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Letter Ref: 70970340041200 Our Ref: 20/1281486-0114 |
BUPA Chertsey Lane Staines Middlesex TW18 4XF Telephone: 0345 553311
Fax: 01784 465232 |
4th February1997
Ms C Burns <<Address details elided>>
Dear Ms Burns
Thank you for your application to join BUPA.
To enable us to proceed with your application would you please supply us with the following information:-.
1. Complete Part B for question 3 ticked yes on the medical history 2. Confirm the exact nature of the condition described as Gender Dysphoria
We would like to take this opportunity to advise you that cover is not effective until the information is received and registration documents are issued.
We look forward to hearing from you shortly and enclose a pre-paid envelope for your use, as we require this information in writing. However, should you have any queries regarding this matter please contact our Member Services Department on 0345 553311
Yours sincerely
 Carole Edmond UK Service Manager
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| LH6/94 / 4247 WL |
BUPA health Assurance Limited Registered in England and Wales No. 2774803 Registered Office: Provident House Essex Street London WC2R 3AX |
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