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BECOME AN AIA LIFE PLANNER

Please verify your identity.

You have been verified! Fill in the form below to kickstart your journey with us!

Application Guide
Passport Sized Photo Guidelines

To get started with your application, please enter your ID number.

IDENTIFICATION TYPE*
Identification No.*

 

STEP 01 : INTRODUCER

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You have been introduced to AIA by the person below. Please tell us how you are related to the introducer.

INTRODUCER NAME

{{Agent.AgentName}}

INTRODUCER CODE

{{Agent.AgentCode}}

INTRODUCER RANK

{{Agent.AgentRank}}

IMMEDIATE LEADER

{{Leader.AgentName}}

RELATIONSHIP WITH INTRODUCER*

STEP 02 : Personal Details

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Please ensure all mandatory fields are completed correctly before submitting your application.

I‘M APPLYING TO BE*
FULL NAME AS PER ID*
PREFERRED NAME
GENDER*
CITIZENSHIP*
IDENTIFICATION TYPE

New ID

IDENTIFICATION No.

{{IdNo}}

OLD IC
Date of birth*

01 Jan 1991


PRIMARY CONTACT NO.*
SECONDARY CONTACT NO.
EMAIL ADDRESS*
CONFIRM EMAIL ADDRESS*
Preferred location*
PERMANENT ADDRESS (LINE 1)*
PERMANENT ADDRESS (LINE 2)*
PERMANENT ADDRESS (LINE 3)*
POSTCODE*
CITY*
STATE*
MAILING ADDRESS (LINE 1)*
MAILING ADDRESS (LINE 2)*
MAILING ADDRESS (LINE 3)*
POSTCODE*
CITY*
STATE*

Race*
RELIGION*
BUMI STATUS*
MARITAL STATUS*
HAS ANY PROCEEDING OF ANY NATURE BEEN TAKEN AGAINST YOU IN ANY COURT OF LAW OR BANKRUPTCY*
Highest Education Level*

STEP 03 : Working experience

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DO YOU HAVE WORKING EXPERIENCE?*

Please tell us about your working experience (up to 8 years)

Please list down up to 8 years of working experience
- Remove
EMPLOYMENT TYPE*
CONTRACT TYPE*
EMPLOYED FROM*
EMPLOYED TO*

Present

COMPANY NAME*
JOB TITLE*
monthly salary/income (rm)*
REASON(S) FOR LEAVING*
+ Add working experience

STEP 04 : DOCUMENTS

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Please upload all mandatory documents below and ensure your details are correct before submitting your application.
Please select the file and tap on the upload button.
Supported file types: .jpg, .png, .pdf, up to 10MB.

PASSPORT SIZED PHOTO*

*This document is mandatory

  • Choose File
    Upload
COPY OF IC (FRONT)*

*This document is mandatory

  • Choose File
    Upload
Guidelines
COPY OF IC (BACK)*

*This document is mandatory

  • Choose File
    Upload
CERTIFICATE OF HIGHEST EDUCATION LEVEL*

*This document is mandatory

  • Choose File
    Upload
OTHER DOCUMENTS

*This document is mandatory

  • Choose File
    Upload
OTHER DOCUMENTS

*This document is mandatory

  • Choose File
    Upload

STEP 05 : PREVIEW

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Please take a moment to review your information in this form and confirm that these details are correct.

INTRODUCER NAME

{{Agent.AgentName}}

INTRODUCER CODE

{{Agent.AgentCode}}

INTRODUCER RANK

{{Agent.AgentRank}}

IMMEDIATE LEADER

{{Leader.AgentName}}

RELATIONSHIP WITH INTRODUCER

{{IntroRelationship}}


I‘M APPLYING TO BE

{{ApplicationDetail.WorkingType}}

Full name as per IC

{{ApplicationDetail.Name}}

PREFERRED NAME

{{#OPTIONAL_ITEM_TEXT ApplicationDetail.PreferredName }}{{/OPTIONAL_ITEM_TEXT}}

GENDER

{{ApplicationDetail.Gender}}

CITIZENSHIP

{{ApplicationDetail.Citizenship}}

IDENTIFICATION TYPE

{{AppIdType}}

IDENTIFICATION No.

{{IdNo}}

OLD IC

{{#OPTIONAL_ITEM_TEXT ApplicationDetail.OldIc }}{{/OPTIONAL_ITEM_TEXT}}

DATE OF BIRTH

{{AppDob}}


PRIMARY CONTACT NO.

{{ApplicationDetail.MobTel}}

SECONDARY CONTACT NO.

