Takaful Oman

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INSURED NAME

BIRTH DATE

EMAIL ID

PHONE NO

Travel Start Date

Travel End Date

Declaration: I hereby declare that to the best of my knowledge:

The holiday is not unusual in any way.
All persons to be insured are in good health.
There are no reasons of which I am aware why the planned holiday would be cancelled or shortened.

I hereby subscribe to the Group Takaful Travel Policy for credit cardholders of Bank Muscat and understand that the benefits are only applicable when travelling outside Oman and paying at least 50% of the travel ticket value using the Bank Muscat credit card. I have read, understood and agree to the Terms and Conditions of the Group Takaful Travel Policy for credit cardholders of Bank Muscat. Travel Takaful is extended to Bank Muscat card holder, card holder’s spouse and up to 3 children (up to age 18 years or up to age 23 years if in full time education).