Life Insurance Beneficiary Form
Full Name of the Employee*
First Name Last Name
Phone Number*
Area Code Phone Number
I, the undersigned, being a member in the Chalhoub life insurance policy, herewith designate the following person(s) to be my beneficiary (ies).
Life Insurance Beneficiaries*
Please note that the distribution of entitlement should add up to 100%
Please consider this as my digital signature for the details provided*
Signed
Should be Empty:

Life Insurance Beneficiary Form