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  1. {
  2. "planCode":"ETN01Q",
  3. "applicationNumber":"62262706311",
  4. "agentCode":"725734",
  5. "agentName":"สายงานการตลาดแบบตรง",
  6. "applicantPersonalInformation": {
  7. "fullNameThai":"ชื่อผุ้เอาประกัน นามสกุล",
  8. "fullNameEng":"Mr. Santakit Suppakornkitviwat",
  9. "gender":"MALE",
  10. "nationality":"ไทย",
  11. "religion":"พุทธ",
  12. "age":42,
  13. "birthdate":"2535-02-24",
  14. "maritalStatus":"โสด",
  15. "documentForIdentityVerification":"passsport",
  16. "no": "343434347777",
  17. "expiryDate":"2019-02-24",
  18. "other":"This is Others",
  19. "address":{
  20. "houseRegistration":{
  21. "houseNumber":"138/39",
  22. "village":"ม.เพลินวิภา",
  23. "moo":"หมู่ 12",
  24. "soi":"รามอินทรา 40",
  25. "road":"รามอินทรา",
  26. "subDistrict":"คลองกุ่ม",
  27. "district":"บึงกุ่ม",
  28. "province":"กรุงเทพ",
  29. "postalCode":"10230",
  30. "telephone":"0847654843"
  31. },
  32. "residential":{
  33. "buildingNumber":"เบอร์ ต่างประเทศ",
  34. "street":"ถนน ต่างประเทศ",
  35. "town":"เมือง ต่างประเทศ",
  36. "state":"ประเทศ ต่างประทเทศ",
  37. "postalCode":"1234",
  38. "country":"อังกฤษ"
  39. },
  40. "business":{
  41. "place":"3DS Interactive",
  42. "building":"ตึกที่ทำงาน",
  43. "no":"หมายเลข ที่ทำงาน",
  44. "moo":"หมู่ที่ทำงาน",
  45. "soi":"ซอย ที่ทำงาน",
  46. "road":"ถนน ที่ทำงาน",
  47. "subDistrict":"อำเภอ ที่ทำงาน",
  48. "district":"ตำบล ที่ทำงาน",
  49. "province":"จังหวัด ที่ทำงาน",
  50. "postalCode":"56780",
  51. "telephone":"0846943518"
  52. },
  53. "present":{
  54. "address":"houseRegistration",
  55. "no":null,
  56. "village":null,
  57. "moo":null,
  58. "soi":null,
  59. "road":null,
  60. "subDistrict":null,
  61. "district":null,
  62. "province":null,
  63. "postalCode":null,
  64. "telephone":null
  65. }
  66. },
  67. "mailingAddress":"business",
  68. "contactInformation":{
  69. "mobile":"0841111111",
  70. "email":"santkit@3dsinteractive.com"
  71. },
  72. "consentElectronicPolicyDelivery":true,
  73. "occupation":{
  74. "present":{
  75. "occupation":"พนักงานบริษัท",
  76. "position":null,
  77. "jobDescription":"IT",
  78. "businessNature":null,
  79. "annualIncome":1234567
  80. },
  81. "otherPosition":{
  82. "occupation":"อาชีพอื่นๆ",
  83. "position":"ตำแหน่งอื่นๆ",
  84. "jobDescription":"jd อื่นๆ",
  85. "businessNature":"bs อื่นๆ",
  86. "annualIncome":673452
  87. }
  88. }
  89. },
  90. "insuranceInformation":{
  91. "insurancePlan":"แผน 3",
  92. "dividend":"participating",
  93. "coveragePeriod":10,
  94. "premiumPaymentPeriod":1,
  95. "optionIfThereIsDividend":"forPremiumPayment",
  96. "modeOfPremiumPayment":"monthly",
  97. "mainInsure":{
  98. "insurance":"ประกันชีวิต D-Sure 10/1",
  99. "sumInsured":15000.32,
  100. "premium":456.73
  101. },
  102. "riderInsure":[{
  103. "insurance":"ประกันเสริม",
  104. "sumInsured":1000.64,
  105. "premium":46.34
  106. }],
  107. "totalPremium":38434.43,
  108. "premiumPaidWithThisApplication":452345.59,
  109. "paidBy":"creditCard",
  110. "paidByDetail":"สมชาย นะครับ",
  111. "premiumPayerInformation":"adultAndPremiumPayer",
  112. "payerFullName":"นาย จ่ายเงิน ให้ลูก",
  113. "age":50,
  114. "occupation":"เล่นหุ้น",
  115. "relationship":"บิดา"
  116. },
  117. "beneficiaryInformation":{
  118. "noBeneficiary":false,
  119. "beneficiaries":[
  120. {
  121. "fullName":"คนแรก",
  122. "age":20,
  123. "relationship":"บุตร",
  124. "documentNo":"1234456677",
  125. "address":"ที่อยู่คนแรก",
  126. "percentageOfBenefit": 99
  127. },
  128. {
  129. "fullName":"คนที่สอง",
  130. "age":25,
  131. "relationship":"มารดา",
  132. "documentNo":"788765554",
