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THE PERSONAL SENTINEL Version 2

DAILY HOSPITAL INCOME BENEFIT

Pays a Daily Hospital Income up to 120 days in the event the insured is hospitalised for more than 12 hours as a result of an accident.

If you wish to apply for "The Personal Sentinel" coverage, just instruct us by e-mail providing the following details and we will be sending you the appropriate Application Form:-

• Your preferred correspondence address

• Insured/s occupations

• Insured/s age next birthday

• Which Plan (with or without weekly indemnity) have you chosen? Plan 1, 2, 3, 4, 5, 6, 7 or 8.

• How would you like to make your payment? (By Credit Card or Cheque or Direct Bank-in to Alliance Bank) Payment by CASH is not recommended.

• How would you like us to contact you?

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