PROSPECT VALUE CARD
By Warith (Yushini HMZ)
Name *
Age *
Contact Number *
Residency
Smoker
Occupation
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Income
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Status
No. of Child
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Medical History
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Saving
Family Expenses
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Loan - Housing Loan
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Loan - Personal Loan
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Loan - Vehicle Loan
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What do you think about Takaful?
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Do you have Takaful / Insurance Plan
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If YES, which plan?
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If NO, why?
Date *
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DD
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