  133. "address":"ที่อยู่คนที่สอง",
  134. "percentageOfBenefit": 1
  135. }
  136. ]
  137. } ,
  138. "payerInformation": {
  139. "fullNameThai":"นาย คนชำระเงิน ",
  140. "fullNameEng":"Mr. Payment Naja",
  141. "gender":"MALE",
  142. "nationality":"ลาว",
  143. "religion":"อิสลาม",
  144. "age":78,
  145. "birthdate":"1988-02-05",
  146. "maritalStatus":"หม้าย",
  147. "documentForIdentityVerification":"others",
  148. "idCardNoOrPassportNo":"925342532523",
  149. "expiryDate":"2566-12-15",
  150. "other":"payer other",
  151. "relationshipWithApplicant":"บิดาบุญธรรม",
  152. "address":{
  153. "houseRegistration":{
  154. "houseNumber":"payer houseRegistration number",
  155. "village":"payer houseRegistration village",
  156. "moo":"payer houseRegistration moo",
  157. "soi":"payer houseRegistration soi",
  158. "road":"payer houseRegistration road",
  159. "subDistrict":"payer houseRegistration sub dis",
  160. "district":"payer houseRegistration dis",
  161. "province":"payer houseRegistration province",
  162. "postalCode":"11000",
  163. "telephone":"0891233333"
  164. },
  165. "residential":{
  166. "buildingNumber":"payer residental building",
  167. "street":"payer residental street",
  168. "town":"payer residental town",
  169. "state":"payer residental state",
  170. "postalCode":"11000",
  171. "country":"payer residental country"
  172. },
  173. "business":{
  174. "place":"payer business place",
  175. "building":"payer business building",
  176. "no":"payer business no",
  177. "moo":"payer business moo",
  178. "soi":"payer business soi",
  179. "road":"payer business road",
  180. "subDistrict":"payer business sub discrict",
  181. "district":"payer business district",
  182. "province":"payer business province",
  183. "postalCode":"11000",
  184. "telephone":"0891233333"
  185. },
  186. "present":{
  187. "address":"houseRegistration",
  188. "no":"payer present no",
  189. "village":"payer presnet village",
  190. "moo":"payer present moo",
  191. "soi":"payer presnt soi",
  192. "road":"payer present road",
  193. "subDistrict":"payer present subdistrict",
  194. "district":"payer present district",
  195. "province":"payer present province",
  196. "postalCode":"11000",
  197. "telephone":"0891233333"
  198. }
  199. },
  200. "mailingAddress":"present",
  201. "contactInformation":{
  202. "mobile":"0891233657",
  203. "email":"y_yuy@hotmail.com"
  204. },
  205. "consentElectronicPolicyDelivery":true,
  206. "occupation":{
  207. "present":{
  208. "occupation":"payer occupation",
  209. "position":"payer position",
  210. "jobDescription":"payr job description",
  211. "businessNature":"payer business nature",
  212. "annualIncome":456564
  213. },
  214. "otherPosition":{
  215. "occupation":"payer occupation other",
  216. "position":"payer position other",
  217. "jobDescription":"payer description other",
  218. "businessNature":"payer business nature",
  219. "annualIncome":3345555
  220. }
  221. }
  222. },
  223. "fatca": {
  224. "applicant":{
  225. "usNationalityAndBirthCountry":true,
  226. "usNationalityAndBirthCountryDetail":"USHolder",
  227. "usGreenCard":"NotEffective",
  228. "obligationToPayTax":false,
  229. "residentForTaxUSCollection":true
  230. },
  231. "payer":{
  232. "usNationalityAndBirthCountry":true,
  233. "usNationalityAndBirthCountryDetail":"USBorn",
  234. "usGreenCard":"NotEffective",
  235. "obligationToPayTax":false,
  236. "residentForTaxUSCollection":true
  237. }
  238. },
  239. "tax": {
  240. "exemption":true,
  241. "identificationNumber":"4635363"
  242. },
  243. "requestDate":"2562-04-11"
  244. }
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