Medical Foreign

= poss.

Rii Duplicate issued for the Insured

INSURANCE AND ASSISTANCE CERTIFICATE

This certificate cam be used and presented in case of visa appliance ina foreign

consulate

INSURED,

NameSECKA

Given mame:ELIMAN

Date of birth: 1968-06-21

Passport no PCBS 1605

DATES

Bezinning of validity 2025-08-08

End of validity: 2024-01-03,

MAIN BENERITS mentioned inthe Gover

Medical emergency: incase of salen cha

Medical wansportation: actual coats

Payment of medical expenses: 30000 Euros with «$0 E

Payment of emergency denial expens

Repatriation of mortal remains: 2

Reseach and lost i

= Advance bail up to 2000 Euros and legal cost up 400 Euro

+ Repatriation after treatment: at

‘Asan exception othe Genel Excasons rel

‘Organi the Bees nese ude

Adsense including Covd- 19, applies for Mai

Remains Please retro Terma Coins

SPECIAL PROVISION

and the exchisons :

This certificate cannot be sed asa Ter 3f payment into public or private medical

onganiation

The insured declares not have Seheduled any tel for thempeutc treatm

Issued in thice copies jn Serekund onthe 202307117

Se

ofthe copay Signature of the insured

cum ORI734 commen RONNGANOCOOOTS

oe SERA nc

cme 2G

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