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Review your quote

QUOTE DETAILS

  • Name
  • {{CustomerDetail.CustomerName}}
  • Gender
  • {{Gender}}
  • Age
  • {{Age}}
  • Height
  • {{Height}} cm
  • Weight
  • {{Weight}} kg
  • NRIC no.
  • {{CustomerDetail.Nric}}
  • What industry do you work in?
  • {{Industry}}
  • What is your occupation?
  • {{Occupation}}
  • How many years are you covered for?
  • Your coverage for this plan is {{CoverYears}} year only
  • How much do you want to be covered for?
  • RM{{SumInsured}}
  • Have you smoked cigarettes in the last 12 months?
  • {{CigaretteDesc}}

question 1:

{{UnderWriteQuestion}}

Answer: No

question 2:

{{UnderWriteQuestion}}

Answer: No

question 3:

{{UnderWriteQuestion}}

Answer: No

question 4:

{{UnderWriteQuestion}}

Answer: No


Please enter your address below:

Address (Line 1):

Address (Line 2):

Address (Line 3):

Post code

State

Country

Malaysia


Mobile no.

{{MobTel}}

If you would like to change the mobile no, you can do so through your online account after your purchase is confirmed.


Please select your preferred language for your e-policy:

QUOTE 

Premium

RM0.00

premium cycle

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Select Add-Ons

QUOTE 

PREMIUM

RM0.00

Add-on cost

RM0.00

Total cost

RM0.00

PREMIUM cycle

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AIA

PRODUCT DISCLOSURE SHEET

Pds content

QUOTE 

PREMIUM

RM0.00

Add-on cost

RM0.00

Total cost

RM0.00

PREMIUM cycle

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Please tick the box below to proceed:

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Declaration

I declare and agree on behalf of myself and any person or persons, firm or corporation, who may have or claim any interest in any insurance on this application, that:

  1. I declare that:
    1. I am aware that it is my pre-contractual duty of disclosure that I must exercise reasonable care not to misrepresent i.e. to give false answers/information when answering any questions asked by AIA and that I am to answer fully and accurately/correctly
    2. I have read and understood the contents of this purchase including all warnings and notices therein and I have fully and accurately answered all the questions in this purchase and the other questions asked by AIA, if any, after having fully read and understood the questions.
    3. I am aware that I must inform AIA of any change to the answers given in this purchase if the change occurred after I have submitted the purchase but before the contract is entered into.
    4. I fully understand that my answers and/or statements given in respect of the question asked by AIA, and any other relevant documents completed by me in connection with this purchase and in any medical report or amendments (collectively referred to as “the information”) are relevant to AIA in deciding whether to accept my purchase or not and the rates and terms to be applied
    5. I am aware that if any of my answers or statements or information given by me is not accurate/correct, the policy may be avoided, my claim denied or reduced, the terms of the policy changed or varied, or the Policy terminated.
  2. I understand and agree that upon receipt of the policy document from AIA, I am obliged to check and confirm and/or ensure the accuracy and completeness of all information declared and submitted to AIA in relation to my purchase. I also understand that, I will have a 15 day free look period from the date of receipt of the policy from AIA to evaluate the suitability of the plan purchased. In the event that I wish to cancel the said policy document during this period, I may do so by giving AIA written notice of my intention for cancellation.
  3. I understand and agree that any personal information collected or held by AIA (whether contained in this purchase or otherwise obtained) may be held, used, and disclosed by AIA to individuals / organization related to and associated with AIA or any selected third party (within or outside of Malaysia, including reinsurance and claims in investigation companies and industry associations/federations) for the purpose of processing this purchase and proving subsequent service for this and other financial products and service and to communicate with me for such purposes. I understand that I have a right to obtain access to and to request correction of any personal information held by AIA concerning me. Such request can be made to any of AIA’s Customer Service Centre.
  4. I confirm my understanding on the provisions for nomination and assignment, including the importance of making a nomination and its implications. I have also been advised to nominate a nominee and ensure that the nominee is aware of the life insurance policy that I have purchased.
  5. I further confirm that I have been informed of the importance of notifying AIA of any change in the contact details, including address, nominee and/or trustee.

QUOTE 

PREMIUM

RM0.00

Add-on cost

RM0.00

Total cost

RM0.00

PREMIUM cycle

{{cylce}}

Please tick the boxes below to proceed:

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Make a nomination

WOULD you like to make a nomination?

Notes:

NOMINATIONS PURSUANT TO THE FINANCIAL SERVICES ACT 2013

1. Statement pursuant to Schedule 10 Paragraph 5(1)
A nomination by a Policy Owner, other than a Muslim Policy Owner, shall create a trust in favour of the nominee of the policy moneys payable upon the death of the Policy Owner, if [a] the nominee is his spouse or child, or [b] where there is no spouse or child living at the time of nomination, the nominee is his parent. You cannot deal with a trust policy by revoking a nomination, varying or surrendering, assigning and pledging the policy as security without the written consent of the trustee(s).

