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    Personal Details For Insurance SMEGE

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    melissa
    The document contains personal details for an insurance application, including the proposer's name, NRIC number, religion, marital status, number of children, contact number, as well as details for two nominees such as their name, NRIC, date of birth, country of birth, sex, nationality, relationship to the proposer, and residential address.

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    Personal Details For Insurance SMEGE

    Uploaded by

    melissa
    5 views1 page
    The document contains personal details for an insurance application, including the proposer's name, NRIC number, religion, marital status, number of children, contact number, as well as details for two nominees such as their name, NRIC, date of birth, country of birth, sex, nationality, relationship to the proposer, and residential address.

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    hi

    Original Title

    Book1

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    The document contains personal details for an insurance application, including the proposer's name, NRIC number, religion, marital status, number of children, contact number, as well as details for two nominees such as their name, NRIC, date of birth, country of birth, sex, nationality, relationship to the proposer, and residential address.

    Copyright:

    © All Rights Reserved
    Download as XLSX, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    Download as xlsx, pdf, or txt
    5 views1 page

    Personal Details For Insurance SMEGE

    Uploaded by

    melissa
    The document contains personal details for an insurance application, including the proposer's name, NRIC number, religion, marital status, number of children, contact number, as well as details for two nominees such as their name, NRIC, date of birth, country of birth, sex, nationality, relationship to the proposer, and residential address.

    Copyright:

    © All Rights Reserved
    Download as XLSX, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    Download as xlsx, pdf, or txt
    of 1

    Personal details for Insurance SMEGE

    Proposer's details:

    Name of proposer: ONG YEAN LEE

    New NRIC No: 740205-08-5532

    Religion: Islam Buddish x'tian Hinduism others

    Marital Status: Single Married Widowed Divorced

    No. of Children: ______________________________

    Contact No: ______________________________

    Nominee's details:
    Mr/Mdm/Ms/ others:

    Marital Status: Single Married Widowed Divorced

    % of share: _____________________________

    Full Name of Nominee : ____________________________________________________

    New NRIC No.: ______________________________

    Date of Birth: ______________________________

    Country of Birth ______________________________

    Sex Male Female

    Nationality M'sia Others:_____________________________

    Relationship: Husband Wife Father Mother


    Son Daughter Others:________________

    Residential Address: _________________________________________________________________


    _______________________________________________________________________________________
    _______________________________________________________________________________________

    Mr/Mdm/Ms/ others:

    Marital Status: Single Married Widowed Divorced

    % of share: _____________________________

    Full Name of Nominee : ____________________________________________________

    New NRIC No.: ______________________________

    Date of Birth: ______________________________

    Country of Birth ______________________________

    Sex Male Female

    Nationality M'sia Others:_____________________________

    Relationship: Husband Wife Father Mother


    Son Daughter Others:________________

    Residential Address: _________________________________________________________________


    _______________________________________________________________________________________
    _______________________________________________________________________________________

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