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Weekly Indemnity Insurance

Get Started

Please make sure you meet the following conditions:

  1. You are a Malaysian between {{productMinAge}} and {{productMaxAge}} years old at the date of first enrolment.
  2. You may select an effective date for your policy up to 6 months from today.

Please enter the details of Insured Person

* Complete the Country field.
* Complete the Passport No field.
* Complete the DOB field. * Main policyholder age must be between 16 and 65.
* Complete the NRIC field. * Please check NRIC number. * Policyholder age must be between {{productMinAge}} and {{productMaxAge}}.
* Complete the Passport No field.
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Question 1 of 3

Question 2 of 3

Question 3 of 3

Let's Check Your Eligibility

Are you currently engaged in any of the following occupation?

a) Air crew including pilot or ship crew
b) Diver, seaman, fisherman, stevedore
c) Fireman, police, army, navy or air force
d) Guest relation officer
e) Oil rig or mining worker
f) Professional sport persons including racing driver
g) Security guard, bodyguard, jockey, stuntman, debt collector
h) Timber logger or sawmill worker
i) Any manual work at heights exceeding 30 feet
j) Any work that involves explosives, hazardous materials or chemical, boiler, heavy machinery
* Complete the Question 1.

Have you suffered from any accidental bodily injury which prevent you from engaging in your work or business for 7 days or more in the past?

* Complete the Question 2.

Has any of your applications Personal Accident insurance been declined or had special terms imposed, or has any insurer refused to renew any such insurance?

* Complete the Question 3.

Period of Coverage

Start Date:

?
* Complete the Start Date. * Policy start date must be within 60 days starting from today.

End Date:

Please Select Your Preferred Plan

* Please Choose a Coverage Plan.

Personal Details

* Complete the Name as per NRIC field. * Please enter only alphabet, "-", "@", "/" and " ' " for Name. * Name cannot be greater than 70 characters.
* Complete the Email field. * Please enter a valid email address. * Email cannot be greater than 50 characters.
* Complete the Mobile field. * Please check mobile number.
* Complete the Address field. * Address field cannot be greater than 70 characters.
* Address 2 field cannot be greater than 70 characters.
* Complete the Postcode field. * Please enter a valid Postcode.

Personal Details

* Complete the Country field.
* Complete the Name as per Passport field. * Please enter only alphabet, "-", "@", "/" and " ' " for Name. * Name cannot be greater than 70 characters.
* Complete the Email field. * Please enter a valid email address. * Email cannot be greater than 50 characters.
* Complete the Mobile field. * Please check mobile number.

Gender

* Complete the Gender field.
* Complete the Address field. * Address field cannot be greater than 70 characters.
* Address 2 field cannot be greater than 70 characters.
* Complete the Postcode field. * Please enter a valid Postcode.

Personal Details

Country (as per Passport):

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Name (as per {{step4PassportOrNric}}):

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{{step4PassportOrNric}} No.:

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Email:

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Mobile No.:

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Gender:

{{ formData['4'].policyHolderGender == 'M' ? 'Male' : 'Female' }}

Date Of Birth.:

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Address:

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* Invalid promo code.

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* Oops, looks like you haven't ticked the box yet. Please do so to proceed.
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Payment

Please note that Credit Card / Debit Card will be temporarily unavailable during these periods:

  • 2 February 2021 (Tuesday) 10.00pm to 10.30pm

Apologise for any inconvenience caused.

Payment Method:

Bank:

* Please select a valid bank.

Note: You need to have an active internet banking account with any of the FPX performing banks to use FPX.

Email Address: (For transaction status)

* Complete the Email field. * Please enter a valid email address.

Credit / Debit Card:

* Please select a Credit/Debit Card provider.

Select Your Preferred E-Wallet:

* Please select an e-Wallet Provider.

By clicking "Pay Now" button, you agree to FPX's Terms & Conditions.

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By clicking "Pay Now" button, you agree to FPX's Terms & Conditions.

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Sorry, we are unable to proceed with your application online.

Please download and fill out the application form here and submit it to us here.

Error Code: TI{{TIEErrorCode}}

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If you have any enquiries, you may contact our Customer Service Hotline at:

{{supportTel}}

enquiry_form

Or contact us through our

Online Enquiry Form

hour

Operating Hours

Monday - Friday

8.30am - 5.30pm (excluding public holidays)