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Personal Accident

Accidents are many, they cause serious injuries sometimes may lead to disability or death. The personal accident insurance is a policy that provides you with the compensation you are looking for when an unexpected accident occurs.

PERSONAL INFORMATION

BENEFICIARY DETAILS

Entered Beneficiary Details

Beneficiary Name Relationship Mobile Home Address Percentage Email Action

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QUOTATION

Customer Details

Name :

Occupation :

Beneficiary Details

Beneficiary Name Relationship Percentage

Contact Details

Mobile :

{{Mobilevalue}}

Email :

Term Details

Policy Start Date :

{{policy_start_date}}

Policy End Date :

{{policy_end_date}}

Policy Price Amount:

SR {{price_amount}}

Particulars Percentage Amount
Sub Total {{BasePremium}}
VAT {{VAT_Percent}} {{VAT_Amt}}
Net Premium {{price_amount}}

PAYMENT

On payment a PDF of your Insurance Policy will be sent to

I confirm that these details are correct and accept the policy terms and conditions and authorize der3 to validate my information through any government agency

How would you like to pay?

On payment a PDF of your Insurance Policy will be sent to

I confirm that these details are correct and accept the policy terms and conditions.

SADAD Bill Details

Thank you

Biller code :

Ref :

SADAD payment can be made through your Bank ATM, Phone Banking, E-Banking or your Bank Account within 72 hours. Please make your payment before . on to avoid SADAD bill expiry.

SADAD Payment Details have been sent to your email address '' and also to your mobile number .

Your policy will only be active upon payment..

SMS Verification Code

Please Enter the SMS Code Received on your Mobile. Didn't Recieve a SMS code?

Number : {{Mobilevalue}}


SMS Verification Code

Your Mobile Number :{{Mobilevalue}}. Click Here to Resend Code

OR


Payment Successful Policy No

Thank you

Your Policy has been issued and we've sent you an email containing your policy documents.

Payment Declined

How would you like to pay?

Payment Amount SR

Upon payment, a PDF of your insurance policy will be sent to your

Your policy will only be active upon payment.