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Tele-Application Data Collection Form - AIA Insurance

AIA07151 12/16 Page 1 of 7 When using AIA Australia s Tele-Application service, you can use this form to collect information to enter into eApp number type Contact number Provide an alternative number? Y es No Email address Client name Preferred name Client gender State Please provide two preferred appointment dates and times (please note: operating hours are between 8 am to 8 pm AEST) for your / / Date / /Times (Est) Times (Est) Between and Between and To assist with a smooth and successful tele-interview, your client needs to be prepared.

Data Collection Form Version 16 – Date Prepared 10 December 2016. AIA07151 – 12/16 Page 2 of 7 ... If more than four beneficiaries are to be nominated use a separate Nomination of Beneficiary form available from us or your adviser.TOTAL 100%

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