Pulamed International Travel Insurance

Thank you for your interest in Pulamed International Travel Insurance Cover. Kindly take a few moments to apply. Please note our turn around times are 48hrs from successful completion of the form.

Personal Information

Title

Surname

First Name(s)

Email Address

Date of Birth

Passport Number

Nationality

Work Contact Number

Mobile

Membership Number

Physical Address

Postal Address

Residential Contact Number

Travel Details

*Covers up to 92 consecutive days outside Botswana

Departure Date

Return Date

Total Number of Days:

Destination

Beneficiary

Name of Doctor

Doctor's Telephone Number

Are you travelling with dependants?

Yes

Additional Members Information

Title	Full Names	Date of Birth	Passport Number	Nationality	Operations
Title	Full Names	Date of Birth	Passport Number	Nationality

Covers only 92 days of consecutive days outside Botswana

Terms and Conditions

Covers up to 92 consecutive days outside Botswana.
The application is subject to the Policy Wording Document and prevailing Pula Medical Aid Fund Rules which are subject to change without notification.
The Policy wording document is available for perusal at Travel Policy Wording .
For more information contact Sales & Marketing at 3650555 or email bd@pulamed.co.bw