WebGreat Eastern Takaful Berhad (916257-H) Head Office: Menara Great Eastern 303 Jalan Ampang 50450 Kuala Lumpur Customer Service Careline: 1 300 13 8338 Fax: +603 4259 8808 E-mail: [email protected] Website: www.greateasterntakaful.com Name of the Person Covered Nama Orang yang Dilindungi 1. Date & Time of accident: WebHEALTH CLAIM FORM Please state as fully and accurately as possible the information asked for below and to return this form immediately to Great Eastern General Insurance …
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