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