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+86 21 6187 0330
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In order to help you better, please fill in the following form.
One of our advisors will contact you shortly with a first proposal.
* mandatory fields
Mr.
Ms.
Full Name:
*
Date of Birth (dd/mm/yyyy):
*
Nationality:
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City of Residence:
*
Where did you get to know about MSH?
Referral
Website/WeChat
Red (Xiaohongshu)
Event
Other
What kind of insurance solution are you looking for?
Health Insurance
Travel Insurance
Life and Accidental Insurance
What level of coverage would you like?
Inpatient only
In and Outpatient
Please choose your area of cover:
Greater China
Worldwide Excl. USA
Worldwide
Please let us know if you'd like to add additional benefits such as:
Dental
Wellness
Maternity
Do you want to add any dependents?
If YES, please indicate their date of birth (dd/mm/yyyy).
How can we reach you?
Email:
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