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Dvine Travels & Tour is proud to be a longstanding partner with AIICO. AIICOs Travel & Health Insurance policy provides comprehensive coverage to outbound travellers including the following:
 
Reimbursement of Emergency Medical Expenses
  Evacuation
  Repatriation
  Emergency Assistance Services
  Return Assistance

                                                       Benefits Include:
 
Discounted Premiums
Download Travel Insurance Proposal Form
Click here to register as a Travel Agent

                                                        Customers Include:

  Clubs & Associations
  Family members
  Tourists
  Outbound Travellers
  Schools & Students
  Individuals
  Corporate Bodies

Fill the form below and we will contact you immediately to arrange your travel insurance.
Surname
Address:
E-Mail Address:
City:
State:
Postal Address/Zipcode:
Telephone/Mobile Number:
Fax Number:
Gender:
Single:
Female:
Relationship:
Destination:
First Name:
Travel Insurance Form
Marital Status:
Occupation:
Date of Birth:
Married:
Male:
Passport No:
Name of Next of Kin:
Address:
E-Mail Address:
Coverage Begins:
Coverage Ends:
Yes
No
Do you intend to stay in any one country for more than 90 days?
Do you have any Pre-existing Medical Condition(s)?
Yes
No
If yes, pleaseExplain in the box below
How did you hear about this Travel Insurance Policy:
Declaration:
Date:
Applicant Signature:
PLEASE NOTE THAT PREMIUM PAID IS NOT REFUNDABLE
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