Application Request

  

Please provide the following information about yourself to begin preparing your application

if we require further details we will get back in touch with you via email or Line/Whatsapp messenger directly personally. This info is supplied over a secure TSSL connection.

ping profile pic
here to support you

Please take note:

• The applicant has the duty to provide true information in applying for insurance. Any concealment of truth or declaration of false statements may cause the insurance company to cancel the insurance contract or refuse to pay the claims under the insurance contract.

• The applicant is advised to study and make thorough understanding about the benefit illustrations before making decision to purchase the insurance. After receiving the policy, please study the details and the terms and conditions as specified in the policy contract.

• Terms and conditions of coverage will be specified in the policy issued to the policyholder.

Your Information 
Request for health insurance application