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Chapka travel Insurance

Cap Au Pair

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Insurance
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Subscriber
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Insured
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Summary
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Payment
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Finish

What is the departure date ?
Indicate the date you want the cover to start.

What is the return date ?
This is the last day of your cover (Maximum duration: 12 months)

What is your place of residence ?
Indicate the place where you usually live.

What is your destination ?
Indicate the country you are going to as an Au Pair.

I am a European Health Insurance Card holder
Only if you are a European resident, going to Europe.

What is your host family’s name ?

The insured acknowledges having received a copy of the Chartis Policy No 4.091.300 terms and conditions and accepts them
 

I declare being on good health and knowing that any consequences of illnesses and accidents which occurred prior to the subscription will not be covered
 

I certify I have not been hospitalised in the past six months and do not plan to undertake a treatment overseas
 

If you have a discount code, enter it here