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    This document is an insurance policy issued by Prime Insurance Company Ltd. to Mustapha Darboe for travel insurance covering emergency medical expenses up to 30,000 EUR and personal accident up to 30,000 EUR for a trip from December 1st to 31st, 2023 traveling from The Gambia to Japan by air. The policy outlines exclusions including pre-existing medical conditions, pregnancy, regular medical treatment, and terminal illness. It was signed on November 10, 2023.

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    Insur

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    12 views1 page
    This document is an insurance policy issued by Prime Insurance Company Ltd. to Mustapha Darboe for travel insurance covering emergency medical expenses up to 30,000 EUR and personal accident up to 30,000 EUR for a trip from December 1st to 31st, 2023 traveling from The Gambia to Japan by air. The policy outlines exclusions including pre-existing medical conditions, pregnancy, regular medical treatment, and terminal illness. It was signed on November 10, 2023.

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    This document is an insurance policy issued by Prime Insurance Company Ltd. to Mustapha Darboe for travel insurance covering emergency medical expenses up to 30,000 EUR and personal accident up to 30,000 EUR for a trip from December 1st to 31st, 2023 traveling from The Gambia to Japan by air. The policy outlines exclusions including pre-existing medical conditions, pregnancy, regular medical treatment, and terminal illness. It was signed on November 10, 2023.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    12 views1 page

    Insur

    Uploaded by

    legacyinternetcafe1
    This document is an insurance policy issued by Prime Insurance Company Ltd. to Mustapha Darboe for travel insurance covering emergency medical expenses up to 30,000 EUR and personal accident up to 30,000 EUR for a trip from December 1st to 31st, 2023 traveling from The Gambia to Japan by air. The policy outlines exclusions including pre-existing medical conditions, pregnancy, regular medical treatment, and terminal illness. It was signed on November 10, 2023.

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    © All Rights Reserved
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    10C , Nelson Mandela Street, Banjul, The Gambia, P.O.

    Box 277, Tel: +220 4222476, Fax: +220 4222475


    RC, 28 - 1997
    VAT Reg. No. 29142 Website: www.prime.gm TIN No. 0710010304

    TRAVELLERS PERSONAL ACCIDENT & EMERGENCY MEDICAL EXPENSIVE INSURANCE POLICY


    POLICY No.: KM01SCH002013 - 00045 APPLICATION No: 0002023

    Whereas The Insured named in the schedule, hereto being desirous of insuring in the manner hereinafter mentioned with Prime Insurance
    Company Ltd. (hereinafter called the Company) has made a proposal and declaration which it is agreed shall be the basis of this contract and has paid
    to the Company the premium stated herein as the consideration for the said insurance for the period set forth in the said schedule.
    Now therefore, this policy witnesses
    that during the said period the Company shall subject to the terms and conditions hereinafter set out and any endorsements hereon, insure the Insured
    Against bodily injury and or death and indemnify the Insured against loss and damage (where the event giving rise to the injury or loss or damage
    (where the event giving rise to the injury or loss or damage occurs during the subsistence of this policy) all as hereinafter set forth.

    POLICY HOLDER NKIRI JOHN


    ADDRESS SERREKUNDA
    BANJUL THE GAMBIA
    OCCUPATION BUSINESS

    THE INSURED MUSTAPHA DARBOE DATE OF BIRTH 15TH NOVEMBER, 1979


    PROFESSION BUSINESS PLACE OF BIRTH EYUMODJOCK
    LOCATION SERREKUNDA NATIONALITY CAMEROONIAN
    OVERSEA CONTACT JAPAN PASSPORT No. AA449018

    DESTINATION JAPAN NET PREMIUM 695.65


    TRIP DURATION 30 DAYS VAT 104.22
    FROM 1st DECEMBER, 2023 TO 31th DECEMBER, 2023
    TRAVEL MEANS AIR TOTAL PREMIUM 800.00

    BENEFITS LIMITS (EUR) DEFINIION/EXCEPTIONS

    EMERGENCY MEDICAL EXPENSES 30,000 EMERGENCY MEDICAL EXPENSES means: Unforeseen medical condition that
    PERSONAL ACCIDENT 30,000 arises during your medical travel requiring urgent medical treatment
    REPATRIATION OF MORTAL REMAINS 3,000

    What you are not covered for under this policy:


    1. You have been diagnosed as suffering from a terminal illness
    2. You have been receiving in-patient treatment or waiting for treatment
    3. You are playing to have medical treatment during your journey
    4. Any condition you were receiving regular treatment or advice for at the time you
    made travel arrangement and at the time of your journey
    5. Any Pre-existing medical condition that you may be suffering from
    6. Pregnancy or childbirth

    I declare and warrant that I am in good health and that I have no physical defects or infirmities, that
    PRIME INSUR
    IN Witness whereof this policy has been signed
    ANCE
    I am between the age of 18 and 65. I have not withheld or concealed anything affecting this insurance This Date of 10th November, 2023
    COMPANY LIM
    and agree that this declaration shall be the basis of the contract between me and ITED
    PRIME INSURANCE COMPANY LIMITED Examined by:……………………………………….
    DATE:…………
    Signature of the Insured………………………………………………………. …….
    For and on behalf of PRIME INSURANCE COMPANY LIMITED

    Conditions: See Overleaf

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