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2 JCB GOLD INSURANCE BOOK JCB JCB INDEX JCB JCB JCB JCB JCB GOLD OVERSEAS TRAVEL ACCIDENT INSURANCE CARD INSURED No. JCB CARD No. INSURED JCB CARD MEMBER COVERED PERIOD OF TRAVEL : Coverage shall commence upon leaving the residence in Japan for the purpose of overseas travel, and shall terminate at the end of three (3) months or upon return to the residence, whichever is sooner. Under non circumstances shall this coverage extend beyond three (3) months for a single overseas trip. However, should the date of departure from the residence differ from the date of departure from the country, coverage shall commence at 0:00 of the day before departure from the country. Likewise, if the date of return to the residence differs from the date of return to the country, coverage shall terminate at 24:00 on the day after returning to the country, subject to the coverage limit of three (3) months. COVERAGE INJURY DEATH or RESIDUAL DISABILITY INJURY MEDICAL EXPENSES SICKNESS MEDICAL EXPENSES BAGGAGE(EXCESS 3,000) LIABILITY RESCUER'S EXPENSES AMOUNT INSURED 100,000,000 3,000,000 3,000, , ,000,000 4,000,000 This is to certify that JCB GOLD OVERSEAS TRAVEL ACCIDENT INSURANCE is in effect with us as stated above while you are JCB CARD member. Sompo Japan Nipponkoa Insurance Inc. JCB JCB JCB JCB JCB JCB JCB

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OVERSEAS TRAVEL ACCIDENT INSURANCE 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49 50 51 52 53 54 55 56 57 58

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