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Image 13-Nov-2013, Wednesday Image Good Morning, SUTI CANDRA R-1.8 Sales Force AutomationProduction Proposal Policy Updated Contract Client Reports Income Earnings Business Image Leader Promotion Reservation Correspondence Search Image Image Image Image Image Image Image Image Image Image Image .5 Sales Force Automation
Policy Information ( Agency: JULIANTO [ 00406262 ]) Policy Information | Policy Values | Follow Up | Beneficiary | Transaction History | Feedback Form Language: - English

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Policy Details Contract Number: Policy Holder Name: (Client Number) Mailing Address: 50540213 KARMAN (61689961) JL. DR. M. ISA LR. CINTA DAMAI NO. 87 RT. 012/03 (IT II) PALEMBANG SUMATERA SELATAN Insurance Type: Identification Number: PRUlink assurance account [U1B] 1671060811710010

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Postal Code: Servicing Agent: JULIANTO [00406262]

Main Life Assured Name (Client Number)

Identification Number/ Date of Birth 1671060811710010/ 08-Nov-1971 Identification Number/ Date of Birth -

Smoker Status

KARMAN (61689961) Additional Life Assured Name (Client Number)

Non-Smoker Smoker Status

Policy Status: Premium Status: Payment Frequency: Payment Method: Currency: Instalment Premium: Single Premium: Future Premium Deposit: Instalment Premium (inclusive FPD):

InForce Premium Paying Bulanan Cash Rupiah 500,000.00 0.00 0.00 500,000.00

Policy Inception Date: Policy Risk Date: Proposal Received Date: Premium Paid To Date: Policy Delivery Date: Client Received Date: Billed To Date: Coverage Debt:

10-Oct-2013 10-Oct-2013 10-Oct-2013 10-Nov-2013 10-Dec-2013 321,444.00

Policy Description Basic Insurance Life Assured Name Age At Entry Policy Status/ Premium Status In Force/ Premium Paying Policy Status/ Premium Status In Force/ Premium Paying In Force/ Premium Paying In Force/ Premium Paying Sum Assured Instalment Premium Single Premium Premium Cessation Date Risk Commencement Date Risk Cessation Date

PRUlink assurance account [U1BR]

KARMAN

42

71,000,000.00

370,833.00

0.00

08-Nov-2070

10-Oct-2013

08-Nov-2070

Rider

Life Assured Name

Age At Entry

Sum Assured

Instalment Premium

Single Premium

Premium Cessation Date

Risk Commencement Date

Risk Cessation Date

PRUhospital & surgical cover [H1QR]

KARMAN

42

200,000.00

0.00

0.00

08-Nov-2046

10-Oct-2013

08-Nov-2046

PRUsaver [U1CR]

KARMAN

42

0.00

129,167.00

0.00

08-Nov-2070

10-Oct-2013

08-Nov-2070

PRUpayor 33 [W1QR]

KARMAN

42

500,000.00

0.00

0.00

08-Nov-2046

10-Oct-2013

08-Nov-2046

Back To Top Fund Allocation Fund Name Rupiah Managed Fund Plus [PRMP] Investment Percentage (%) 100.00

https://sfa.prudential.co.id/raise/policy/getPolicyDetail.do?selectedAdviserID=554071&policyID=5110818&sid=72AD4ED6...

11/13/2013 9:59:09 AM

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