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Travel Insurance Nomination Form
For group and family travel policies, every insured person can nominate their own beneficiary by completing this nomination form using the same policy number to ensure the beneficiary receives the policy benefits in the event of demise.
Details of Insured
Insured Person's Full Name
NRIC / Passport No.
Your travel insurance policy number can be found inside the policy document, sent by our system to your email inbox upon successful purchase of our travel insurance plan. Example as below:
Policy No. (QBxxxxxx)
Email Address
Nomination
Note:
You may nominate up to 4 beneficiary nominees.
Details of Nominee(s)
Nominee 1
Full Name of Nominee
NRIC / Passport No.
Date Of Birth
Mobile No. (010xxxxxxx)
Email Address
Relationship
%
Share (Percent)
