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BasicInformation
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BROKER RELATIONSHIP
BROKER
BANCASSURANCE
DIRECT CUSTOMER
Source of Business
111000258-Doha Bank Group Staff - Personal Vehicle Insurance
240000001-Sharq Online Business Unit (B2C)
240000002-Sharq Retail Business Unit (Emp)
240000003-Sharq Online FinChatBot
240000004-Sharq Online DBank Channel
Customer
Policy Party LOV
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Division
52-SHARQ Online
Department
10-Underwriting
BusUnit
240000001 - Sharq Online B2C Channel
Insured Group
101-General Retail Customer
Sub Agent/RM
240000002-Sharq Retail Business Unit
Relationship Officer/CRO
240000001-Sharq Online Business Unit
Insured Information
Policy Type
Individual
Individual + Spouse
Individual + Spouse + 3 Children
Insured Type
Corporate
Individual
Insured Name
Mobile No
Email Address
Date of Birth
Age
Occupation
Accountant
Assistant Manager
Bank Employee
Business Development Manager
Businessman
Carpenter
Cashier
Chef
Cleaner
Designer
Document Controller
Draughtsman
Driver
Electrician
Excavator Operator
Executive Chef
Facility Coordinator
Factory Manager
Finance Manager
Foreman
HR Manager
HR Officer
Hostess
House Maid
House Wife
IT Professional
IT Software Engineer
Information Technology
Insurance Employee
Insurance Related
Journalist
Manager
Marketing Executive
Mechanic / Technician
Media Person
Medical Profession
Messenger
Nurse
Office Clerk
Office Executive
Pharmacist
Planning Engineer
Procurement Officer
Professor
Project Manager
Purchasing Supervisor
QA/QC Engineer
Quantity Surveyor
Receptionist
Rigger
Sales person
Security Guard
Site Engineer
Steward
Student
Supervisor
Teacher
Trainer
Waiter
Gender
Female
Male
Policy Period
One Year
Two Year
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Family Details
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AdditionalDetails
Policy Details
Policy Start Date
Policy End Date
Address
P.O.Box
Civil ID
Referral Code
Nationality
Afghanistan
Aland Islands
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antarctica
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bonaire, Sint Eustatius and Saba
Bosnia and Herzegovina
Botswana
Bouvet Island
Brazil
British Indian Ocean Territory
Brunei Darussalam
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo
Congo, The Democratic Republic of
Cook Islands
Costa Rica
Cote d'Ivoire
Croatia
Cuba
Curaçao
Cyprus
Czechia
Denmark
Djibouti
Dominica
Dominican Republic
EAST TIMOR
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
FRANCE, METROPOLITAN
Falkland Islands (Malvinas)
Faroe Islands
Fiji
Finland
France
French Guiana
French Polynesia
French Southern Territories
Gabon
Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Heard and Mc Donald Islands
Holy See (Vatican City State)
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran, Islamic Republic of
Iraq
Ireland
Isle of Man
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakstan
Kenya
Kiribati
Korea, Democratic People's Republic of
Korea, Republic of
Kosovo (temporary code)
Kuwait
Kyrgyzstan
Lao, People's Democratic Republic
Latvia
Lebanon
Lesotho
Liberia
Libyan Arab Jamahiriya
Liechtenstein
Lithuania
Luxembourg
Macao
Macedonia, the former Yugoslav Republic of
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia, Federated States of
Moldova, Republic of
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
NETHERLANDS ANTILLES
Namibia
Nauru
Nepal
Netherlands
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Northern Mariana Islands
Norway
Oman
Pakistan
Palau
Palestinian Territory, Occupied
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn
Poland
Portugal
Puerto Rico
Qatar
ROMANIA
Republic of Serbia
Reunion
Romania
Russia Federation
Rwanda
Saint Barthélemy
Saint Helena
Saint Kitts & Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Seychelles
Sierra Leone
Singapore
Sint Maarten
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
South Georgia & The South Sandwich Islands
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard and Jan Mayen
Swaziland
Sweden
Switzerland
Syrian Arab Republic
Taiwan, Province of China
Tajikistan
Tanzania, United Republic of
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Trinidad and Tobago
Tunisia
Turkey
Turkish Rep N Cyprus (temporary code)
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
United States Minor Outlying Islands
Uruguay
Uzbekistan
Vanuatu
Venezuela
Vietnam
Virgin Islands, British
Virgin Islands, U.S.
Wallis and Futuna
Western Sahara
YUGOSLAVIA
Yemen
ZAIRE
Zambia
Zimbabwe
Beneficiary Name and Contact Dtls
PymtMode
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Summary
Additional Documents
Privacy Notice
Premium Summary
Product
Sum Insured (USD)
Premium
Loading(In QAR)
Loading(In %)
Discount(In QAR)
Discount(In %)
VAT 5%
Net to Pay
Commission Summary
Net Premium
Commission %
Commission
VAT 5%
Net to Pay
Information Summary