Fransaplus: Life Insurance Plan with Accidental Coverage Application | Fransabank

Insurance & Savings

Fransaplus: Life Insurance Plan with Accidental Coverage Application

General Information

Gender

Applicant Title

First Name *

Family Name *

Father’s name *

Maiden name *

Date of birth *

Mobile Number *

Language

Currency *

Sum insured for accidental coverage (or C/V in LBP)

Premium frequency *

(*) Required fields