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Jaymart Insurance Present’s
Voluntary Insurance

Remark :
- The Insured should thoroughly study the details of the insurance policy and the insurance plan.
- The company reserves the right to cancel the policy and refund the full premium in the event that the insurance conditions are not met.


     I have read, understood and acknowledged the details of the Company's Privacy Policy ("Policy") and understand that the Company will collect, use and disclose ("Process"). In accordance with the aforementioned policy, which has been prepared in accordance with the Personal Data Protection Act B.E. 2562 ("Personal Data Protection Act"), I hereby consent to the Company's processing of such personal data.

**Please read and understand the details of the Company's Privacy Policy in full**

I give my consent to the doctor, hospital, Insurance companies, organizations, institutions, or any person who has a record of illness, My medical history. I consent to the Company collecting, using and disclosing facts about my health and information to the Office of the Insurance Commission (OIC). For the sake of insurance business supervision

I have read the terms and conditions of the agreement. The terms and exclusions of insurance are good. I hereby certify that the details of the information stated above are correct and complete and agree to make this insurance claim the basis of a contract between me and the Company. If my statement is false or concealed, I will not disclose the truth. I consent to the Company to deny liability under the insurance contract or terminate the insurance contract.