GETMEINSURE - SAMPLE HEALTH INSURANCE LEAD

INSURANCE DETAIL   NAME: Health Insurance DATE: 21-10-2008 LEAD NUMBER: health-Insurance-1224575958   Contact DETAIL     NAME: K MATHEW   DATE OF BIRTH: 13-4-1959   SEX: Male   ADDRESS:   CITY: Delhi   STATE: Delhi   PIN CODE: 110033   HOME PHONE: 011-24645XX   OFFICE PHONE: - Ext.   MOBILE NUMBER: 94485XXXXX   EMAIL ID: abymatXXXX@hotmail.com   ALTERNATE EMAIL ID:   GROSS INCOME : 840000   BEST PLACE TO CALL: Office   BEST TIME TO CALL : Evening   HEALTH INSURANCE DETAIL     The applicant has been hospitalized in the past 3 years (other than pregnancy).   MEDICAL INSURANCE REQUIRED FOR : 50,000-1_lacs   NUMBER OF PEOPLE TO BE INSURED: 1   CURRENT INSURANCE PREMIUM :   INSURANCE EXPIRES ON: 0-0-0   I HAVE COVER MEDICLAIM INSURANCE TO: NO.   CLAIMS FOR:   I HAVE BEEN DIAGNOSED WITH: High blood pressure   COMPANY DETAIL     BEST INSURANCE COMPANY SELECTED BY CUSTOMER: