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3 Days / 2 Nights Auto Venture to Kuantan, Pahang. Registration closing date is on 7 September 2011.
Apply For Hospitalization Benefit Claim
Privileges>>Apply For Hospitalization Benefit Claim
*Compulsary fields
Voucher No : *
I ELIGIBILITY
a All members of the Societyare entitled for re-imbursement of ward charges of $200 per day. The member must be hospitalized in a Government or Private hospital.
b. Hospitalization claim must be supported by medical bill issued by hospital.
c. Each member is entitled to 2 claims per year from the Common Good Fund. Newly Joined members will be eligible after completion of 1 year's membership.

II MEMBER'S PARTICULARS
Full Name : *
Membership No : *
NRIC No. : *
Name(Hospital) : *
Date Admitted : *
Date Discharged : *

III ACKNOWLEDGEMENT

Received the sum of $ Vide Cheque No: in respect of the above claim.
Date : *
Please click here for Download Hospitalization Benefit Claim and mail it to us.

 

 

 

 

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