Travel Insurance Nomination Form | Berjaya Sompo Insurance
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

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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
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