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Customer Service

Customer Name*
National ID*
Contact Mobile Number*
Email*
City*

Service Type*

Policy Service Type*

Policy Type*

Policy Number

Attachments

Copy of ID*
Copy of Policy Schedule*
Copy of Vehicle registration card or TAMM*
Others
Description*
I hereby declare that the information provided by me are true to the best of my knowledge and belief and no material information, which may be relevant, has been withheld or not disclosed.I hereby also understand and acknowledge that this information shall form the basis of the contract between me and Al Rajhi Takaful.
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