Critical Illness Plan
0
1
?
RM

HELP

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Please provide us with your weight and height.

Ok, got it.

Calculate Your BMI

Your BMI Result
Your Height (cm)
Your Weight (kg)
No Result

No Result

We need to ask you a few questions before proceeding further.

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Q1 / Q4

Are you a smoker?

Yes No

Q2 / Q4

Have you ever suffered from stroke, diabetes, anaemia, hepatitis, heart, or circulation disorders, kidney diseases, tumour or cancerous growth, physical or mental disability or other disorder?

Yes No

Q3 / Q4

Have any of your parents, brothers or sisters suffered, or died from, any of the above illness before the age of 60?

Yes No

Q4 / Q4

Have you had, or been recommended for, tests or counselling in connection with sexually transmitted diseases, hepatitis or HIV, blood transfusion or advised to abstain from donating blood?

Yes No

Select Plan

Plan

Emerald

Sum Insured
RM 50,000

Diamond

Sum Insured
RM 70,000

Select Your Start Date

Fill in Your Details

Policy Holder
Nationality Malaysian Non-Malaysian

Country as per Passport

Name as per NRICPassport

NRIC

EmailNote: Email address provided should be the insured's email address. Future email communications regarding this policy will be sent to the email address submitted. For policy renewal, kindly use the email address that is tied to your existing policy.
Mobile
Address
Occupation

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Keep Existing

Please provide us with your weight and height.

Calculate Your BMI

No Result

We need to ask you a few questions before proceeding further.

Q1 / Q4

We need to ask you a few questions before proceeding further.

Q2 / Q4

We need to ask you a few questions before proceeding further.

Q3 / Q4

We need to ask you a few questions before proceeding further.

Q4 / Q4

Select Plan

Plan

Ok, first select your dates

Select Your Start Date

Next, fill in your personal details and family if applicable.

Fill in Your Details

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