Insurance Certificate

POLICY NUMBER DATE OF ISSUE

MAIN INSURED PERSON

Name:

Date of Birth:

Address:

Medical Ref:

ADDITIONAL INSURED PERSONS

DETAILS OF COVER

Start date: End date:

Type of cover:

Destination:

ADDITIONAL OPTIONS INCLUDED

PAYMENT:

For an annual multi-trip policy you will not be covered for holiday cancellation until your policy start dateThis document only constitutes a valid policy of insurance when read in conjunction with the policy wording booklet (Terms and Conditions). In case of emergency, or if you need to make a medical or repatriation claim, please contact our 24 hour helpline on :

Annual Silver

MF/CP/205222/13419882 25 May 2015

Mai Dao

05 May 1990

53 Colne Road

Huddersfield

West Yorkshire

HD13AY

No medical conditions

None

24 May 201625 May 2015

Annual Silver

Cancellation 750; Curtailment 750; Medical Expenses 30000000; Personal Liability 1000000; Max days per trip 31 Days; Baggage 750; Passport and docs 100; Personal Money and Docs 250; Medical Excess 250 (subject to Double Excess or Excess Waiver options that mayhave been selected);

Europe (excluding Algeria, Israel, Libya, Lebanon and Jordan)

Baggage and Money

18.30 GBP

+44(0)2077480066