1 . Policyholder Personal Details
2 . Product and Payment Details
3 . Redirection
4 . Confirmation
Personal Details
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First name is required
Father's name is required
Last name is required
Mobile number is required (ex: 96170676767)
Email is required (ex: example@example.com)
Building is required
Street is required
City is required
Country is required
Maximum length 500 character.
* Mandatory Fields
Product & Payment
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Product is required
Product is required
Policy Number is required
Only 1 policy number allowed (ex: MTP/1234567)
currency is required
Currency exchange rate applied on this website is indicative only and is subject to change.
At time of payment, the issuer bank’s current rate shall be applied.

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* Mandatory Fields
 
Confirmation
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