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General Insurance
For General Insurance customers, please kindly call our Customer Service Officers at our Hotline for the relevant form.

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



Type of Forms

Business Type

Purposes
Health Declaration Forms
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
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
For Employee Benefits
  • 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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