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Home
About Us
Verification
Compensation Funds
Beneficiary List
Claim Your Compensation
Contact
Terms & Policy
Apply
Online Application Form
Home
Application
All field must be completed in order to process your application
Personal Information
Please fill the form without errors or amendments. Attach a copy of your international passport or drivers license . Click the below button to choose file and send to our admin. Make sure you rename the image to your name you provide in the form
International Passport or Drivers License
Name
Surname
No. of National Identity Document:
International Passport Number:
Birth date:
Birth Month
Birth Year
Place of birth:
Private Address:
Phone Number:
Email:
Next Of Kin Personal Information
Name
Surname
No. of National Identity Document:
International Passport Number:
Birth date:
Place of birth:
Private Address:
Phone Number:
Email: