Fransavenir - Retirement Saving Plan Application | Fransabank

Insurance & Savings

Fransavenir - Retirement Saving Plan Application

General Information

Gender

Applicant Title

First Name *

Family Name *

Father’s name *

Maiden name *

Date of birth *

Age At Maturity

Mobile Number *

Language

Cash Value (Capital to be saved) *

or Annual Premium (min. $300)

or Sum Insured (Amount to be insured) *

Annual premium variation (2 to 10%) - Optional

Age At Maturity

Premium frequency *

(*) Required fields