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SME General Insurance Consent Form

*This field is mandatory.

By filling up this form, you are agreeable to proceed with fire insurance insured with Berjaya Sompo Insurance Berhad.

Company Name*

Business Registration Number*

Contact Person*

Designation*

Contact Number*

Email*

Existing Fire Insurance Company / Takaful Operator*

Expiry Date of Existing Fire Insurance Policy / Takaful Contract*

Declaration and Confirmation*

This is a required field

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