Alloggiami: Insurance Cost Estimator

1
Privacy DisclaimerWith effect from 25th May 2018, the Regulation on Data Protection (EU) 2016/679 has come into force. As per the new regulation, Alloggiami is committed to protecting and respecting its customer's privacy. Personal information shared with Progetto Alloggiami | Associazione ARIS will not be shared or transmitted to any third person/agencies and will be securely stored within the organization unless if he/she wishes to proceed with the chosen insurance and enters his/ her information in the registration form. In that case, the registration form (sent later through email) will be shared with Welcome Association Italy who will facilitate your insurance further. If he/she wishes to defer any personal documents from the database at a later point in time, the same should be notified to the officials of Progetto Alloggiami.
I have read the privacy disclaimer *
2
GDPR Consent* This field is required.Do you intend to give your consent to process your data? Data provided would be used to send the insurance registration procedure only and not shared or sold elsewhere. Data privacy is your right and if you wish not to process your data, the same should be notified to the officials of Progetto Alloggiami
YESNO
3
Choose your welcome packet
Please select your welcome packet
Please select your welcome packet
Non-EU - up to 90 days
Non-EU - more than 90 days
EU - up to one year
Please select your welcome packet
4
My name is First Name * Last Name * and I'm Age ( max 74 ) * years old. I would like to apply for an entry visa to Italy for the motive of * for a max of 90 days.
5
Fill in the blanks * This field is required.Note: - If you are 39 years old and 6 months, enter 39. Whereas if you are 39 years old, 6 months and 1 day enter 40. - Age: Max 64 for study, max 74 for the rest
Enter your name
Enter you age
Religious Reasons
Study
Medical Treatment (companion)
Family Reunion
Waiting For Employment
Scientific Research
Motive for choosing the packet?
6 Months
1 Year
Enter the desired period
6
Fill in the blanks * This field is required.Note: - If you are 39 years old and 6 months, enter 39. Where as if you are 39 years old, 6 months and 1 day enter 40
Enter your name
Enter you age (max 64)
Registry Registration ( iscrizione anagrafica )
Motive for choosing the packet?
6 Months
1 Year
Enter the desired period
7
The premium, ({ltstronggtchooseYour23}) will be 130€ (inclusive of IVA).If you would like to apply for this insurance, kindly enter your email address below. You will receive an email from us with further instructions on how to proceed.
example@example.com
Email Verified
The verification code has been sent to some@email.com
Please check your mailbox and paste the code below to complete verification
••••
Didn't receive verification code? or
Receiving the email may take a few minutes, thank you for your patience!
8
The premium, ({ltstronggtchooseYour23}) for the motive of {fillIn[2]} for {fillIn[4]} will be 200€ (inclusive of IVA).If you would like to apply for this insurance, kindly enter your email address below and click Next after verification. You will receive an email from us with further instructions on how to proceed.
example@example.com
Email Verified
The verification code has been sent to some@email.com
Please check your mailbox and paste the code below to complete verification
••••
Didn't receive verification code? or
Receiving the email may take a few minutes, thank you for your patience!
9
The premium, ({ltstronggtchooseYour23}) for the motive of {fillIn[2]} for {fillIn[4]} will be 320€ (inclusive of IVA).If you would like to apply for this insurance, kindly enter your email address below. You will receive an email from us with further instructions on how to proceed.
example@example.com
Email Verified
The verification code has been sent to some@email.com
Please check your mailbox and paste the code below to complete verification
••••
Didn't receive verification code? or
Receiving the email may take a few minutes, thank you for your patience!
10
The premium,({ltstronggtchooseYour23}) for the motive of {fillIn[2]} for {fillIn[4]} will be 344€ (inclusive of IVA).If you would like to apply for this insurance, kindly enter your email address below. You will receive an email from us with further instructions on how to proceed.
example@example.com
Email Verified
The verification code has been sent to some@email.com
Please check your mailbox and paste the code below to complete verification
••••
Didn't receive verification code? or
Receiving the email may take a few minutes, thank you for your patience!
