Please provide the following information.

Name of individuals travelling

Name of Team (if applicable)

Reason for travel (competitor, marshal, official etc)

Email

Start date of travel DD-MM-YYYY

End date of travel DD-MM-YYYY

Number of persons travelling

Location (travelling from and to)

Do you have travel insurance which includes medical expenses and repatriation? Yes, I have insurance via my Team/other business arrangement Yes, I have my own personal travel insurance No

If no, would you like Marsh to contact you and assist with your team/business travel insurance options? Yes No

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