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Title
AMPUAN
AWANG
AWANG ABDUL
AWANG HAJI
AWANGKU
AWANGKU HAJI
DAYANG
DAYANG HAJAH
DAYANGKU
DAYANGKU HAJAH
HAJAH
HAJI
MS
MR
MRS
PENGIRAN
PENGIRAN ABDUL
PENGIRAN ANAK
PENGIRAN ANAK HAJAH
PENGIRAN ANAK HAJI
ABDUL
BEGAWAN MUDIM
BEGAWAN PEHIN KHATIB
BRIGEDIER JENERAL (U) DATO SERI HAJI
DATIN
DATIN DR HAJAH
DATIN HAJAH
DATIN PADUKA HAJAH
DATO
DATO PADUKA
DATO PADUKA AWANG HAJI
DATO PADUKA DR HAJI
DATO PADUKA HAJI
DATO PADUKA HAJI AWANG
DATO PADUKA SERI
DATO SERI PADUKA
DATO SERI SETIA
DATU HULUBALANG
DATU KERNA
DATU KORNIA DIRAJA
DATU LELA RAJA
DATU MAHARAJA SETIA
DATU MAHAWANGSA
DATU PENGLIMA
DATU RATNA
DATU SERI LELA
DATU SERI PADUKA TUAN
DATU SETIA DIRAJA
DOKTOR
DOKTOR HAJAH
DOKTOR HAJI
DOKTOR PENGIRAN HAJAH
DOKTOR PENGIRAN HAJI
DR
DR HAJAH
DR HAJI
DULI YANG TERAMAT MULIA DULI PENGIRAN MUDA
DULI YANG TERAMAT MULIA PADUKA SERI
DYTM DULI PENGIRAN MUDA MAHKOTA
HAJI ABDUL
HAJI AWANG
JURU BINI
JURU LAKI
KDYMM PADUKA SERI BAGINDA SULTAN
LAKSAMANA PERTAMA PENGIRAN DATO SERI PAHLAWAN
MADAM
MAJOR
MALAI
MEJAR
MEJAR JENERAL DATO PADUKA SERI
MEJAR(U)
MUDIM
MUDIM AWANG HAJI
ORANG KAYA PADUKA SETIA DIRAJA
PEHIN
PEHIN BENDAHARI
PEHIN BENDAHARI CHINA
PEHIN BENDAHARI CHINA KORNIA DIRAJA
PEHIN DATO HAJI
PEHIN DATU AMAR SETIA DIRAJA
PEHIN DATU BENDAHARA
PEHIN HAJAH
PEHIN HJ
PEHIN JAWATAN BINI
PEHIN KHATIB
PEHIN MENTERI BINI HAJAH
PEHIN ORANG KAYA AMAR PAHLAWAN
PEHIN ORANG KAYA DATU INDERA SETIA DIRAJA
PEHIN ORANG KAYA DATU SETIA DIRAJA
PEHIN ORANG KAYA DEWA PAHLAWAN
PEHIN ORANG KAYA HAMZAH PAHLAWAN
PEHIN PENYURAT
PEHIN SIRAJA KHATIB
PEHIN TUAN IMAM
PEHIN UDANA KHATIB
PENGARAH
PENGIRAN BENDAHARA SERI MAHARAJA PERMAISUARA
PENGIRAN DATIN HAJAH
PENGIRAN DATIN PADUKA
PENGIRAN DATIN PADUKA HAJAH
PENGIRAN DATO PADUKA
PENGIRAN DATO PADUKA HAJI
PENGIRAN DERMA PUTERA
PENGIRAN DERMA WANGSA
PENGIRAN DERMA WIJAYA
PENGIRAN DEWA MAHARAJA
PENGIRAN DEWA NEGARA
PENGIRAN DIGADONG SAHIBUL MAL
PENGIRAN DIPA NEGARA LAILA DIRAJA
PENGIRAN DOKTOR
PENGIRAN DR HAJAH
PENGIRAN DR HAJI
PENGIRAN HAJAH
PENGIRAN HAJI
PENGIRAN KESUMA NEGARA PENGIRAN ANAK
PENGIRAN LAILA KANUN DIRAJA
PENGIRAN LAILA RAJA
SERI LAILA PENGIRING DIRAJA
SIR
SYARIFAH
SYED
SHEIKH
TENGKU
TENGKU HAJAH
TENGKU HAJI
TENGKU SYARIFAH HAJAH
WAN
YANG AMAT MULIA
YANG AMAT MULIA PENGIRAN ANAK
YANG AMAT MULIA PENGIRAN ANAK HAJAH
YANG AMAT MULIA PENGIRAN ANAK HAJI
YANG AMAT MULIA PENGIRAN INDERA SETIA DIRAJA SAHIBUL KARIB
YANG AMAT MULIA PENGIRAN RATNA WIJAYA
YANG BERHORMAT
YANG BERHORMAT P.O.K.I.P DATO SERI SETIA HAJI
YANG BERHORMAT PJLPR DATO DOKTOR USTAZ HAJI
YANG TERAMAT MULIA PADUKA SERI PENGIRAN ANAK PUTERI
YANG TERAMAT MULIA PS DPM
YDM PEHIN DATU BENDAHARA
YDM PEHIN DATU LAILARAJA MEJAR JENERAL DATO PADUKA SERI
YDM PEHIN JAWATAN DALAM SERI MAHARAJA DATO SERI UTAMA DR HAJI
YDM PEHIN ORANG KAYA PENDIKAR ALAM
Name
ID Type
BRUNEI IC - YELLOW
BRUNEI IC - RED
BRUNEI IC - GREEN
BIRTH CERTIFICATE
PASSPORT
DIPLOMAT
OTHERS
BRUNEI POLICE
ROYAL BRUNEI ARMED FORCES
Identity Card No.
