Database RegistrationCompany Name *Full Name Of Enrolee *Email *Phone *Gender *MaleFemaleGenderAddressDate of Birth *Enrolees PlanStandardUltimateSpecialSuper SpecialEliteEnrolees PlanChoice of HospitalUpload Passport *Choose FileNo file chosenDelete uploaded fileUpload PassportMarital Status *SingleMarriedMarital StatusNumber of ChildrenSpouseSpouseFull NameGenderMaleFemaleGenderDate of BirthUpload PassportChoose FileNo file chosenDelete uploaded fileUpload PassportChild 1Child 1Full NameGenderMaleFemaleGenderDate of BirthUpload PassportChoose FileNo file chosenDelete uploaded fileUpload PassportChild 2Child 2Full NameGenderMaleFemaleGenderDate of BirthUpload PassportChoose FileNo file chosenDelete uploaded fileUpload PassportChild 3Child 3Full NameGenderMaleFemaleGenderDate of BirthUpload PassportChoose FileNo file chosenDelete uploaded fileUpload PassportChild 4Child 4Full NameGenderMaleFemaleGenderDate of BirthUpload PassportChoose FileNo file chosenDelete uploaded fileUpload PassportRegisterSave as Draft