2. Statement pursuant to Schedule 10 Paragraph 6
A nominee, other than a nominee under Schedule 10 paragraph 5(1), shall receive the policy moneys payable on the death of the Policy Owner as an executor. The nominee shall distribute the policy moneys in accordance with the will or the law relating to the distribution of the deceased Policy Owner’s estate.

3. Statement pursuant to Schedule 10 Paragraph 2(4)(a)
If your intention is for your nominee(s) to receive the policy benefits beneficially and not as executor(s), you have to assign the policy benefits to them, unless your nominee(s) is/are your spouse or child, or if you have no spouse or child at the time of nomination, your parent(s).

You may nominate up to 6 nominees

Delete

nominee 1

Name as per IC

NRIC no.

Relationship with you

Date of birth

% allocation of share

Please enter the nominee's address below:

Address (Line 1)

Address (Line 2)

Address (Line 3)

Post code

State

Country

Malaysia


ADD ANOTHER NOMINEE

QUOTE 

PREMIUM

RM0.00

Add-on cost

RM0.00

Total cost

RM0.00

PREMIUM cycle

{{cylce}}

Note:

It is advisable to nominate a nominee and ensure that the nominee is aware of the life insurance policy that you have purchased. Without a nomination, policy moneys may be paid to the lawful executor or administrator of your estate, subject to the Final Services Act 2013, Paragraph 8. 

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appoint a trustee

Would you like to appoint a trustee?

Notes:

APPOINTMENT OF TRUSTEES: FOR NON-MUSLIM POLICY OWNERS AND FIRST PARTY POLICIES ONLY.

1. I understood that pursuant to Schedule 10 Paragraph 5(3), I may not appoint myself as the Trustee to this policy. I hereby appoint the following Trustee(s) to receive such moneys payable under this policy upon my death and the receipt by the Trustee(s) shall be a complete discharge to AIA from all liabilities in respect of the policy moneys so paid to them.

2. The trustee must be at least 18 years old.

YOU MAY APPOINT UP TO 2 TRUSTEES

Delete

trustee 1

Name as per IC

NRIC no.

Please enter the trustee's address below:

Address (Line 1)

Address (Line 2)

Address (Line 3)

Post code

State

Country

Malaysia


ADD ANOTHER TRUSTEE

QUOTE 

PREMIUM

RM0.00

Add-on cost

RM0.00

Total cost

RM0.00

PREMIUM cycle

{{cylce}}

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Confirm your purchase

quote details
  • Name
  • {{CustomerDetail.CustomerName}}
  • Gender
  • {{Gender}}
  • Age
  • {{Age}}
  • Height
  • {{Height}} cm
  • Weight
  • {{Weight}} kg
  • NRIC no.
  • {{CustomerDetail.Nric}}
  • Address
  • {{Address1}}
  • {{Address2}}
  • {{Address3}}
  • {{Postcode}} {{State}}
  • {{Country}}
  •  
  • What industry do you work in?
  • {{Industry}}
  • What is your occupation?
  • {{Occupation}}
  • How many years are you covered for?
  • Your coverage for this plan is {{CoverYears}} year only
  • How much do you want to be covered for?
  • RM{{SumInsured}}
  • Have you smoked cigarettes in the last 12 months?
  • {{CigaretteDesc}}
  • e-Policy language
  • {{PreferredLanguage}}
  • Mobile no.
  • {{MobTel}}

question 1:

{{UnderWriteQuestion}}

Answer: No

question 2:

{{UnderWriteQuestion}}

Answer: No

question 3:

{{UnderWriteQuestion}}

Answer: No

question 4:

{{UnderWriteQuestion}}

Answer: No


Nominee details

Nominee 1
  • Name
  • {{CustomerName}}
  • NRIC no.
  • {{Nric}}
  • Relationship to owner
  • {{RelationshipText}}
  • Date of birth
  • {{DateOfBirth}}
  • % allocation of share
  • {{ShareAllocation}}
  • Address
  • {{Address1}}
  • {{Address2}}
  • {{Address3}}
  • {{Postcode}} {{State}}
  • {{Country}}

Trustee details

trustee 1
  • Name
  • {{CustomerName}}
  • NRIC no.
  • {{Nric}}
  • Address
  • {{Address1}}
  • {{Address2}}
  • {{Address3}}
  • {{Postcode}} {{State}}
  • {{Country}}

QUOTE 

PREMIUM

{{premium}}

Add-on cost

RM0.00

Total cost

RM0.00

PREMIUM cycle

{{cylce}}

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Payment in progress

Your payment is in progress, please do not close this window


QUOTE 

PREMIUM

RM0.00

Add-on cost

RM0.00

Total cost

RM0.00

PREMIUM cycle

{{cylce}}

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Thank you for choosing us!

To download a copy of your pds, application form and e-policy, please proceed to your online account by clicking here

Please take note that it is important to keep any proof of your insurance premium payments.

You may refer to our claim proces at aia.com.my

In the mean time. if you have any questions feel free to meet us .

Vitality. To download a copy of your pds, application form and e-policy, please proceed to your online account by clicking here

Please take note that it is important to keep any proof of your insurance premium payments.

You may refer to our claim proces at aia.com.my

In the mean time. if you have any questions feel free to meet us .