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BGIC - 4. Proposal for People Personal Accident Policy
42 Dilkusha Commercial Area, Dhaka, Bangladesh
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Email
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Title of Insured
Mr.
Mrs.
M/s
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Name of Insured
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Address of Insured
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Trade Licenses or N.I.D.
Trade Licenses
N.I.D.
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Trade Licences or N.I.D. number
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A. Amount to be Insured
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B. Occupation
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C. Period of Insurance
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D. Beneficiary, Name and Relationship
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