Kindly note that in case you fail to renew your policy before it’s expiry date, you will consequently lose your continuity of cover and your policy will be issued with a new effective date as of the date we receive the full requirements from you including payment.

I hereby declare that I have read, understood and agreed on all the information provided in the following attached document EBP Terms & Conditions, and I acknowledge that this document inclusive of Table of Benefits and list of exclusions formulates the proposal & Agreement of the EBP policy to be issued, and I communicate this agreement to the insurance company “AXA” to confirm my acceptance on this insurance proposal. I also agree to the usage of my personal data provided as part of this application in accordance with the AXA Gulf Privacy policy published on the AXA Gulf website as updated from time to time. Proceeding with payment will constitute final acceptance of the insurance proposal /agreement from my side. I understand and agree that both Parties are legally bound to this insurance agreement once the payment is made and policy is issued.