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RESTRICTED 61701155

Employer of SITI SYAIRAH BINTI IBRAHIM

Our Ref : Claim/22198949


Date : 13/12/2022

Dear Sir / Madam,

Certificate Number : 88104050


Patient Name : SITI SYAIRAH BINTI IBRAHIM
NRIC Number : 850627146208

Death Claim

We understand that the above named is an employee of your company.

We are currently giving consideration to a claim under the above certificate and would appreciate if you
could assist us by providing answers in the questions attached.

Your assistance and prompt reply in this matter would be highly appreciated. Should you have any
enquiries, please do not hesitate to contact us.

Thank you.

PRUDENTIAL BSN TAKAFUL BERHAD (740651-H)


Note:(No signature is required on this computer generated document.)

CC:
WAN NUR ASHIKIN BINTI WAN MANSOR (JRA00027)
SEBERANG JAYA

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