11
The premium, ({ltstronggtchooseYour23}) for the motive of {fillIn[2]} for {fillIn[4]} will be 444€ (inclusive of IVA).If you would like to apply for this insurance, kindly enter your email address below. You will receive an email from us with further instructions on how to proceed.
example@example.com
Email Verified
The verification code has been sent to some@email.com
Please check your mailbox and paste the code below to complete verification
••••
Didn't receive verification code? or
Receiving the email may take a few minutes, thank you for your patience!
12
The premium, ({ltstronggtchooseYour23}) for the motive of {fillIn[2]} for {fillIn[4]} will be 81€ (inclusive of IVA).If you would like to apply for this insurance, kindly enter your email address below. You will receive an email from us with further instructions on how to proceed.
example@example.com
Email Verified
The verification code has been sent to some@email.com
Please check your mailbox and paste the code below to complete verification
••••
Didn't receive verification code? or
Receiving the email may take a few minutes, thank you for your patience!
13
The premium, ({ltstronggtchooseYour23}) for the motive of {fillIn[2]} for {fillIn[4]} will be 130€ (inclusive of IVA).If you would like to apply for this insurance, kindly enter your email address below. You will receive an email from us with further instructions on how to proceed.
example@example.com
Email Verified
The verification code has been sent to some@email.com
Please check your mailbox and paste the code below to complete verification
••••
Didn't receive verification code? or
Receiving the email may take a few minutes, thank you for your patience!
14
The premium, ({ltstronggtchooseYour23}) for the motive of {fillIn[2]} for {fillIn[4]} will be 200€ (inclusive of IVA).If you would like to apply for this insurance, kindly enter your email address below. You will receive an email from us with further instructions on how to proceed.
example@example.com
Email Verified
The verification code has been sent to some@email.com
Please check your mailbox and paste the code below to complete verification
••••
Didn't receive verification code? or
Receiving the email may take a few minutes, thank you for your patience!
15
The premium, ({ltstronggtchooseYour23}) for the motive of {fillIn[2]} for {fillIn[4]} will be 320€ (inclusive of IVA).If you would like to apply for this insurance, kindly enter your email address below. You will receive an email from us with further instructions on how to proceed.
example@example.com
Email Verified
The verification code has been sent to some@email.com
Please check your mailbox and paste the code below to complete verification
••••
Didn't receive verification code? or
Receiving the email may take a few minutes, thank you for your patience!
16
The premium, ({ltstronggtchooseYour23}) for the motive of {fillIn[2]} for {fillIn[4]} will be 344€ (inclusive of IVA).If you would like to apply for this insurance, kindly enter your email address below. You will receive an email from us with further instructions on how to proceed.
example@example.com
Email Verified
The verification code has been sent to some@email.com
Please check your mailbox and paste the code below to complete verification
••••
Didn't receive verification code? or
Receiving the email may take a few minutes, thank you for your patience!
17
The premium, ({ltstronggtchooseYour23}) for the motive of {fillIn[2]} for {fillIn[4]} will be 444€ (inclusive of IVA).If you would like to apply for this insurance, kindly enter your email address below. You will receive an email from us with further instructions on how to proceed.
example@example.com
Email Verified
The verification code has been sent to some@email.com
Please check your mailbox and paste the code below to complete verification
••••
Didn't receive verification code? or
Receiving the email may take a few minutes, thank you for your patience!
18
The premium, ({ltstronggtchooseYour23}) for the motive of {fillIn[2]} is available only for 1 year and will be 344€ (inclusive of IVA).If you would like to apply for this insurance, kindly enter your email address below. You will receive an email from us with further instructions on how to proceed.
example@example.com
Email Verified
The verification code has been sent to some@email.com
Please check your mailbox and paste the code below to complete verification
••••
Didn't receive verification code? or
Receiving the email may take a few minutes, thank you for your patience!
19
The premium, ({ltstronggtchooseYour23}) for the motive of {fillIn[2]} is available only for 1 year and will be 444€ (inclusive of IVA).If you would like to apply for this insurance, kindly enter your email address below. You will receive an email from us with further instructions on how to proceed.
example@example.com
Email Verified
The verification code has been sent to some@email.com
Please check your mailbox and paste the code below to complete verification
••••
Didn't receive verification code? or
Receiving the email may take a few minutes, thank you for your patience!
