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  2. 2015
  3. January
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  5. Kinapse Insurance Data Collection
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What is your Employee No. ?
   
 
 
 
What is your name ?
 
Weekly
 
Monthly
 
Quarterly
 
Annually
 
 
 
What is your Father's name
 
Weekly
 
Monthly
 
Quarterly
 
Annually
 
 
 
What is your Father's Date of Birth
 
Weekly
 
Monthly
 
Quarterly
 
Annually
 
 
 
What is your Mother's Name ?
 
Weekly
 
Monthly
 
Quarterly
 
Annually
 
 
 
What is your Mother's Date of Birth
 
Weekly
 
Monthly
 
Quarterly
 
Annually
 
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