AXA Gulf Travel Insurance
AXA Gulf Travel Insurance
Reservation Form

Available for GCC Residents (The Cooperation Council for the Arab States of the Gulf ) and GCC Nationals.
Contact Travel Information
Personal Information
Title: * First Name: * Last Name : *
E-mail Address :
* ( Correspondence E-mail address)
Alternative E-mail : ( Second e-mail address,if any )

Telephone No (Office):

*
Telephone No (Home):
Mobile Number
Fax No :
Complete Postal Address :
Country Residing: *
Nationality : *
* Indicates Mandatory Filed

Travel Details
Number of Days :  
Number of People Travelling  
  Number of Adult(Age Limit 65 years)
  Number of Children(Age Limit 16 years):
Travelling To:
Activities to include Winter Sports, Safari, Diving or other hazardous pursuits:
If yes, then no of days of stay undertaking such activity:
Please check the box to confirm that you are a GCC Resident
or GCC National, you are aged between 16 to 65 years.		 YES
 
*SouthTravels.com (SouthTravels.com) is an appointed representative of AXA Gulf Insurance.

AXA Travel Smart Insurance

Whether you’re traveling down under to Australia or west to Continental Europe, AXA travel insurance covers the cost of everything from medical emergencies to trip cancellation fees, leaving you free to relax and enjoy your vacation . AXA’s the way to travel smart:

• 24 Hours worldwide emergency medical cover.
• Personal baggage, money and loss of passport.
• Delayed baggage.
• Cancellation and curtailment cover.
• Terrorism cover.

24/7 Alarm Center
Immediate emergency medical assistance available worldwide, 365 days a year, from multilingual healthcare professionals.

Extensive Multicover Protection
Coverage for you and your family, your belongings, your liability, your travel arrangements and more...

Fast and Fair Claims
AXA lives up to its reputation for superior customer service, making it easy to file a claim and receive prompt reimbursement.

Instant Cover
We can activate your AXA travel coverage right away with our instantaneous Web registration.

After you send your reservation you will be answered by our qualified reservation staff as soon as we receive your Reservation or within 24 hours. If you have any difficulty sending your reservation please send e-mail at enquiry@southtravels.com

SouthTravels.com