Liden & Denz Travel to Russia | medical-insurance

Data of the insured person (1 traveller)

First name(Required)
Last Name(Required)
Birth Date(Required)
DD slash MM slash YYYY
The traveller is the buyer (Policyholder)
- The traveller is the buyer (Policyholder)
Sport activities
- High-risk sports activities
Person age:
If you are involved in high-risk activities such as driving and riding motorised vehicles, flying non-motorised and other aircrafts outside civil aviation, skiing, snowboarding, etc. please specify the details and we will get back to you with a tailor-made quote

Data of the insured person (2 traveller)

First name
Last Name
Birth Date
DD slash MM slash YYYY
The traveller is the buyer (Policyholder)
- The traveller is the buyer (Policyholder)
Sport activities
- High-risk sports activities
Person age:
If you are involved in high-risk activities such as driving and riding motorised vehicles, non-motorised and other aircrafts outside civil aviation, skiing, snowboarding, etc. please specify the details and we will get back to you with a tailor-made quote

Data of the insured person (3 traveller)

First name
Last Name
Birth Date
DD slash MM slash YYYY
The traveller is the buyer (Policyholder)
- The traveller is the buyer (Policyholder)
Sport activities
- High-risk sports activities
Person age:
If you are involved in high-risk activities such as driving and riding motorised vehicles, non-motorised and other aircrafts outside civil aviation, skiing, snowboarding, etc. please specify the details and we will get back to you with a tailor-made quote

Data of the insured person (4 traveller)

First name
Last Name
Birth Date
DD slash MM slash YYYY
The traveller is the buyer (Policyholder)
- The traveller is the buyer (Policyholder)
Sport activities
- High-risk sports activities
Person age:
If you are involved in high-risk activities such as driving and riding motorised vehicles, non-motorised and other aircrafts outside civil aviation, skiing, snowboarding, etc. please specify the details and we will get back to you with a tailor-made quote

Data of the insured person (5 traveller)

First name
Last Name
Birth Date
DD slash MM slash YYYY
The traveller is the buyer (Policyholder)
- The traveller is the buyer (Policyholder)
Sport activities
- High-risk sports activities
Person age:
If you are involved in high-risk activities such as driving and riding motorised vehicles, non-motorised and other aircrafts outside civil aviation, skiing, snowboarding, etc. please specify the details and we will get back to you with a tailor-made quote

Payment Details

Purchase your Insurance for visiting Russia