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Get Laferla Health Insurance

M.mt Laferla Healthplans health insurance proposal form The information you provide below will be processed as described in Section 6. The information will be processed on behalf of Mapfre Middlesea plc by Laferla Insurance Agency Limited. Section 1- Proposer Details First Name of Proposer Title Date of Birth Surname of Proposer Gender Mobile Number ID/Passport Number Nationality Home Number E-Mail Address Line 1 Maltese Residential Address Line 2 Group Name (if applicable) Occupa.

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