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If you would like to make changes to your Life Insurance Policy, kindly download the relevant form found in this page, fill it out and mail it back to us.

For General Insurance customers, please call our Customer Service Officers Hotline for other relevant forms.

General Insurance

Type of Forms Business Type Purposes
Proposal Forms
Proposal Form for AutoSurance - To apply for motor insurance (private car)

Life Insurance

Type of Forms Business Type Purposes
Proposal Forms
Supplementary Proposal Form All Completion of omitted questions in proposal form, change of benefits and others health declaration (only for New Business)
Health Declaration Forms
Adult Health Certificate All For reinstatement of policy /certificate (lapsed/paid-up more than 6 months )
Juvenile Health Certificate All For reinstatement of a juvenile policy/certificate (lapsed/paid-up more than 6 months)
Health Declaration Statement All For reinstatement of policy/certificate (lapsed/paid-up less than 6 months)
Clinical Abstract Application All For authorising us to obtain a medical report from hospitals and polyclinics
Policy Changes Forms
Request for Amendment All For change of address, frequency of payment, method of payment, beneficiary, sum insured, contribution, name, NRIC no, signature. Also for addition and deletion of supplementary benefits
Inter Bank Giro All For authorising your bank to pay premium/contribution by GIRO
Nomination of Beneficiaries
Trust Nomination - To make a trust nomination
Revocation of Trust Nomination - To revoke a trust nomination
Appointment, or Revocation of Appointment, of Trustee of Policy Moneys - To appoint or to revoke the appointment of one or more trustees
Revocable Nomination - To make a revocable nomination
Revocation of Revocable Nomination - To revoke a revocable nomination
Notice of Revocation of Revocable Nomination - To give notice of the revocation of revocable nomination
For Investment-Linked Plan - Fund Changes Forms
Fund Switching & Premium Redirection All For switching existing fund value to a different fund(s) & for redirection future contribition to a different fund(s)
Top Up Form (Simplified) All For making top ups to a Investment Linked Plan, Asset Manager I/Takaful Asset Manager I Option 1
Top Up Form (Comprehensive) All For making top ups to a Asset Manager I/Takaful Asset Manager I Option 2 and Option 3
Premium Holiday/Re-activation/Reinstatement Form All For making changes to the Recurrent Single Contribution/Premium of a Investment Linked Plan
Conversion Form for Investment-Linked Single Premium Plan All For conversion for Takaful to non-Takaful (vice versa)
Option Conversion Underwriting All For changes of option to Asset Manager I/ Takaful Asset Manager I
For Non-Investment Linked Plan
Cash Surrender Form - For surrendering a Non-Investment Linked Plan
Flexipay Surrender Form - For surrendering Flexipay Policies
Employee Benefits - Group Insurance
Health Declaration Form - For underwriting submission
Membership Movement Form - For declaration of changes in employee movement and coverage
Group Insurance Fact Find form - For requesting of a quotation

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