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  • Form Unit Link

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    Imam Noviantoro
    6 views1 page
    1) This document is a form requesting changes to an existing unit-linked insurance policy. 2) The policyholder provides their name, policy number, contact details and requests to either increase premium payment or change the fund allocation. 3) The policyholder confirms they will not make cash payments and will transfer funds to the specified bank account, including the account number and bank name. They are asked to provide proof of transfer to the nearest branch office.

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    Form unit link CAR

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    1) This document is a form requesting changes to an existing unit-linked insurance policy. 2) The policyholder provides their name, policy number, contact details and requests to either increase premium payment or change the fund allocation. 3) The policyholder confirms they will not make cash payments and will transfer funds to the specified bank account, including the account number and bank name. They are asked to provide proof of transfer to the nearest branch office.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Flag for inappropriate content
    6 views1 page

    Form Unit Link

    Uploaded by

    Imam Noviantoro
    1) This document is a form requesting changes to an existing unit-linked insurance policy. 2) The policyholder provides their name, policy number, contact details and requests to either increase premium payment or change the fund allocation. 3) The policyholder confirms they will not make cash payments and will transfer funds to the specified bank account, including the account number and bank name. They are asked to provide proof of transfer to the nearest branch office.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Flag for inappropriate content
    of 1

    @dlP Lle lnsurance

    PTA.I. CENTMLASIARAYA

    J. LetjenS. PamanKav 79 Diisioleh Kantor Pusat


    Jakaf€11420,lndonesia ra-ssarreima / !
    Telp. : (021)5637901
    (Huniins) tret/6tn thn) l]I
    Fax. : (021)56379025637903
    Email: lanca.@car.co.id
    Homepage : www,carco.ro
    Depadmenl
    UniukPerhaUan: PolicyHolderSewices
    PERMOHONAN PRODUKUNITLINK
    PERUBAHAN
    " Mahd diisidensannengghakan tintawamahitam,hurufkapilal tLlisanklas, tidakkaluatda,i kotzk.
    jangan dihaprs tetapidicmt dan bubuhkantandatanganyANG MENGAJUMN di *belahhya, sesu.i d.ng.n ktlu identiks dniyanq
    Jika tetjadi kesalahn penutisan,

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    Kamilidak nenerina penbayaran secara tunai atau cash.
    Pembayarcndapatditransfernelalui :
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    a84 304566-6(Pra Sate) / 08443160A-0(Pro Fixed) / 084 431699'9(Pto Mixed)
    PT A.J. CentratAsiaRaya
    pastikannonot rekening di$ sesuaidensan data di atasdan isi kalom befta pada slippenbayaran dengannonor polisdan infomasi toP up.
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