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Chapka travel Insurance

Cap Student

1

Insurance
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Subscriber
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Insured
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Summary
5

Payment
6

Finish

What is the departure date ?

What is the return date ?
Maximum duration : 12 months
E.g. : from 7 sep 2008 to 7 September 2009= 12 months and 1 day

What is your country of residence ?

What is your destination ?

I am a European Health Insurance Card holder and I travel to Europe (see the eligible countries)
If you are going to Europe and hold a European Health Insurance Card, you will get a 25% discount.

By ticking "yes" the reimbursements will only be made in addition to social security

If you are a student in your country of origin, indicate the institution
(optional)

Are you travelling on a J1 or Q1 visa (USA only) ?
Allows subscriptions up to 18 months. USA only.

What is the purpose of your trip ?

Name of the school, university or company abroad
If it's an internship abroad, add the name of the company

Would you like the option "interruption of studies" ?
Cover for your study fees in case of repatriation ou early return.

If you have a code, enter it here