Deadline: 30th September 2024 is the corporate tax deadline for those whose period is Jan 2024 to Dec 2024

Please fill out and submit the form below. Our representative will inform you about other requirements for
obtaining an insurance policy:

    Select City:

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    Do you have any physical impairment? If yes, please state its nature:

    Do you now or ever had heart disease, diabetes, high blood pressure, TB, jaundice or liver, stomach, renal disease, cancer, asthma, epilepsy, nervous or psychological disorders? If so specify with dates:

    Are you in good health? If not, describe the nature of ailment: