Application (Inbound)
School Name
Division
Division
Student Name
  ※ Passport English Name
Foreign Registration Number
Insurance Period
Insurance PeriodDay
Insurance pay
Insurance pay Won
※ KEB Hana Bank 267-910009-38504
(Account holder: 비즈인사이트)
Nationality
Mobile Number
Email
 
Disease of the Past
Disease of the Past
Health Condition
Health Condition
Collection and use of personal information

※ Your insurance will be effective after premium paid.

Application