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Belarusian
Belgian
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Beninese
Bhutanese
Bolivian
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Botswanan
Brazilian
British
Bruneian
Brunei PR
Bulgarian
Burkinese
Burundian
Cambodian
Cameroonian
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Cape Verdean
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Congolese
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Malaysian
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Mauritanian
Mauritian
Mexican
Moldovan
Monacan
Mongolian
Montenegrin
Moroccan
Mozambican
Myanmar
Burmese
Namibian
Nepalese
New Zealander
Nicaraguan
Nigerien
Nigerian
North Korean
Norwegian
Omani
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Paraguayan
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Polish
Portuguese
Qatari
Romanian
Russian
Rwandan
Salvadorean
Saudi Arabian
Scottish
Senegalese
Serbian
Seychellois
Sierra Leonian
Singaporean
Slovak
Slovenian
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South African
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Spanish
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Surinamese
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Swedish
Swiss
Syrian
Taiwanese
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Tanzanian
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Trinadians
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Turkish
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Tuvaluan
Ugandan
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Uruguayan
Uzbek
Vanuatuan
Venezuelan
Vietnamese
Welsh
Western Samoan
Yemeni
Yugoslav
Zaïrean
Zambian
Zimbabwean
Date of Birth
Occupation
Institution
Department
Race
KAYAN
INDIAN
BANGLADESHI
BISAYA
BURMESE
MALAY
CHINESE
DUSUN
IBAN
BIDAYUH
FILIPINO
INDONESIAN
INTERNATIONAL
MELANAU
MURUT
NEPALESE
SUDANESE
THAI
VIETNAMESE
OTHERS
SINGLEASE
Religion
MUSLIM
BUDDHIST
CHRISTIAN
HINDU
NOT DISCLOSED
NON-MUSLIM
SIKHISM
CATHOLIC
OTHERS
Gender
Male
Female
Marital Status
Single
Married
Widower/Widow
Divorced
Home No.
Mobile No.
Office No.
Email
Street
Village
District
Brunei Muara
Tutong
Temburong
Kuala Belait
Country
Afghanistan
Albania
Algeria
Andorra
Angola
Antigua and Barbuda
Argentina
Armenia
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
Brunei Darussalam
Bulgaria
Burkina Faso
Burundi
Cabo Verde
Cambodia
Cameroon
Canada
Central African Republic
Chad
Chile
China
Colombia
Comoros
Costa Rica
Croatia
Cuba
Cyprus
Czech Republic
Denmark
Djibouti
Dominica
Dominican Republic
Dubai
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Fiji
Finland
France
Gabon
Gambia
Georgia
Germany
Ghana
Greece
Grenada
Guatemala
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hongkong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Italy
Jamaica
Japan
Jordan
Kazakhstan
Kenya
Kiribati
Kosovo
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Mauritania
Mauritius
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Morocco
Mozambique
Myanmar (Burma)
Namibia
Nauru
Nepal
Netherlands
New Zealand
Nicaragua
Niger
Nigeria
North Korea
Norway
Oman
Pakistan
Palau
Palestine
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Poland
Portugal
Puerto Rico
Qatar
Romania
Russia
Rwanda
Saint Kitts and Nevis
Saint Lucia
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
South Korea
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Swaziland
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tonga
Trinidad and Tobago
Tunisia
Turkey
Turkmenistan
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States of America
Uruguay
Uzbekistan
Vanuatu
Vatican City (Holy See)
Venezuela
Vietnam
Yemen
Zaire
Zambia
Zimbabwe
Post Code
Correspondence is the same address?
Yes
No
Street
Village
District
Brunei Muara
Tutong
Temburong
Kuala Belait
Country
Afghanistan
Albania
Algeria
Andorra
Angola
Antigua and Barbuda
Argentina
Armenia
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
Brunei Darussalam
Bulgaria
Burkina Faso
Burundi
Cabo Verde
Cambodia
Cameroon
Canada
Central African Republic
Chad
Chile
China
Colombia
Comoros
Costa Rica
Croatia
Cuba
Cyprus
Czech Republic
Denmark
Djibouti
Dominica
Dominican Republic
Dubai
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Fiji
Finland
France
Gabon
Gambia
Georgia
Germany
Ghana
Greece
Grenada
Guatemala
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hongkong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Italy
Jamaica
Japan
Jordan
Kazakhstan
Kenya
Kiribati
Kosovo
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Mauritania
Mauritius
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Morocco
Mozambique
Myanmar (Burma)
Namibia
Nauru
Nepal
Netherlands
New Zealand
Nicaragua
Niger
Nigeria
North Korea
Norway
Oman
Pakistan
Palau
Palestine
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Poland
Portugal
Puerto Rico
Qatar
Romania
Russia
Rwanda
Saint Kitts and Nevis
Saint Lucia
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
South Korea
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Swaziland
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tonga
Trinidad and Tobago
Tunisia
Turkey
Turkmenistan
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States of America
Uruguay
Uzbekistan
Vanuatu
Vatican City (Holy See)
Venezuela
Vietnam
Yemen
Zaire
Zambia
Zimbabwe
Post Code
I agree to be contacted by Insurans Islam TAIB and its subsidiaries with regards to any marketing promotions on their products and services, via physical or electronic means including post, e-mail, phone (e.g. SMS, MMS, fax), websites, or mobile apps
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