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  • Agency KLG Mega Ultimate Group - Dt14 Aingkaran A/L Ramalingam - 9519S

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    Naren 04
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    This document is a memorandum from AIA Bhd regarding an insurance application submitted by Rajeswary A/P Selladurai. It requests the submission of additional requirements by October 11, 2021 to process the application, including: 1) Completing and providing the Authorised Person & Beneficial Owner Declaration Form and copies of IDs for both the authorized person and beneficial owner, as the customer is acting on behalf of an individual, entity, or arrangement. Further documents may be required. If this is not correct, an amendment form must be submitted. Failure to submit the requirements by the deadline will result in the application being closed, and further requirements may be requested if reopened. The applicant must sign

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    This document is a memorandum from AIA Bhd regarding an insurance application submitted by Rajeswary A/P Selladurai. It requests the submission of additional requirements by October 11, 2021 to process the application, including: 1) Completing and providing the Authorised Person & Beneficial Owner Declaration Form and copies of IDs for both the authorized person and beneficial owner, as the customer is acting on behalf of an individual, entity, or arrangement. Further documents may be required. If this is not correct, an amendment form must be submitted. Failure to submit the requirements by the deadline will result in the application being closed, and further requirements may be requested if reopened. The applicant must sign

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    Agency KLG Mega Ultimate Group - Dt14 Aingkaran A/L Ramalingam - 9519S

    Uploaded by

    Naren 04
    This document is a memorandum from AIA Bhd regarding an insurance application submitted by Rajeswary A/P Selladurai. It requests the submission of additional requirements by October 11, 2021 to process the application, including: 1) Completing and providing the Authorised Person & Beneficial Owner Declaration Form and copies of IDs for both the authorized person and beneficial owner, as the customer is acting on behalf of an individual, entity, or arrangement. Further documents may be required. If this is not correct, an amendment form must be submitted. Failure to submit the requirements by the deadline will result in the application being closed, and further requirements may be requested if reopened. The applicant must sign

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    © All Rights Reserved
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    of 2

    AIA Bhd.

    (790895-D)
    Menara AIA, 99 Jalan Ampang
    50450 Kuala Lumpur
    P.O. Box 10140, 50704 Kuala Lumpur
    Care Line: 1300 88 1899
    T : 03-2056 1111
    F : 03-2056 3891
    AIA.COM.MY

    Application No 7914734A03

    Proposed Insured RAJESWARY A/P SELLADURAI

    *791--4734A03*
    Owner/Payor RAJESWARY A/P SELLADURAI
    *A2405036*

    Agency KLG MEGA ULTIMATE GROUP - DT14

    Agent AINGKARAN A/L RAMALINGAM - 9519S

    Branch Klang

    Date 12 Aug 2021

    MEMORANDUM

    We would like to inform you that we need the following requirements in order for us to process the above application.
    Please show this memorandum to the medical examiner so that he/she is able to carry out the relevant requirements.
    We also like to indicate that underwriting and approval of this case is not limited to the below requirements only as it
    also depends on other concurrent applications, if applicable. The Company's final decision on whether to accept this
    application will therefore not only be based on receipt of the requirements mentioned in this memo.

    DESCRIPTIONS

    REQUIREMENT COMMENTS
    ______________ ___________
    1) MISCELLANEOUS NOTED YOUR CUSTOMER IS ACTING ON BEHALF OF
    AN
    INDIVIDUAL PERSON OR LEGAL ENTITY OR
    ARRANGEMENT
    WHICH ULTIMATELY OWNS AND/OR HAS EFFECTIVE
    CONTROL OVER THIS APPLICATIONS.
    PLEASE COMPLETE THE AUTHORISED PERSON &
    BENEFICIAL OWNER DECLARATION FORM AND
    PROVIDE
    COPY OF IC FOR BOTH AUTHORISED PERSON &
    BENEFICIAL OWNER. FURTHER DOCUMENT MIGHT
    BE
    REQUIRED BY AIA, SUBJECT TO THE INFORMATION
    COLLECTED.
    IF THIS IS NOT THE CORRECT DECLARATION, KINDLY
    REDECLARE THE OPTION IN AMENDMENT FORM.

    Please submit these requirements by 11 Oct 2021. Otherwise, the application will be closed and we may require further
    requirements upon reactivation.

    ZZ - AGENT'S HOTLINE 1300-88-2886

    Please respond to this memo by signing and sending it back to us. If you have submitted the above requirement(s),
    kindly ignore this memo.

    Remarks:
    Date_______________________ Signature_______________________

    PND
    PJSC

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