Two

instalments


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1Insurance
2The insured
3Summary
Type of insurance
Complete this field if you plan to take out insurance in the future. The validity of the insurance is affected by the payment of the premium.
Selected duration of insurance: 24 month(s)
I am interested in optional supplementary insurance
I arrange insurance for myself
I confirm that the insured person HAS NOT suffered or IS NOT currently suffering from severe nervous disorders, mental illness, paralysis, drug, alcohol or drug addiction, cirrhosis of the liver, cancer, malignant tumour (carcinoma), TB disease, kidney dialysis, HIV infection, AIDS.
Split the payment into two instalments?