Personal Details

Your Requirements
Your Quote
Your Details
Declaration
Thank you

Location and Start date

Policy start date
Country of Residence
Location for Cover
From the list included in the drop-down menu, please choose the country where you will normally be resident during the term of your insurance cover.
Are you a resident of Abu Dhabi, or an Abu Dhabi Visa holder?
- Yes
- No

Applicants

Policyholder Date of Birth
APC Membership No
Do you work for Emirates Airlines?
- Yes
- No
- Please select your airline
- Emirates Staff No
Add a dependent
(Max 10)
Applicants
Use the 'plus' button to add details for all people you would like to include in your policy. These may include your spouse and/or unmarried children that are up to 18 years old (or up to 23 years old and in full-time education) and are living with you.

Submit

Why are we collecting all this information?
The Dubai Health Authority has made it mandatory for insurers to collect this information - Failure to provide it will mean suspension of cover