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Applicant Details

Nominees

Review & Confirm

Full Name (as per NRIC)*

NRIC Number*

Date of Birth

Auto-filled from NRIC

Gender

Auto-filled from NRIC

Email Address*

Home Address*

Occupation*

Are you a smoker?*

Plan 1

RM 60,000

Principal Sum Insured

Age GroupBelow 50

OccupationCategory A

Medical ExpensesRM 3,500

Hospital Income / DayRM 85

Renewal BonusUp to 100%

Premium Breakdown

Annual PremiumRM 103.00

Service Tax (8%)RM 8.24

Stamp DutyRM 10.00

Total Payable

RM 121.24

Per year

Voucher Code