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  • 15-Annx OIGM202200124008

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    anumnooristan
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    This document provides premium details for a group healthcare insurance policy. It lists one insured member, Sultan Moseley, with a premium of AED 110.32 for the period of November 11, 2023 to December 11, 2023. The total premium due is AED 115.84 including VAT of AED 5.52. The policy holder is Bait Al Khair Perfumes Sole Proprietorship LLC under policy number OIGM202200124008.

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    This document provides premium details for a group healthcare insurance policy. It lists one insured member, Sultan Moseley, with a premium of AED 110.32 for the period of November 11, 2023 to December 11, 2023. The total premium due is AED 115.84 including VAT of AED 5.52. The policy holder is Bait Al Khair Perfumes Sole Proprietorship LLC under policy number OIGM202200124008.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
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    Download as pdf or txt
    9 views1 page

    15-Annx OIGM202200124008

    Uploaded by

    anumnooristan
    This document provides premium details for a group healthcare insurance policy. It lists one insured member, Sultan Moseley, with a premium of AED 110.32 for the period of November 11, 2023 to December 11, 2023. The total premium due is AED 115.84 including VAT of AED 5.52. The policy holder is Bait Al Khair Perfumes Sole Proprietorship LLC under policy number OIGM202200124008.

    Copyright:

    © All Rights Reserved
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    of 1

    GROUP HEALTHCARE INSURANCE

    MEMBER PREMIUM DETAILS

    Dear Valued Client,

    Below are the premium details per member for endorsement number 7.

    1. General Details
    Policy Holder Name BAIT AL KHAIR PERFUMES SOLE PROPRITORSHIP L.L.C
    Policy Number OIGM202200124008
    Report Date 18.10.2023

    2. Insured Details
    Employee Card First Name Last Name Birth Date Gender Age Age Relation Category Status Nationality Start Date Expiry Date Premium
    Number Number Band (AED)

    17 10547488 SULTAN MOSELY 08.05.1993 M 30 AGE 26 Self DHAP9-OPCHA-2 D SYRIAN 11.11.2023 11.12.2023 -110.32
    - 30
    Total Members 1 Premium(AED) -110.320
    VAT(AED) -5.52
    Total Premium (AED) -115.840

    SUKOON.COM | +971 4 233 7777 | P.O. Box 5209 | Dubai, United Arab Emirates
    ١٠٠٢٥٨٥٩٤٩٠٠٠٠٣ :/IB J ‫ ا‬C DE ‫ ا‬,1‫ ر‬٢٤/١٢/١٩٨٤ AB‫ي "و ا; رات ا = < ا >"ة < ر‬8 ‫ ف ا‬6 ‫ "ى ا‬٩ " 4 ‫ ا‬,1‫ ر‬،٤١٩٥٢ .‫ ت‬.‫ س‬,1‫ ر‬،/‫ إ راﺗ‬,‫ درھ‬٤٦١٫٨٧٢٫١٢٥ ‫رأس ا ل ا "! ع‬، ("‫ن‬ ") .‫ ع‬.‫ م‬.‫ش‬ ‫ُ ن‬
    Oman Insurance Company P.S.C. ("Sukoon"), Paid up Capital 461,872,125, C.R. No. 41952, Licensed by the Central Bank of the UAE, No. 9 dated 24/12/1984 TRN 100258594900003

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