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arrange Insurance
verification of
contract validity
Comprehensive health insurance for foreigners
Required and comprehensive coverage for obtaining a long term visa and residency permit for the Czech Republic
Information about insurance
Please enter the date in the format “dd/mm/yyyy” (dd = day, mm = month, yyyy = year - e.g. 25.07.2016)
The insurance must be arranged for at least 1 month but no longer than for 36 months.
Date of birth of the insured
Calendar
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Start date
RadDatePicker
Open the calendar popup.
Calendar
Title and navigation
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Duration of insurance
Spin Up
Spin Down
(in months)
Gender
male
female
Insurance validity:
The insurance is purchased for a limited time period. The premium is a one-time payment. The insurance is established as of the date on which the insurance contract is signed. Provided that the premium has been paid, the insurance is effective from 00:00am on the date specified in the insurance contract as the insurance start date. The premium is considered paid as of the date on which the entire sum of the premium was credited to the insurer’s account.
How much will you pay?
Premium
Discount voucher
recalculate premium
Discount voucher is not valid.
OK
Who will be insured?
First name
Last name
Birth date
Calendar
Title and navigation
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<
December 2023
>
>>
December 2023
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Gender
male
female
Citizenship
select
Street
Number
City
ZipCode
Country
select
The mailing address is the same as the address of the insured.
E-mail
Phone number
The person arranging the insurance will be the insured
Information memorandum Personal data processing related to policy conclusion
back
payment
Czy na pewno chcesz przejść dalej bez wyrażenia zgody na przedłużenie terminu spłaty Twojej pożyczki w Vivus Finance?
PRZEJDŹ DALEJ BEZ WYRAŻANIA ZGODY
WYRAŻAM ZGODĘ I PRZECHODZĘ DALEJ
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##LOC[OK]##
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##LOC[Cancel]##
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##LOC[Cancel]##
AXA ASSISTANCE CZ, s.r.o., Hvězdova 1689/2a, 140 62 Praha 4, Česká republika, IČO: 256 95 215.
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