Mozambique, Namibia, South Africa,
Swaziland, Zambia and/or Zimbabwe and should my journey not be a direct route to
and/or from the countries mentioned, my Policy will commence and/or cease when
entering or exiting through passport control from the aforementioned countries;
the selected cover option is appropriate for my insurance needs;
I accept that I should obtain prior telephonic authorisation from our appointed
assistance company's before I pay and/or authorise any expenses deemed covered
by this policy. If prior authorisation is not obtained, all cover associated
with this policy will be limited to a maximum of R10 000.
I am not travelling against the advice of a medical practitioner and I am not
travelling with the intent of receiving medical treatment, surgery or
investigations.
I accept the terms and conditions (Policy Wording). of the policy and I agree to
contact, as soon as reasonably possible, TIC on 0861 490 100 or +27(0)11 521
4111 and speak to one of the trained consultants.
I am acting on behalf of the listed traveller(s) and have authority to do so and
I have the consent of any named person(s) on the policy to pass on their
information to TIC. I will distribute communication relating to this policy
received on pks@tic.co.za to listed traveller(s) and I will bring to the
attention of the traveller(s) the following important declarations:
 * South Africa is declared as travellers' country of residence because it is
   the country where they live. It is regarded as all travellers' permanent
   home. They should be within the borders of South Africa on 29/01/2021;
 * journey cancellation cover lists the events they are insured for, and
   therefore any event(s) not listed will not be covered/insured by this policy.
   View covered/insured events here;
 * they only qualify for unspecified event cover under the cancellation and
   curtainment sections when the policy purchase date of 2020/11/26 is within 48
   hours of making the first payment, whether in part or in full, of all
   travellers' travel arrangements. View unspecified event terms here If
   travellers have purchased their policy more than 48 hours after making their
   first payment, this benefit is excluded from cover;
 * any claim under the emergency medical benefit resulting from a Pre-existing*
   condition(s) of all travellers is excluded from cover. They agree to disclose
   and/or consent to the disclosure, when required, of all medical information
   deemed necessary for verification of Pre-existing* medical condition(s) by
   themself and/or all travellers' medical practitioner(s)/specialist(s). They
   acknowledge the emergency medical benefit is excluded from this policy if
   they withheld required disclosure and/or consent;
 * any claim under the emergency medical benefit resulting from a Pre-existing*
   condition(s) of all travellers are limited to in-hospital expenses only. They
   agree to disclose and/or consent to the disclosure, when required, of all
   medical information deemed necessary for verification of Pre-existing*
   medical condition(s) by themself and/or all travellers' medical
   practitioner(s)/specialist(s). They acknowledge the pre-exisitng* benefit is
   excluded from this policy if they withheld required disclosure and/or
   consent;
 * they consent to the disclosure, when required, of all travellers' medical
   information by us and/or our appointed assistance company to any medical
   service provider(s)/specialist(s) and vice versa to enable us to provide them
   with the appropriate cover under this policy. Such consent does not allow us
   to obtain any of all travellers' personal medical information that is not
   relevant to the emergency medical accident or illness event(s) whilst on all
   travellers' journey. They acknowledge the emergency medical benefit is
   excluded from this policy if they withheld required consent;
 * any claim resulting from vascular, cardiovascular or cerebrovascular
   condition of all travellers or all travellers' travel companion or a member
   of all travellers' immediate family or business associate is excluded from
   cover;
 * any claim under the emergency medical expenses relating to pregnancy or
   childbirth from the 1st day of the 26th week of pregnancy are excluded;
 * any item(s) they claim under the luggage benefit is limited to a single item
   limit of R2 500, irrespective of the overall cover limit;
 * all travellers' journey must be a direct route, including connecting stop
   overs, to Angola, Botswana, Lesotho, Malawi, Mozambique, Namibia, South
   Africa, Swaziland, Zambia and/or Zimbabwe and should all travellers' journey
   not be a direct route to and/or from the countries mentioned, all travellers'
   Policy will commence and/or cease when entering or exiting through passport
   control from the aforementioned countries;
 * the selected cover option is appropriate for all travellers' insurance needs;
 * they must obtain prior authorisation from TIC or the Assistance Company
   before incurring any expenses. If prior authorisation is not obtained, cover
   will be limited to a maximum of R10 000;
 * ;
   

I accept the terms and conditions (Policy Wording). of the policy and I agree to
contact, as soon as reasonably possible, TIC on 0861 490 100 or +27(0)11 521
4111 and speak to one of the trained consultants.
I accept responsibility to make travellers aware of above declarations and that
they should contact TIC on 0861 490 100 or +27(0)11 521 4111 and speak to one of
the trained consultants, if they are unsure whether the selected policy is right
for them, and/or need clarification on these declarations and/or the terms and
conditions.
 
