Please complete the following details for an instant travel insurance premium quotation.

Type of Plan : Individual Family Area of Travel : ASEAN ASIA WORLDWIDE Departure Date :   (DD/MM/YYYY) Return Date :   (DD/MM/YYYY) Duration of Trip : days The insurance premium is    S$

Notes:

*	Minimum period for any one trip - 1 day
*	Maximum period for any one trip - 185 days
*	A journey/trip shall involve return to Singapore within the period of insurance
*	The above premium is before discount, if any.
*	10% off if payment is by UOB VISA or MasterCard Credit Cards.
*	50% off all premiums (for Individual Plan Only) for child(ren) if accompanied by an Insured Adult for the entire period of insurance.
*	"Child" refers to a fully dependent child under the age of 18 years or up to 23 years who is studying full-time in higher institutions of learning and is not married nor in employment.
*	"Family" refers to parent(s) travelling with any number of dependent Child.
*	ASEAN includes Brunei, Cambodia, Indonesia, Laos, Malaysia, Myanmar, Philippines, Thailand & Vietnam.
*	Asia includes India, Sri-Lanka, Australia, New Zealand, China & Japan.

To Apply

• Fill up the Insure & Travel application form and fax it to UOB Travel Planners at (65) 6251 7688
• You can also mail the form to:


UOB Travel Planners
480 Lorong 6 Toa Payoh
#20-01 HDB Hub East Wing
Singapore 310480

Attn: Leisure Department

For more information:

• Read all about Insure & Travel travel insurance
• Call us at (65) 6252 6822
• Fax to us at (65) 62517688
• Email us