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Female
Date of Birth:
Date of Birth
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Institution
Course
Contribution
1 year $20.25
2 years $40.25
3 years $60.25
4 years $80.25
Contribution Table Guide:
Course Period
Total Contribution
1 Year
$20.25
2 Years
$40.25
3 Years
$60.25
4 Years
$80.25
(Contribution includes stamp duty amounting $0.25)
Akad
I, hereby agree to participate in Student Personal Accident Takaful Scheme offered by Insurans Islam TAIB General Takaful Sdn Bhd with the selected total contribution for the period coverage of the total no. of course year.
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