Declaration: Annual Multi-Trip Travel From UGM Magenta Ltd.It is declared that:
All insured persons:
No insured person:
It is understood that there is no cover for any claims arising directly or indirectly from any medical condition suffered from or diagnosed:
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Signed:_________________________ Name:_________________________ Capacity:_________________________ Date:_________________________ |
UGM Magenta Ltd | 112A Market Street, Chorley, Lancashire PR7 2SL | Tel: 0800 915 9225 | Fax: 08709 002389 | Email: travel@ugm.co.uk