Migration CORE to MFRF

Principle insured details
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ID Number
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Policy Number
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Please confirm below and make your move:*

Yes, please move my cover to MFRF effective 1 September 2022No thanks
Mandate

This signed mandate and authority relates to the insurance contract (referred to as “the Agreement”) signed by you. I shall not be entitled to any refund of amounts which have been withdrawn while this written authorisation and mandate for debit order instruction is in force, if such amounts were legally owing to Mutual & Federal Risk Financing Limited Insurance Company Limited.
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Principle insured details