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Royal Personal Care Plan-Option B

Phone Number

Last Name

Other Names

Address

Gender

Date of Birth

Occupation

Business Sector

Tax identification No

Average Annual Income

State of Origin

Nationality

NIN No

Highest Academic Qualification

Hobbies

Marital Status

NEXT OF KIN/BENEFICIARY

Names

Address

Phone Number

Relationship

I hereby consent to the collection, processing, use and the transfer of personal data to third parties (within or outside Nigeria), for the performance of this contract and any other data processing activities which may arise therefrom between myself and Royal Exchange General Insurance Company Ltd (Royal Exchange). I affirm that I am aware and take cognizance of my rights under the relevant Data Protection Laws in Nigeria and other terms detailed in the Data Protection and Privacy Policy of Royal Exchange available on our policy
I authorize and consent that any person who may be in possession of, or hereafter acquire, any information pertaining to my records may disclose such information to Rex Insurance Limited.

Personal Care

Ensure you have adequate provision for yourself against unforeseen circumstances. Facing everyday life risks could result in an accident. This product provides compensation for medical expenses, permanent disability and death
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