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Identification of the insured
Full name
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Country
Zone I: All countries in the world except Tunisia, USA, CANADA, Japan & Australia.
Zone ll: USA, CANADA, Japan & Australia.
Country
Country
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Duration
Duration
up to 7 days
between 8 and 10 days
between 11 and 15 days
between 16 and 21 days
between 22 and 30 days
between 31 and 60 days
between 61 and 90 days
between 91 and 180 days
up to one year for a single individual
up to one year for a couple without children
up to one year for couples with children
Total number of people
How many elderly people are going to travel?
Nb of people aged between 65 and 69 years
Nb of people aged between 70 Years and 74 Years
Nb of people aged between 75 and 80 years
Envoyer
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