{{#OPTIONAL_ITEM_TEXT ApplicationDetail.SecMobTel }}{{/OPTIONAL_ITEM_TEXT}}

EMAIL ADDRESS

{{ApplicationDetail.Email}}

CONFIRM EMAIL ADDRESS

{{ApplicationDetail.Email}}

PREfERRED LOCATION

{{ApplicationDetail.LocationDesc}}

PERMANENT ADDRESS (LINE 1)

{{ApplicationDetail.Add1}}

PERMANENT ADDRESS (LINE 2)

{{ApplicationDetail.Add2}}

PERMANENT ADDRESS (LINE 3)

{{ApplicationDetail.Add3}}

POSTCODE

{{ApplicationDetail.Postcode}}

CITY

{{ApplicationDetail.City}}

STATE

{{ApplicationDetail.State}}

MAILING ADDRESS (LINE 1)

{{ApplicationDetail.MailAdd1}}

MAILING ADDRESS (LINE 2)

{{ApplicationDetail.MailAdd2}}

MAILING ADDRESS (LINE 3)

{{ApplicationDetail.MailAdd3}}

POSTCODE

{{ApplicationDetail.MailPostcode}}

CITY

{{ApplicationDetail.MailCity}}

STATE

{{ApplicationDetail.MailState}}


RACE

{{ApplicationDetail.Race}}

RELIGION

{{ApplicationDetail.Religion}}

BUMI STATUS

{{ApplicationDetail.BumiStatus}}

MARITAL STATUS

{{ApplicationDetail.MaritalStatus}}

PROCEEDING OF ANY NATURE EVER TAKEN AGAINST YOU IN ANY COURT OR LAW OR BANKRUPTCY

{{ApplicationDetail.BankruptcyStatus}}

HIGHEST EDUCATION LEVEL

{{ApplicationDetail.HighestEdu}}


DO YOU HAVE WORKING EXPERIENCE?

Please tell us about your working exprience (up to 8 years)
{{#each ApplicationDetail.WorkingExperience}}
EMPLOYMENT TYPE

{{EmpType}}

CONTRACT TYPE

{{ContrctType}}

EMPLOYED FROM

{{EmpFromDisplay}}

EMPLOYED TO

{{EmpToDisplay}}

COMPANY NAME

{{CompName}}

JOB TITLE

{{JobTitle}}

monthly salary/income (rm)*

{{Income}}

REASON(S) FOR LEAVING

{{ReasonLeaving}}

{{/each}}

{{#each ApplicationDetail.DocUpload}}
{{Tmp.DocTitle}}

{{Tmp.DocName}}

{{/each}}

STEP 06 : DECLARATION

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Please read the following declaration and indicate your agreement below.

1. AIA Bhd Financial Economic Crime (FEC) Policy

AIA BHD as a financial institutions is required to comply with the Anti-Money Laundering and Anti-Terrorism Financing Act 2001 (AMLA) and Bank Negara Malaysia's guidelines i.e. Standard & Sectoral Guideline on Anti-Money Laundering and Counter Financing of Terrorism (AML/CFT). As part of the measures taken of comply with the above. AIA BHD requires all its appointed life agents to comply with the following when establishing a businesst relationship with the customer: (i) identifying and verify customer: and (ii) obtain information on the purpose and intended nature of the business relationship. These requirements can be achieved by verifying each individual customer or corporate customer by requesting for NRIC / passport, or Memorandum / Article/ Certificate of Incorporation / Partnership (as the case may be). By signing the Application and Declaration below, I understand and agree with the contents in this AIA BHD Financial Economic Crime (FEC) Policy (a) that any failure to abide by the requirements noted above will result in a breach of my Agent's Contract and AIA BHD shall have the right to take any action deemed appropriate against me (b) and shall comply and abide bu the rules contained therein.

2. Disclosure For Financial Background Check

I understand and agree that any personal information collected or held by the Company (whether contained in this application or otherwise obtained) may be held, used and disclosed by the Company to individuals/ organization related to and associated with the Company or any selected third party for the purpose of processing this apllication and to communicate with me for such purpose. I understand that I have a right to obtain access to and request correction of any personal information held by the Company concerning me. Such request can be made to the Company's Agency Administration & Support Department.

I {{Name}} {{IdType}} {{IdNo}} hereby declare that the information given in this application is true and correct and I agree that should this declaration be false in any respect, the Company reserve the right to terminate my agent contract

Copyright © 2018 AIA Group Limited and its subsidiaries. AIA Bhd. (790895-D) AIA PUBLIC Takaful Bhd. (935955-M) AIA General Berhad (924363-W). All rights reserved.

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