Safer | MAE

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Identification of the insured

Full name

CIN number

Phone number

E-mail adress

Country

Zone I: All countries in the world except Tunisia, USA, CANADA, Japan & Australia.

Zone ll: USA, CANADA, Japan & Australia.

Country

Declaration

Duration

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