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SAMPLE INSURANCE CERTIFICATE |
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SA TOURMED EMERGENCY ASSISTANCE TELEPHONE NUMBERS
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| CERTIFICATE NUMBER: | 93119 | |||||||||
| PERIOD OF COVER: | 01/01/2002 - 03/01/2002 | |||||||||
| TOTAL PREMIUM: | $98.00 | |||||||||
| INSURED PERSON(S): | 2 | |||||||||
| 1.) | Primary Insured | Brett Smith | ||||||||
| Address: |
1 Redmont Square Kloofnek Road Cape Town, 8001 |
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| Passport Number: | 1234567890 | |||||||||
| Contact Name: | Ellen Smith | |||||||||
| Contact Phone: | 031 - 5628579 | |||||||||
| 2.) | Name: | Kate Smith | ||||||||
| Passport Number: | 1234567890 | |||||||||
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This Insurance Certificate attaches to and forms part of the SA TOURMED
(Pty) Ltd. Master PolicyNumber : LTI050801 underwritten by CHARTIS South
Africa Limited. This Insurance Certificate certifies that the persons named herein are entitled to the Benefits under this insurance policy subject to the agreed Policy Conditions. |
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| © SA-TOURMED (Pty) Ltd | |