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Get Formulir Klaim Axa Mandiri

Mencukupi, anda dapat menggunakan kertas lain dan melampirkannya bersama dengan formulir ini If the space provided is not enough, you may write on additional sheet and attach it with this form Mohon kelengkapan dokumen berupa : The following documents should be attached a. b. c. d. e. f. g. Surat Keterangan Kematian dari Pemerintah Daerah Setempat; Death Certificate issued by the local authorities Fotokopi KTP, KK (yang telah dilegalisir), dan Sertifikat Asuransi atau Polis Asuransi Tertanggun.

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