(*)Pre-existing illness
"Any injury, illness, sickness, disease, or other physical or medical disorder,
including any medical condition, ailment or injury diagnosed, or for which some
form of treatment has been received in the last 6 months before purchasing this
policy"



3DSECURE PAYMENT GATEWAY


 
You only qualify for the free travel insurance when you purchased your travel
tickets with your FNB Private Clients Cheque or Credit Card.

To find out more about other travel insurance options available to you, please
contact 0861 490 100 or submit your details below and one of our consultants
will contact you.
 
Contacts Details
 
Title
: 
First name
: 
Surname
: 
Telephone number
: 
Email address
: 
 
Journey Details
 
Departure date
: 
Returning on
:   Travel days: 1 day(s)
Number of travellers
:  1 2 3 4 5 6 7 8
  
Issued Policies
 


 
Your policy documentation has been emailed to . Please contact our call centre
on 0861 490 100 or +27(0)11 521 4111 if any aspect of your policy is incorrect
or you have not received your email. Please note that sometimes emails can be
delayed temporarily or be delivered to your Spam folder.

Protection of Personal Information
We have password protected your documentation that contains your personal
information for your security. Please use your date of birth (yyyymmdd) to open
your documents.

Re-send email address:
: 

Lead Submitted
 



PLEASE CALL US IF YOU NEED ASSISTANCE:

     0861 490 100 OR +27(0)11 521 4111


CALL US IF YOU NEED ASSISTANCE: 0861 490 100 OR +27(0)11 521 4111

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CONSENT TO PROCESS PERSONAL INFORMATION

In accordance with the Protection of Personal Information Act No 4 of 2013
(POPIA), Santam is committed to protecting your privacy and the integrity of
your Personal Information by dealing with it in a lawful, legitimate and
responsible manner. We take the protection and use of your information very
seriously and therefore this notice will take precedence over any other notice,
of any agent, broker or entity, that your information has been received or
obtained from.

This notice seeks to inform you of what personal information means, about why we
need to collect information about you, whether it is information shared by you
or we obtain it during the course of our interactions or relationship and how
that information will be dealt with by us.

Your Declaration and Informed Consent


I understand and consent to the collection and use of my Personal Information by
Santam and the purpose for which it is required and that such information will
be collected through my use of the systems, tools, products and services.

I declare that all Personal Information supplied to Santam for the purposes of
processing and administering my policy or quotation for related legal and
operational reasons is accurate, up-to-date, not misleading and complete in all
respects. I undertake to advise Santam of any changes to my Personal Information
should any of these details change.

What does Personal Information mean?


Personal Information is defined as: information relating to an identifiable,
living natural/juristic person, including, but not limited to—

 * information relating to the race, gender, sex, pregnancy, marital status,
   national, ethnic or social origin, colour, sexual orientation, age, physical
   or mental health, well-being, disability, religion, conscience, belief,
   culture, language and birth of the person;
 * information relating to the education or the medical, financial, criminal or
   employment history of the person;
 * any identifying number, symbol, email address, physical address, telephone
   number, location information, online identifier or other particular
   assignment to the person;
 * the biometric information of the person;
 * the personal opinions, views or preferences of the person;
 * correspondence sent by the person that is implicitly or explicitly of a
   private or confidential nature or further correspondence that would reveal
   the contents of the original correspondence;
 * the views or opinions of another individual about the person; and
 * the name of the person if it appears with other Personal Information relating
   to the person or if the disclosure of the name itself would reveal
   information about the person.

What does Special Personal Information mean?


In certain instances, consent to process Special Personal Information may be
required from you either by Santam or by an authorised third party. Special
Personal Information can be highly sensitive in nature and therefore a higher
degree of protection is given to such information under POPIA. Special Personal
Information is a person’s Personal Information that concerns their religious or
philosophical beliefs, race or ethnic origin, trade union membership, political
persuasion, health, sex life, biometric information or criminal behaviour. Such
information, if needed, will be requested of you at the time it is necessary for
the policy to perform. If you withhold such information, performance of the
policy may be delayed or may not be possible.

Why we collect your Personal Information?