20
The premium, ({ltstronggtchooseYour23}) for the motive of {fillIn[2]} for {fillIn[4]} will be 200€ (inclusive of IVA).If you would like to apply for this insurance, kindly enter your email address below. You will receive an email from us with further instructions on how to proceed.
example@example.com
Email Verified
The verification code has been sent to some@email.com
Please check your mailbox and paste the code below to complete verification
••••
Didn't receive verification code? or
Receiving the email may take a few minutes, thank you for your patience!
21
The premium, ({ltstronggtchooseYour23}) for the motive of {fillIn[2]} for {fillIn[4]} will be 320€ (inclusive of IVA).If you would like to apply for this insurance, kindly enter your email address below. You will receive an email from us with further instructions on how to proceed.
example@example.com
Email Verified
The verification code has been sent to some@email.com
Please check your mailbox and paste the code below to complete verification
••••
Didn't receive verification code? or
Receiving the email may take a few minutes, thank you for your patience!
22
The premium, ({ltstronggtchooseYour23}) for the motive of {fillIn[2]} for {fillIn[4]} will be 344€ (inclusive of IVA).If you would like to apply for this insurance, kindly enter your email address below. You will receive an email from us with further instructions on how to proceed.
example@example.com
Email Verified
The verification code has been sent to some@email.com
Please check your mailbox and paste the code below to complete verification
••••
Didn't receive verification code? or
Receiving the email may take a few minutes, thank you for your patience!
23
The premium, ({ltstronggtchooseYour23}) for the motive of {fillIn[2]} for {fillIn[4]} will be 444€ (inclusive of IVA).If you would like to apply for this insurance, kindly enter your email address below. You will receive an email from us with further instructions on how to proceed.
example@example.com
Email Verified
The verification code has been sent to some@email.com
Please check your mailbox and paste the code below to complete verification
••••
Didn't receive verification code? or
Receiving the email may take a few minutes, thank you for your patience!
24
The premium, ({ltstronggtchooseYour23}) for the motive of {fillIn42[2]} for {fillIn42[4]} will be 152€ (inclusive of IVA).If you would like to apply for this insurance, kindly enter your email address below. You will receive an email from us with further instructions on how to proceed.
example@example.com
Email Verified
The verification code has been sent to some@email.com
Please check your mailbox and paste the code below to complete verification
••••
Didn't receive verification code? or
Receiving the email may take a few minutes, thank you for your patience!
25
The premium, ({ltstronggtchooseYour23}) for the motive of {fillIn42[2]} for {fillIn42[4]} will be 232€ (inclusive of IVA).If you would like to apply for this insurance, kindly enter your email address below. You will receive an email from us with further instructions on how to proceed.
example@example.com
Email Verified
The verification code has been sent to some@email.com
Please check your mailbox and paste the code below to complete verification
••••
Didn't receive verification code? or
Receiving the email may take a few minutes, thank you for your patience!
26
The premium, ({ltstronggtchooseYour23}) for the motive of {fillIn42[2]} for {fillIn42[4]} will be 212€ (inclusive of IVA).If you would like to apply for this insurance, kindly enter your email address below. You will receive an email from us with further instructions on how to proceed.
example@example.com
Email Verified
The verification code has been sent to some@email.com
Please check your mailbox and paste the code below to complete verification
••••
Didn't receive verification code? or
Receiving the email may take a few minutes, thank you for your patience!
27
The premium, ({ltstronggtchooseYour23}) for the motive of {fillIn42[2]} for {fillIn42[4]} will be 332€ (inclusive of IVA).If you would like to apply for this insurance, kindly enter your email address below. You will receive an email from us with further instructions on how to proceed.
example@example.com
Email Verified
The verification code has been sent to some@email.com
Please check your mailbox and paste the code below to complete verification
••••
Didn't receive verification code? or
Receiving the email may take a few minutes, thank you for your patience!
28
Any questions or concerns?
Should be Empty: