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Applicant Details

Nominees

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Full Name (as per NRIC)*

NRIC Number*

Date of Birth

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Gender

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Email Address*

Home Address*

Occupation*

Are you a smoker?*

Plan 2

RM 120,000

Principal Sum Insured

Age GroupBelow 50

OccupationCategory A

Medical ExpensesRM 4,500

Hospital Income / DayRM 85

Renewal BonusUp to 100%

Premium Breakdown

Annual PremiumRM 177.00

Service Tax (8%)RM 14.16

Stamp DutyRM 10.00

Total Payable

RM 201.16

Per year

Voucher Code