Cruise Travel Insurance Declaration
Personal Information
Full Name
Date of Birth
Passport Number
Nationality
Contact Number
Email Address
Cruise Information
Cruise Line
Booking Reference
Departure Date
Return Date
Destinations
Insurance Details
Insurance Provider
Policy Number
Coverage Period
Emergency Contact
Health Declaration
I declare that I am fit to travel and have no pre-existing conditions that have not been disclosed.
I have read and understood the policy terms and agree to the coverage limitations.
I hereby declare that the information given above is true and correct to the best of my knowledge and belief.
Signature
Date