Travel Insurance Application & Quotations

Travel with Confidence — Stay Protected Worldwide

At Gladius Travels and Tours (Pvt) Ltd, we understand the importance of protecting yourself and your loved ones while travelling internationally.

As an authorized travel insurance partner of Fairfirst Insurance, we assist customers in obtaining suitable travel insurance coverage for holidays, business trips, overseas visits, and international travel.

Whether you are travelling individually, with your family, or as a student, our team can assist you with insurance quotations and policy arrangements based on your travel requirements.

Complete the application form below, and our team will review your details and contact you with the available insurance options.

Insurance coverage is subject to the insurer’s eligibility requirements, terms, conditions, and exclusions.

Travel Insurance Information

Type of Insurance Cover *

Geographical Coverage *

Destination Country *

Additional Countries

Purpose of Travel *

Departure Country *

Insurance Start Date *

Insurance End Date *

Insured Person Information

Title *

Nationality *

First Name *

Last Name *

Date of Birth *

Passport Number *

Residential Address *

City *

Country of Residence *

Contact Number *

WhatsApp Number

Email Address *

Additional Insured Persons

If applying for family or group coverage, please provide
the full names, dates of birth, passport numbers and
relationships of additional travellers.

Additional Travellers

Beneficiary Information

Please provide the details of your nominated beneficiary,
where applicable to the insurance policy.

Beneficiary Full Name *

Relationship to Insured *

Beneficiary Date of Birth

Beneficiary Nationality

Beneficiary Residential Address *

Beneficiary City / Country *

Beneficiary Phone Number *

Beneficiary WhatsApp

Beneficiary Email *

Emergency Contact Information

Is your emergency contact the same as your beneficiary? *

Additional Information

Special Requirements / Additional Information

Declaration & Consent

I confirm that the information provided is accurate to the best of my knowledge. I understand that submitting this application does not activate insurance coverage. Insurance issuance, eligibility, benefits, exclusions and premiums are subject to the terms and conditions of Fairfirst Insurance.