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["Form Pengajuan Register Data Client Baru"]
[]
["Data yang Dibutuhkan","Informasi"]
["Name of individual involved with insurance and claims"]
["Person in charge"]
["Designation"]
["Email Address"]
["Full legal title and trading name of the Assured"]
["Full address"]
["Bank Details"]
["Name of Bank"]
["BIC Number"]
["IBAN Number"]
["Bank Account"]