AAV-ID-2012-0345723

Dear SILVIA PURNAMA SARI,

Congratulations on your purchase of AirAsia Insure Travel Protection. We at P.T. Asuransi

Dayin Mitra, Tbk, hereby confirm you and/or any other person(s) for whom premium has
been paid, covered for the trip as shown on your AirAsia Travel Itinerary (PNR: NCNHGN).
The travel protection is subject to the terms and conditions of the AirAsia Insure Travel
Master Policy (No. MP010400900003), which can be viewed or downloaded at
http://www.airasiainsure.com/id/travel_protection/policy_wording.php.

Important
For enquiries or assistance, please contact:
1) Product and Claims enquiry:
Email: enquiry.id@airasiainsure.com
Telephone: +62-21 570 8989 (ext. 217 or 319 or 231)

2) Emergency Medical Assistance:

Telephone: +62-21 578 51 686

* Note that AirAsia Insure Travel Protection is/are not subject to assignment, change, upgrade and/or refund.
** For all intents and purposes where there is a conflict or ambiguity as to the meaning in the Bahasa Indonesia version
of the insurance policy, the English version shall prevail at all times.
*** This is a computer generated fax transmission. No signature is required.