Star International Travel Insurance

Customer Details

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First Name

Middle Name

Last Name

Gender

Phone

Address

Policy Details

Nearest Branch

Departure Date

Return Date

No of days

Coverage

Destination Address

Destination Contact No.

Embassy Address

Country of Destination

	Country

Traveler Info.

Fill out the form and add all travelers

**Customer is traveling

First Name	Middle Name	Last Name	DoB	Age	Gender	Nationality	Passport No.

Other Info

Premium Summary

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Policy Details

Coverage:

Departure Date:

Return Date:

Travel Period:

Branch:

Destinations:

Destination Address:

Destination Contact No.:

Embassy Address:

Traveler Details

First Name:

Middle Name:

Last Name:

Dob:

Age:

Gender:

Nationality:

Passport No.:

Traveler Details - Select to view

First Name	Middle Name	Last Name	DoB	Age	Gender	Nationality	Passport No.

First name	Middle name	Last name	DoB	Gender	Email	Phone

Products:

Products:

Accounts:

Star International Travel Insurance

Customer Details

Policy Details

Traveler Info.

Other Info

Premium Summary

Premium generated for the details below is GHS | | Rate:

Policy Details

Traveler Details

Traveler Details - Select to view