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09 July
2016
P.O.Box 23807, Jeddah 21436
Saudi Arabia
CR No. 4030178881
Al Khaleejy Medical Clinic - shifa
Insurance Companies Office
Confirmation of Membership
Customer Service ھﺎﺗﻒ ﺧﺪﻣﺎت اﻟﻌﻤﻼء
Telephone 920 023 009
Fax 920 000 724
ﺧﻄﺎب ﺗﺄﻛﯿﺪ ﻋﻀﻮﯾﺔ
اﻟﺴﺎدة اﻟﻤﺤﺘﺮﻣﯿﻦ
Dear Sir
This fax is to confirm that Mrs Saida Osama
Abdelsalam Hegazy is a member of Bupa
Arabia with the following membership details:
ان ھﺬا اﻟﺨﻄﺎب ھﻮ ﻟﻠﺘﺎﻛﯿﺪ ﺑﺎن اﻟﻤﺸﺘﺮك
Mrs Saida Osama Abdelsalam Hegazy
ھﻮ اﺣﺪ اﻋﻀﺎء ﺑﻮﺑﺎ اﻟﻌﺮﺑﯿﺔ وﻓﻘﺎ ﻟﻠﺒﯿﺎﻧﺎت اﻟﺘﺎﻟﯿﺔ
Membership:
11217077
Valid Until:
29/06/2017
Year of Birth:
1987
ﺗﺎرﯾﺦ اﻟﻤﯿﻼد
Class Name:
C
درﺟﺔ اﻟﺘﻐﻄﯿﺔ
Deductible:
20 % up to SAR 100
ﻧﺴﺒﺔ اﻟﻤﺸﺎرﻛﺔ
Customer Name:
Al Minhaj Schools
Should she need any treatment that is
covered under her scheme, please accept
this fax instead of the membership card for
one visit only.
Please attach this fax and a copy of the
member's ID with the claim invoices.
customer service line.
Should you have any queries please contact
one of our advisers on the Bupa Arabia's
dedicated customer service line.
Yours sincerely
رﻗﻢ اﻟﻌﻀﻮﯾﺔ
ﺗﺎرﯾﺦ اﻧﺘﮭﺎء اﻟﺼﻼﺣﯿﺔ
اﺳﻢ اﻟﻌﻤﯿﻞ
ﻋﻨﺪ اﻟﺤﺎﺟﺔ ﻟﺘﻘﺪﯾﻢ اﯾﺔ ﺧﺪﻣﺔ ﻋﻼﺟﯿﺔ ﻣﺪرﺟﺔ ﺗﺤﺖ ﺟﺪول اﻟﻤﺰاﯾﺎ
اﻟﺨﺎص ﺑﺪرﺟﺔ اﻟﻌﻀﻮﯾﺔ اﻟﻤﺬﻛﻮرة ﺳﺎﺑﻘﺎ ﯾﺮﺟﻰ ﻗﺒﻮل ھﺬا
اﻟﺨﻄﺎب ﻛﺒﺪﯾﻞ ﻟﺒﻄﺎﻗﺔ اﻟﻌﻀﻮﯾﺔ وذﻟﻚ ﻟﻤﺮة واﺣﺪة ﻓﻘﻂ
ﯾﺮﺟﻰ ارﻓﺎق ھﺬا اﻟﺨﻄﺎب ﻣﻊ اﻟﻤﻄﺎﻟﺒﺔ ﻋﻨﺪ ارﺳﺎﻟﮭﺎ اﻟﻰ ﺑﻮﺑﺎ
اﻟﻌﺮﺑﯿﺔ
ﻓﻲ ﺣﺎل وﺟﻮد اﯾﺔ اﺳﺘﻔﺴﺎرات اﻟﺮﺟﺎء ﻋﺪم اﻟﺘﺮدد ﻓﻲ اﻻﺗﺼﺎل ﻋﻠﻰ
اﻟﮭﺎﺗﻒ اﻟﻤﺠﺎﻧﻲ ﻟﺨﺪﻣﺎت اﻟﻌﻤﻼء.
ﻣﻊ اﻃﯿﺐ اﻟﺘﺤﯿﺎت
Mohammed AlAmri
Customer Service
Bupa Arabia for Cooperative Insurance – Al-Rawdah St., Al-Khalediyah Dist. - PO Box 23807, Jeddah 21436, Saudi Arabia – CR No. 4030178881 - Authorised Capital SR 400,000,000 – Paid Up Capital SR 400,000,000
400,000,000 رأس اﻟﻤﺎل اﻟﻤﺼﺮح ﺑﮫ- رﯾﺎل ﺳﻌﻮدي400,000,000 – رأس اﻟﻤﺎل اﻟﻤﺪﻓﻮع4030178881 . ت. اﻟﻤﻤﻠﻜﺔ اﻟﻌﺮﺑﯿﺔ اﻟﺴﻌﻮدﯾﺔ – س21436 ﺟﺪه23807 ب.ﺑﻮﺑﺎ اﻟﻌﺮﺑﯿﮫ ﻟﻠﺘﺄﻣﯿﻦ اﻟﺘﻌﺎوﻧﻲ – ص
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