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Get Directorate Of Insurance Proposal Form

D Claims for Period Year Turnover Number Amount (S$) Outstanding Claims for Period Number Amount (S$) Section C Premium Adjustment & Declaration of Wages (for Annual policies only) Wageroll Declaration for Expiring Period from: to Section 1 Employees to be insured for Act benefits and Common Law Est. Annual Wages, Category/ Description of No. of Employees Salary & L.

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