Data Form-Updated
Data Form-Updated
Current Address: The Amaryllis, Flat no. 413, Tower 9C Phase 01, Karol
Bagh, Delh
Family Details for Corporate Insurance: (Spouse and 2 kids can enjoy the coverage) || Wedding Anniversary Date:
Name Relation Gender DOB Do the member resides with you Profession
- Spouse Yes/No
- Kid 1 Yes/No
- Kid 2 Yes/No
Sanjay Sharma Father Male 13/05/1970 Yes/No Engineer
Mother Sharma Mother Female 29/08/1971 Yes/No Govt. officer
Hobbies:
Badminton Swimming
Signature:
Date:
01/05/2023