WOWTRUCK - Insurance Member Data

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Employee Code*

Full name as per co. records*

Date of Joining*

Gender*

Date of Birth*

@wowtruck.in

Mobile*

Add Spouse

Full name as per co. records

Date of Birth

Gender

Add Child 1

Full name as per co. records

Date of Birth

Gender

Add Child 2

Full name as per co. records

Date of Birth

Gender

Add Father

Full name as per co. records

Date of Birth

Add Mother

Full name as per co. records

Date of Birth