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new_amendtitletitlefull_nameyour-emailcontact_numproof_idenattach_proof_identid_numbernationalitywaterboardescomeitherutility_filemarital_statussource_incomeproof_of_incomeattach_proof_incomemonthly_incomeoccupationrole_applicablesurname1firstname1relationship1gender1date_of_birth1attach_identity1phone_num1surname2
New Application
Mrs
Mrs
test
test16dec@gmail.com
01234567890
Passport(Foreign nationals only)
75872e63ecb28dbd375dcda3cf29150c
123123
Nationality
WaterBoard
ESCOM
Either
75872e63ecb28dbd375dcda3cf29150c
Single
Employed
Payslip
75872e63ecb28dbd375dcda3cf29150c
1200
Private sector
Appointed to your current office by the president
test
testing
Relationship
Gender
Date
75872e63ecb28dbd375dcda3cf29150c
01234567890
New Application
Mr
Mr
testing Site 16 dec
test16dec@gmail.com
01234567890
National ID
75872e63ecb28dbd375dcda3cf29150c
123123
Nationality
WaterBoard
ESCOM
Either
7372243215db219bae9eb4905cc7cbdd
Single
Employed
Bank Statement
7372243215db219bae9eb4905cc7cbdd
1200
Private sector
Manager/officer in a public institution
dec
testing
Relationship
Gender
Date
7372243215db219bae9eb4905cc7cbdd
01234567890
Mrs
Mrs
Edith James Chikago
edithparker053@gmail.com
07931353737
Chikago
Edith
Mr
Mr
john makungwa
johnmakungwa@gmail.com
0991240886
Mrs
Mrs
EDITH JAMES JOHN PARKER
edithparker053@gmail.com
+447931353737
Passport(Foreign nationals only)
6a775e2988b3cb487968643a8089c852
6a775e2988b3cb487968643a8089c852
6a775e2988b3cb487968643a8089c852
PARKER
EDITH JAMES
Miss
Miss
Edith Parker
edithparker053@gmail.com
07931353737
Parker
Edith
New Application
Mr
Mr
Augustine Kabaghe
augukabaghe@gmail.com
+27634981399
National ID
cd26fc6ca63ddef103a536da045c0aac
RQZZZ7ZM
Malawian
Married
Employed
Bank Statement
faea1cded3f74e8f9f98352a6e3a0b08
Private sector
other
Maseko-Kabaghe
Emma
Wife
Female
14-06-1992
49a3381536fe0a85f977bf132712dcb6
+265884649921
Kabaghe
Mrs
Mrs
Edith James Chikago
edithparker053@gmail.com
07931353737
Chikago
Edith
New Application
Mr
Mr
blessings moses
blessmoses0@gmail.com
0719330202
Passport(Foreign nationals only)
2c2adf9be85cd491d5c59e4c8f44b544
malawian
Married
Employed
300,000.00
Business
Close relation or have business connections with any of the aforementioned
moses
blessings jnr
son
male
17 january 2011
Moses
Amendment
Mr
Mr
Augustine Kabaghe
augukabaghe@gmail.com
+27634981399
National ID
cd26fc6ca63ddef103a536da045c0aac
RQZZZ7ZM
Malawian
Married
Employed
Other
Public sector
other
Amendment
Mr
Mr
Augustine Kabaghe
augukabaghe@gmail.com
+27634981399
National ID
cd26fc6ca63ddef103a536da045c0aac
RQZZZ7ZM
Malawian
Married
Employed
Private sector
Maseko-Kabaghe
Emma
Wife
Female
14-06-1992
49a3381536fe0a85f977bf132712dcb6
+265884649921
Kabaghe
Miss
Miss
GRACE BALUWA
Info@wisechoiceinsuranceagency.com
0886935145
TSFBDOXT
MALAWIAN
Single
Self Employed
BUSINESS WOMAN
Business
PATIENCE
CHAYALA
SON
MALE
29 AUGUST 2010
0886935145
BENJAMIN
Mr
Mr
edward MBEWE
edward_bester@hotmail.com
+27644912536
Passport(Foreign nationals only)
26296798aaabba60538a0c3bdb300a65
MA799294
MALAWIAN
31c6eb22aa2fb2cbc1cc26164712767f
Married
Employed
Payslip
31c6eb22aa2fb2cbc1cc26164712767f
MK2,000,000.00
Private sector
other
MBEWE
edward Junior
son
malawi
08.08.2017
4239504c96535c50c97ad67dd261bad7
+27644912536
Mwale
Wisechoice Insurance Agency