SC «UNIQA Life»

Інструкція для проведення одноразових і автоматичних платежів

Contract Series

Contract №

Contact phone number

Email address

Full name of the Insured / Payer

Contract Currency

Amount in Contract Currency

Payment amount, UAH

according to NBU exchange rate

No commission

Automated payment

I agree on automated payment according to the rule

Template's name

Date of the contract

Period

Month of the quarter

Day of the month

Do not charge after

Maximum payment amount

Next payment

Please note that the first payment will be made today!

The following payments will be made according to the selected "Day of the month". The next payment date is indicated in the "Next payment" field. To change the day of payment, select another "Day of the month".

Without commission