United Travel & Health Guardianian

Travel & Health Guard Insurance Policy (United Domestic Care)

0 Rs.

Package:

United Domestic Care (For Pakistan Travellers/Visitors Only)

Date From: *

Date To: *

No Of Days: *

Name of Insured: *

DOB: *

Passport No:

NIC: *

Address: *

Contact No: *

Beneficiary: *

Relationship: *

Origin/Nationality: *

Remarks: *

Single

Family

SpouseName:

DOB:

Spouse CNIC:

Child Name:

DOB:

CNIC No:

Child No. 2:

DOB:

CNIC No.:

Child No. 3:

DOB:

CNIC No.:

Plan Required:

Platinum

Gold

Active Tax Payer:

NTN No.:

Travel Date:

Policy View *

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* Fields are mandatory
Note: Client age should be less than 75
Child age should be less than 18

	+92-42-111-000-014
	+92-42-35776475-6480
	travel@theunitedinsurance.com
	UIG House, 01 Upper Mall, Lahore - Pakistan.

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