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Get Formulir Klaim Sunlife

I hereby declare and agree that: 1. Saya telah membaca, mengerti, menjawab, dan mengisi pertanyaan-pertanyaan tersebut di atas dengan sebenar-benarnya, lengkap, dan sesuai keadaan sebenarnya. 2. Saya memberi kuasa yang tidak akan berakhir karena sebab-sebab yang tercantum dalam pasal 1813 KUH Perdata kepada setiap Dokter, klinik, rumah sakit, puskesmas, laboratorium, institusi medis manapun, perusahaan asuransi, badan hukum, lembaga, atau perorangan yang mempunyai catatan/keterangan atau menge.

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