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Insured Person(s) > Select your plans > Details

Insured Person(s)

Policy holder

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To insure more people, please contact us for a personal quote.

Please check: This application is for one person only.

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Insured Person(s) > Select your plans > Details

Select your plans

Add A Policy

Student & Working Holiday Cover (info)

Student & Working Holiday Cover

For young Europeans going anywhere in the World for studies, Working Holiday, au pair or for an internship.

From

Duration

Option Disablement by Injury & In Hospital Personal Cash

Globe Trotter Cover (info)

Globe Trotter Cover

For all travelers anywhere in the World whatever the purpose of their travel.

From

Duration

What is your country of main residence (where you live permanently)?

Destination

Globe Trotter Premium/Summum (info)

Globe Trotter Premium/Summum

Suits anyone coming from European Union, travelling or settling abroad before a permanent expatriation, even already overseas (15 days of waiting time apply in this case)

Type

Premium
Summum

Destination

From

Duration

Globe Traveller (info)

Globe Traveller

For all travellers anywhere in the World whatever the purpose of their travel even though already travelling overseas.

From

Duration

What is your country of main residence (where you live permanently)?

Country of destination?

Medical Cover Amount

Option Trip Cancellation

Amount Cancellation Cover

Option Sport Risk

Option Sport Equipment

Schengen Cover (info)

Schengen Cover

For all travelers visiting the Schengen area (Schengen visa approved).

Essential (no cover of legal liablity or pandemics)
Comfort (cover of legal liability but not pandemics)
Premium (no cover of legal liability but cover of pandemics)
Summum (cover of legal liability and pandemics)

From

Duration For cover over 3 months, see our Globe Trotter plan

NZ Car Insurance (info)

NZ comprehensive vehicle insurance

Comprehensive car insurance for all travelers in NZ (cover car & campervans self-contained or not)

Third Party
Comprehensive

From

Date of purchase or possession of your vehicle

Make

Model

Year

Plate No

Insured for period

Vehicle Value ($)

Add Roadside Assistance?

Roadside assistance (info)

Roadside assistance

Cover assistance and towing of your vehicle to a repair shop in the event of a breakdown.

Standard 6 Months
Standard 1 Year
Premium (available for 1 year only)

Make

Model

Year

Plate No

NZ Address (even if temporary)* *this address will not be used to post mail or documents

Other

Policy Name

Amount (To fill in yourself)

From

Until

Premium

The cost of your insurance is:

Normally:
You Pay:

€

This is the cost of your insurance for the first 3 months. Then, monthly payment of $ starting on the 4th month.

Email Quote

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Insured Person(s) > Select your plans > Details

Details

Once your application is submitted, you will be linked to a secure payment website.
Certificates will then be sent to your email address within 12 hours.

Country address must be the same as Country of Residence

Policy holder

Visa Status e.g. working holiday, work visa, student, residency, visa not required

Further information

Country of Destination

Extra info

Referring Friend's name (optional)

Declarations

I declare that I have thoroughly read and agree to the terms and conditions re policies and services I have purchased as above, including the "Insurance product information documentation" and the FIC

Questions

Licence Type

Has anyone who will drive this vehicle been convicted of a driving offence (other than parking) or have any prosecution pending in the last 3 years?

Has anyone who will drive this vehicle had a criminal conviction or is pending prosecution for a criminal offence in the last 3 years?

Has anyone who will drive this vehicle had more than 2 driving accidents within the last 2 years?

Je déclare souscrire à cette police d’assurance avant l’arrivée mon pays d’origine.

I declare that:

I have never had any heart, vascular or pulmonary problems, undergone treatment with cobalt radiation, radium or chemotherapy, or osteo or articular diseases.
I am not aware of any need to be hospitalized for examination or treatment in the coming months.
I have noted that medical expenses resulting from conditions whose first symptoms may have occurred before the contract was taken out are not reimbursed.

IMPORTANT: Any false declaration nullifies the insurance policy (art. L113-8 of the French Insurance Code)

In case I wanted to extend my coverage in time, I will be able to subscribe to a new insurance policy. I understand that the new policy will only be accepted if it is subscribed before the end date of the first one and if there are no uncovered periods in between policies.

I declare that:

I have never had any heart, vascular or pulmonary problems, undergone treatment with cobalt radiation, radium or chemotherapy, or osteo or articular diseases.
I am not aware of any need to be hospitalized for examination or treatment in the coming months.
I have noted that medical expenses resulting from conditions whose first symptoms may have occurred before the contract was taken out are not reimbursed.

IMPORTANT: Any false declaration nullifies the insurance policy (art. L113-8 of the French Insurance Code)

Subscriber

Family Name

First Name

Date of birth

Nationality

Address

Postal Code

City

Country Of Residence

Phone Number

Email Address

Traveller(s)

Questions

Licence Type

Has anyone who will drive this vehicle been convicted of a driving offence (other than parking) or have any prosecution pending in the last 3 years?

Has anyone who will drive this vehicle had a criminal conviction or is pending prosecution for a criminal offence in the last 3 years?

Has anyone who will drive this vehicle had more than 2 driving accidents within the last 2 years?

Company you work for

Society

Social Reason

Address

City

Country

Je déclare:

ne pas avoir commencé mon voyage.
dans le cas d’un voyage par avion, être en possession d’un billet d’avion aller-retour.
Que le voyage sera de 90 jours maximum.

Worldwide Travel Insurance

Student & Working Holiday Cover

Globe Trotter Cover

Globe Trotter Premium/Summum

Globe Traveller

Schengen Cover

Insurance for NZ Residents and Citizens

Kiwi Travelling Overseas

Kiwi Working Overseas

Travel Insurance For New Zealand

Student & Working Holiday Cover

Travel2NZ

Vehicle Insurance in New Zealand

NZ third party vehicle insurance

NZ comprehensive vehicle insurance

Roadside assistance

Quote / Application

Insured Person(s)

Policy holder

Please check: This application is for one person only.

Select your plans

Student & Working Holiday Cover

Globe Trotter Cover

Globe Trotter Premium/Summum

Globe Traveller

Schengen Cover

NZ comprehensive vehicle insurance

Roadside assistance

Premium

Details

Policy holder

Further information

Declarations

Questions

Subscriber

Traveller(s)

Questions

Company you work for