Forms

Find the forms you need here

Select, download and fill in the form you need so we can provide you with the help you need.

Absolute assignment

Assignment of takaful certificate as collateral

Cancellation/surrender form

Change request form

Investment-linked request form

Nomination form

PDPA data access form

Personal health declaration form

Reassignment

Giro fund transfer

Takaful certificate servicing

Absolute assignment

Assignment of takaful certificate as collateral

Cancellation/surrender form

Change request form

Investment-linked request form

Nomination form

PDPA data access form

Personal health declaration form

Reassignment

Giro fund transfer

Critical illness claims

Critical illness claim form (part 1)

Consent form

Critical illness claims – attending physician's report

Attending physician's report (Alzheimers Disease)

Attending physician's report (Aplastic Anaemia)

Attending physician's report (Appalic Syndrome/ Motor Neurone Disease)

Attending physician's report (Bacterial Meningitis/ Encephalitis)

Attending physician's report (Benign Brain Tumour / Brain Surgery)

Attending physician's report (Blindness/ Loss of Hearing/ Loss of Speech)

Attending physician's report (Cancer)

Attending physician's report (Cardio)

Attending physician's report (Chronic Lung Disease)

Attending physician's report (Coma)

Attending physician's report (End Stage Liver Failure)

Attending physician's report (Fulminant Viral Hepatitis)

Attending physician's report (HIV due to Blood Transfusion)

Attending physician's report (Kidney Failure)

Attending physician's report (Loss of Independent Existence/ Paralysis/ Paraplegia)

Attending physician's report (Major Burns)

Attending physician's report (Major Head Trauma)

Attending physician's report (Major Organ Transplant)

Attending physician's report (Medullary Cystic Disease)

Attending physician's report (Multiple Sclerosis/ Poliomyelitis)

Attending physician's report (Muscular Dystrophy)

Attending physician's report (Parkinson Disease)

Attending physician's report (Stroke/ Internal)

Attending physician's report (Terminal Illness)

Loss of life claims

Death claim form (part 1 – claimant’s statement)

Death claim form Banca (part 1 – claimant’s statement)

Death claim form (part 2 – attending physician’s report)

Consent form

Medical allowance claims

Medical claim form (part 1)

Medical claim form (part 2 – attending physician’s report)

Consent form

Medical reimbursement claims

Medical (patient) claim form (part 1)

Medical (reimbursement) claim form (part 2 – medical report)

Consent form

Total permanent disability claims

Total permanent disability claim form (part 1)

Total permanent disability claim form (part 2 – attending physician’s report)

Consent form

Temporary total disability claims

Temporary total disability claim form (part 1)

Temporary total disability claim form (part 2 – attending physician’s report)

Consent form

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