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Number of Traveller

* Number of Adult:

Adult(s)

Including yourself (the Policy Owner). Additional Adult is only for spouse (Husband or Wife).

* Number of Children (Age 18 to 23):

Child(s)

* Number of Children (Age 17 and below):

Child(s)

Number of Traveller:

Reminder:

Individuals who are 23 years old and older are required to submit application for their own takaful coverage.

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