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Travel Protect
Personal Accident
About Us
Company Profile
Awards
Board of Directors
Organization Structure
Management Team
Regulatory Compliance Forum
Business Coalition For Gender Equality (BCGE)
Environment Social and Governance
News & Update
Corporate Policies
Personal Lines Insurance
All Products
Motor Vehicle Insurance
Fire & Allied Peril Insurance
Personal Accident Insurance
Health Insurance
Data ArMaKhan
Travel Protect Insurance
Travel Insurance
Cash In Safe Insurance
Cash In Transit Insurance
Fidelity Insurance
Marine Hull Insurance
Inland Marine Cargo Insurance
Commercial Lines Insurance
All Products
Industrial All Risks Insurance
Bailee’s Liability Insurance
Contractors’ All Risks/Erection All Risks Insurance
Overseas Marine Cargo Insurance
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Travel Protect
Personal Accident
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Authorized Drivers
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Authorized Drivers Information
Authorized Drivers Information (1)
Driver Name
*
NRC/ Passport No.
*
NRC
Passport No.
1
2
3
4
5
6
7
8
9
10
11
12
13
14
N
NC
V
AC
M
P
Birth Date
*
Relationship to Policy Holder
*
Self
Spouse
Children
Parents
Employee
Appointed Driver
Relatives
Driving License No.
*
B
D
E
/
/
Driving License Expiry Date
*
Your license has expired.
Related Documents of Authorized Driver
This field is to input driver license of authorized driver. (JPG, PNG, Word, Excel, PDF, etc.)
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Driver License (Back)
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I have read and agreed to the
Terms and Conditions
*
Disclaimer
: You are to disclose in this proposal form fully and faithfully all the facts which you know or ought to know, otherwise the policy issued hereunder may be void. No cover attaches until the premium has been paid.
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