(Overseas Travel Insurance/ J-TAS) Application for Cancelation or Period Change


Please submit this applicaiton one month before the new start/end date of your insurance period.

There are 30 questions in this survey.

Basic Information

Student ID

Your Name
Program
Student Exchange Program
Overseas Short-term Summer / Winter Programs
Other: 
Host University
Has your insurance period already begun?
No, my insurance period has not begun.
Yes, my insurance period has already begun.