As an Insurer, we may collect your Personal Information for the following
reasons, some of which are mandatory:

 * process policy applications;
 * administering your policy;
 * underwriting purposes;
 * to meet our obligations under an agreement with you
 * to provide you with access to our products and services, including but not
   limited to analysis, advice or intermediary services in relation to your
   policy;
 * monitor and analyse your conduct relating to the policy for fraud, compliance
   and other risk-related purposes;
 * develop new products and services;
 * to help us improve our offerings to you;
 * to confirm and verify your identity or to verify that you are an authorised
   user for security purposes;
 * for the detection and prevention of fraud, crime, money laundering or other
   malpractice;
 * to conduct market or customer satisfaction research or for statistical
   analysis;
 * for audit and record keeping purposes;
 * in connection with legal proceedings;
 * to comply with legal and regulatory requirements or industry codes to which
   we subscribe or which apply to us, or when it is otherwise allowed by law.

The information we collect will depend on the purpose for which it is processed.
We will only collect information that Santam requires for the purposes it deems
to be in your interest. In some instances, we will inform you of what
information you are required to provide us and what information is optional.

Information will primarily be collected directly from you; however, we may also
collect and/or verify information about you, potentially electronically, from
other sources, with or without your knowledge. We may collect such information
about you from contracted parties or publicly available sources such as
electoral rolls, court judgements, bankruptcy or repossessions, credit rating
agencies and verification agencies.

Website usage information is collected using "cookies" which allows us to
collect standard internet visitor usage information.

Do we disclose your Personal Information?


Your Personal Information will be kept confidential, however, under certain
circumstances, to ensure the purpose of collection is met, we may lawfully
disclose it to the following third parties:

 * Service providers;
 * Subcontractors;
 * Agents;
 * Reinsurers;
 * Insurance associations or other insurers;
 * Medical and statutory authorities;
 * Santam personnel;
 * Court of Law;
 * Governmental bodies;
 * The regulator.

We may also disclose your Personal Information, where we are required to
disclose in terms of law or industry codes or where we believe it is necessary
to protect our rights. The third parties above may sometimes be located outside
the Republic of South Africa.

We have agreements and security measures in place to ensure that all third
parties to whom your Personal Information is disclosed comply with the terms and
provisions of the POPIA. We ensure that third parties fully understand the
duties and obligations they become encumbered with in retaining the privacy and
integrity of your Personal Information.

How we protect your Personal Information?


In terms of the law, we are obliged to implement measures and strategies to
ensure protection of your Personal Information, whereby, unauthorised access and
use is deterred. Our security policies and procedures, which are reviewed on an
ongoing basis include the following:

 * Physical security;
 * Computer and network security;
 * Access to Personal Information;
 * Secure communications;
 * Security in contracting out activities or functions;
 * Retention and disposal of information;
 * Acceptable usage of Personal Information;
 * Governance and regulatory issues;
 * Monitoring access and usage of private information;
 * Investigating and reacting to security incidents.

Information Collection


Santam engages third parties that help it deliver its banner advertisements and
other online communications. The third parties may collect and use information
about Santam customers to help us understand the offers, promotions, and types
of advertising that are most appealing to its customers.

The personal information they collect is aggregated and cannot be linked to a
person. If you do not wish your personal information to be used in this way,
please notify us. Third party vendors, including Google and DoubleClick, show
Santam's ads on sites on the internet. Third party vendors, including Google and
DoubleClick, use cookies to serve ads based on a user's prior visits to Santam's
website.

Users may opt out of Google and DoubleClick’s use of cookies by visiting the
Google advertising opt-out page or by visiting the Network Advertising
Initiative opt out page.

How to access your Personal Information?


You may contact us to enquire what Personal Information we hold for you. We will
make the information available to you once we are reasonably satisfied that you
have confirmed your identity to us.

How to correct your Personal Information?


You may update, correct, amend or delete your Personal Information at any time.
We will take reasonable steps to confirm your identity before making changes to
Personal Information.

Do we amend this Notice?


Please note that we may amend this notice from time to time. Please check this
web page regularly for changes. The terms of use may change from time to time
and without notice. The changed terms are also binding.

How to complain?


You have the right to address any complaints you may have regarding your
Personal Information to our complaints department, details of which are
available on our website, alternately you may contact the Information Regulator:


The Information Regulator (South Africa) SALU Building
316 Thabo Sehume Street
0001
PRETORIA

Tel: 012 406 4818
Fax: 086 500 3351
inforeg@justice.gov.za

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