Statement pursuant to Section 25(5) of the Insurance Act, you are to disclose in the Application Form, fully and faithfully, all the facts that you know or ought to know, otherwise this Policy issued hereunder may be void.
Please fill in all fields and payment instructions below before submission. Only students are required to enter their matriculation number. You will receive an acknowledgement via your email. Your Travel Insurance Certificate and Policy will be issued within 5 working days and they will be sent to the registered email address. No hard copies will be sent.