Schengen Travel Insurance
with Medical Benefits
(1 Year Coverage)

Personal Accident

Accidental Death and Disablement (AD&D)

Unprovoked Murder and Assault

Emergency Medical Treatment

Medical expenses with hospitalization

Treatment for Pre-existing Condition

Hospital Cash Allowance

Emergency and Accidental Dental Expenses

Delivery of medicines

Emergency Travel Assistance
Inconvenience Travel Benefits
Personal Liability

Please download and read thoruoughly the General Terms and Conditions before continuing to fill up the form. For Poland National Visa applicants, please click the Poland button.

SCHENGEN

+ POLAND

Insurance policy will be sent within 2 to 3 working days after payment has been made.

I have downloaded and read the General Terms and Conditions of the insurance policy.

Data of Insured Person

First Name

Middle Initial

Last Name

Residence Address

House number, Street and Barangay

City or Town

Zip Code / Postal Code

Permanent Address

House number, Street and Barangay

City or Town

Zip Code / Postal Code

Phone

City of Birth

Date o Birth of Insured (MM/DD/YY)

Nationality

Passport No.

Source of Funds

If Employed, Name of Employer

Occupation

If Self-Employed, Nature of Business

Email of the Insured

Policy Start Date (MM/DD/YY)

Period of Insurance (in months)

As part of KYC, insurance providers require proof or reason for insurance applications. For students, please upload your Letter Of Invitation from the Education institution. For OFWs, please upload a copy of your employment contract.

Upload File

Upload a clear picture of your passport

Upload File

I agree to the processing of my personal data by ABC Travel exclusively for the purpose of concluding the insurance contract.

I understand that if the insurance contract is concluded the Policyholder, as a consumer, has the right to withdraw from the insurance contract whose Insurance Period is at least 30 days within 30 days from being informed about the conclusion of the contract.

Your Signature

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Schengen Travel Insurance with Medical Benefits (1 Year Coverage)

Personal Accident

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Personal Liability​

Special Offers

Schengen Travel Insurance
with Medical Benefits
(1 Year Coverage)

Emergency Travel Assistance

Inconvenience Travel Benefits

Personal Liability