Travel Insurance Nomination Form | Berjaya Sompo Insurance
Travel Insurance Nomination Form

Details of Insured

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:
Example Policy No.
1 Nominee
Note: You may nominate up to 4 beneficiary nominees.

Details of Nominee(s)

Nominee 1
Please Select