Kamis, 06 Juni 2013


The undersigned hereby agreed to accept, at the premium stated in the policy, additions to the sum insured to a maximum of…..of the amount under this policy of …… and….. upon the content thus not exceeding …… and…… the additions to the sum insured so accepted will be considered to take effect from the date of the postmark of written statement of the date of the telegraphic instruction from the insured.
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