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Registration Form

Mohamed Khaled

Regional Manager

The pioneer of protection & saving solutions in the Kingdom

Note: Rider sum cover Amount cannot exceed Primary plan sum cover amount.

Rider Option (Please tick if required)

Additional Benefit

(Total Permanent Disability Due To Accident and Sickness)

Any Occupation

Own/Similar Occupation

Attach updated employee list on excel.

1- Fixed Sum Cover:

Write the amount (SAR)

Or Different Sum Cover Amount based on staff Categories in (SAR) ?:

A SAR

B SAR

C SAR

D SAR

2-Multiple of monthly salary in Saudi Riyal for all participants:

Passive War Risk is by default included for Death Due to Any Cause and Total Permanent Disability. The maximum benefit for Passive War Risk is SAR3,500,000 in case of Death Due to Any Cause and/or Total Permanent Disability

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