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Property | Description |
Basic Information | |
Customer ID | Depends on insurance company |
Customer Full Name | Free-form |
Customer Short Name | Free-form |
Category / Segment | Depends on insurance company |
Local Branch | Depends on insurance company |
Primary Language | English / Arabic / Other |
Billing Address | |
Address Line 1 | Free-form |
Address Line 2 | Free-form |
Address Line 3 | Free-form |
Postal Code | Only numeric answers allowed |
Country | Select from list |
State / Emirate | Select from list generated based on previous selection |
City | Select from list generated based on previous selection |
Permanent Address | |
Address Line 1 | Free-form |
Address Line 2 | Free-form |
Address Line 3 | Free-form |
Postal Code | Only numeric answers allowed |
Country | Select from list |
State / Emirate | Select from list generated based on previous selection |
City | Select from list generated based on previous selection |
Residential Address | |
Address Line 1 | Free-form |
Address Line 2 | Free-form |
Address Line 3 | Free-form |
Postal Code | Only numeric answers allowed |
Country | Select from list |
State / Emirate | Select from list generated based on previous selection |
City | Select from list generated based on previous selection |
Communication | |
Communication Type 1 | Home / Mobile / Other |
Communication Phone Number 1 | Area code selection option and 9-10 additional digits permissable |
Communication Type 2 | Home / Mobile / Other |
Communication Phone Number 2 | Area code selection option and 9-10 additional digits permissable |
Communication Type 3 | Home / Mobile / Other |
Communication Phone Number 3 | Area code selection option and 9-10 additional digits permissable |
Email ID | Must be a valid email address (i.e., include @ followed by domain) |
Alternate Email ID | Must be a valid email address (i.e., include @ followed by domain) |
Background and Family | |
Gender | Male/Female |
Date of Birth | dd/mm/yyyy |
Marital Status | Married/Single |
Education Background | High School/ Bachelor's/ Masters/ PhD/ Other |
Nationality | Select from list |
Dual Nationality | Yes / No |
Second Nationality (if applicable) | Select from list |
Salutation | Mr./ Ms./ Mrs./ Dr./ Other |
Country of Birth | Select from list |
City of Birth | Select from list generated based on previous selection |
Religion | Christian/ Muslim/ Jewish/ Hindu/ Buddhist/ Other |
Mother's Maiden Name | Free-form |
Spouse Name | Free-form |
Spouse Date of Birth | dd/mm/yyyy |
Spouse Employment Details | Employed/ Unemployed |
Spouse Phone Number | Area code selection option and 9-10 additional digits permissable |
Number of Children | Only numeric answers allowed |
Employment | |
Profession | Free-form |
Profession Description | Free-form |
Employer Name | Free-form (or company name in case of self-employment) |
Employer Address | Free-form (or company name in case of self-employment) |
Employment Type | Select from list of options (e.g., Employed, Self-Employed, Retired, Unemployed) |
Employment Location | Free-form |
Nature of Business | Select from list of categories (e.g., Law, Finance, Medicine) |
Designation | Free-form |
Source of Income | Free-form (e.g. salary / dividends from ownership) |
Income Currency | Select from a list of options (e.g., AED, USD, SAR) |
Montly Income | Only numeric answers allowed (in AED) |
Annual Income | Only numeric answers allowed (in AED) |
Employment Start Date | dd/mm/yyyy |
Identification | |
EID Number | Only 15 digits permissible |
EID Expiry Date | dd/mm/yyyy |
Passport Issue Country | Select from list |
Passport Number | Alphanumeric identifier |
Passport Issue Date | dd/mm/yyyy |
Passport Expiry Date | dd/mm/yyyy |
Visa Number | Only numeric answers allowed |
Visa Issue Country | Select from list |
Visa Issue Date | dd/mm/yyyy |
Visa Expiry Date | dd/mm/yyyy |
UAE Driving License Number | Only 7 digits permissible |
UAE Driving License Issue Date | dd/mm/yyyy |
UAE Driving License Issuing Emirate | Select from drop-down list (e.g., Dubai, Ajman, Abu Dhabi) |
Mulkiya Card | pdf attachment |
Home Country Driving License Number | Free-form |
Account Bank Information | |
Bank Account Number | Free-form (may vary by bank and country) |
IBAN | Free-form (may vary by bank and country) |
Swift Code | Free-form (may vary by bank and country) |
Name on Account | Free-form |
Bank Name | Free-form |
Home Branch | Free-form (may vary by bank and country) |
Type of Account | Free-form (may vary by bank and country) |
Emergency Contacts | |
Emergency Contact 1 Name | Free-form |
Emergency Contact 1 Relationship | Free-form |
Emergency Contact 1 Phone Number | Area code selection option and 9-10 additional digits permissable |
Emergency Contact 1 Email Address | Must be a valid email address (i.e., include @ followed by domain) |
Emergency Contact 2 Name | Free-form |
Emergency Contact 2 Relationship | Free-form |
Emergency Contact 2 Phone Number | Area code selection option and 9-10 additional digits permissable |
Emergency Contact 2 Email Address | Must be a valid email address (i.e., include @ followed by domain) |
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