Health Insurance Payment Form

Insurance Payment
Full name as mentioned in the passport.
An active email that you check regularly.
Please upload the Insurer's passport here.
If the Insurer is under 18, Please also upload the Guardian passport.
Please upload the Insurer's Guardian passport here.
Amount - 300.00$
The total amount includes all service, administrative, tax, processing, transaction, Univs, and other related fees.
Date insurance to be valid from.

🏦 Bank Transfer Details

Beneficiary Name: Univs LLC
Account Number: 011170120027
IBAN: AE630570000011170120027
Bank Name: Ajman Bank PJSC
Reference ID: ---
Bank Code: 057
Bank Address: AFZA Branch - AE0011001
SWIFT Code: AJMNAEAJ
Amount to Pay: 0.00 USD
Transaction and Intermediary Charges Applied
💡 Please include your Reference ID in your payment description when making the transfer. After payment, upload your receipt along with the Reference ID.

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