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Let's get to know you

IMPORTANT INFORMATION

Prior to this insurance contract,we request you to share responses to few questions below.This questionnaire will help both of us to determine the kind of insurance you are eligible for and on what terms and conditions.We have the purpose to assit you with monetary needs in the difficult times thus we seek authenticity of your purpose of claiming the insurance. Any fraudulent found in sharing of the information at any step would result in from curtailing of the insurance claim to completely scrapping of the contract.

Insurance Premium

IMPORTANT INFORMATION

Payment repeats automatically on the same day of every month until you request to stop the next scheduled payment.