Cap Academy

Insurance

Subscriber

Insured

Summary

Payment

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, before departure.

What is your destination ?

Indicate the country you are going for your studies or your internship.

Name of the school, university or company in the host country

If it's an internship abroad, add the name of the company

Name of the school, university or company in the country of origin

The insured acknowledges having received a copy of the Chartis Policy No 4.091.300-002 terms and conditions and accepts them

Yes

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

Yes

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

Yes

Chapka travel Insurance