Required Information
Provide us the following information to purchase insurance policy
- Full Name in English
- Date of Birth
- Trip Information (start date/end date/destination)
- Country of Origin
-
Contact Information in Canada (Email, phone number, full address).
* If you don't yet have Canadian address, you can use our office address and phone number - Full Name of Beneficiary
- Relationship to your Beneficiary
- Your residential status in Canada
