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Producer Name Producer Code Producer Contact No Producer Signature Copyright AIG Malaysia Insurance Berhad. All rights reserved. DDA Form Feb 2014. Note Fax the completed form to AIG Malaysia Insurance Berhad at 603 2685 4896 Direct Debit Authorisation Form DDA TRANSACTION TYPE New Case Renewal Change of Credit Card POLICY DETAILS Insured Name Insured Contact No Policy No If applicable only Cover Note No Vehicle Registration No CREDIT CARD DETAIL.

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