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Enter Basic Info
Full Name
Date of Birth
Please enter in DD – MM – YYYY order!
Gender
Male
Female
Mobile Phone Number
Country Code
Select Country Code
Vietnam (+84)
South Korea (+82)
Insurance Start Date
Select Start Date
The end date is automatically selected
Select
The "Insurance Start Date" must be before your school enrollment date.
Insurance End Date
The end date is automatically set to 6 months from the start date.
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