CERTIFICATE
THE SCHENGEN TRAVEL INSURANCE
With the present document, Inter Partner Assistance covers the following traveller:
First name: Mack Alexter Lustre
Last name: Domingo
Date of Birth: 06/06/2012
Nationality: Philippines
Passport nº: P9899387B
Reference of the policy Schengen Europe Travel
Policy Number: SCHEU2024-49591-A
Date of subscription: 06/05/2024
Period covered from 06/07/2024 to 22/07/2024
Drawn up in Brussels on 06/05/2024
In case of a medical incident, this insurance covers the traveller in all countries of the Schengen Area and of the European Union, for
the following:
•
Амбулаторное лечение 50 000€ Покрывает риски, связанные с лечением коронавирусной
Госпитализация 50 000€ инфекции (COVID-19) 50 000€
Перевозка останков/репатриация 50 000€ Помощь при аллергических реакциях 50 000€
Транспортировка к врачу или в больницу 50 000€ Экстренная медицинская помощь 50 000€
Гражданская ответственность 10 000€ Несчастный случай 3 000€
INTER PARTNER J ~TA CE]
Boulevard,du Regent 7 - 100\s:/, es - B lgique
Regentlaan 7 - 1000 BM el - Belg ie
No deductible to pay. Medical fees related to COVID-19 are covered in the limits, conditions &
~ exclusions established
2--550 i 560 in the
insurance policy. (
FOR THE ATTENTION OF EMBASSIES AND CONSULATES - ONLINE VERIFICATION
In order to strengthen the security, Embassies and Consulates can check the validity of the present certificate by entering the
following information on the Internet site:
http://subscribe.axa-schengen.com/embassy/
Beneficiary Name: Domingo
Policy nº: SCHEU2024-49591
AXA Schengen follows strictly the Regulation (EC) No 810/2009 of the European Parliament and of the Council of July 13th of 2009,
implemented on April 5th of 2010. In all cases, the covered period refers to this insurance policy only and its validity. It can't be used as
an argument when applying for visa.
AXA Partners – Inter Partner Assistance SA/NV
Public limited company with registered capital of EUR 31.702.613
Boulevard du Régent 7 - 1000 Brussels - Belgium
BIC : BBRUBEBB - IBAN : BE49 3100 7270 0071 Tel : +32 2 550 04 00
Insurance company authorised under no. CBFA 0487, registered in Belgium at the Brussels Chamber of
Commerce under no. 0415.591.055.
SPECIAL CONDITIONS FOR THE
'SCHENGEN INSURANCE' POLICY
REFERENCE OF THE POLICY POLICY HOLDER
Policy no.: SCHLC2022-15731 Last name/First name: Amjad, Fatima
Date of subscription: 01/03/2022 Country of residence: Canada
Period covered: from 03/04/2022 to 17/04/2022 INSURED PARTY/PARTIES
Cost of policy: €36.00 Last name/First name: Amjad, Fatima
Country of residence: Canada
Policy no.: SCHLC2022-15731
COVER:
Telephone assistance 24/7
Cover for medical expenses and emergency hospitalization
Medical repatriation
Repatriation of the mortal remains and burial
For Low Cost Insurance: limit Euro 30,000 in the Schengen zone. For Europ Travel Insurance: limit Euro 100,000. For Multi Trip
Insurance: limit Euro 100,000.
Medical fees related to Covid-19 are covered in the limits, conditions, and exclusions established in the insurance policy.
THE PROTECTION OF PRIVATE LIFE WITH RESPECT TO PERSONAL DATA PROCESSING RELATING TO HEALTH:
Personal information relating to the client which is provided to the insurer in the context of this policy is processed for the purposes of
administering the insurance, client base management, antifraud procedures and dispute management by::
AXA Partners – Inter Partner Assistance SA/NV, Avenue Louise 166/1, in 1050 Brussels
AXA Business Services Private Limited, Residency Road 16/2, 560025 Bangalore, India
The client explicitly accepts and declares that they agree to the processing of personal information relating to their health in so far as
this is necessary and/or useful for the management and/or execution of the insurance policy entered into between them and the
insurer.
In case of a medical incident, contact AXA Assistance 24/7
via telephone: +32 2 552 53 98 or
Email: [email protected]
AXA Partners – Inter Partner Assistance SA/NV
Public limited company with registered capital of EUR 31.702.613
Avenue Louise 166 B1 - 1050 Brussels -Belgium
BIC : BBRUBEBB - IBAN : BE49 3100 7270 0071 Tel : +32 2 550 04 00
Insurance company authorised under no. CBFA 0487, registered in Belgium at the Brussels Chamber of
Commerce under no. 0415.591.055.
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