Get Flexi Pa Application Form - Etiqa Insurance & Takaful

Filling out the Flexi PA Application Form online is an important step in obtaining personal accident insurance coverage. This guide provides comprehensive, step-by-step instructions to ensure you complete the form accurately and efficiently.

Follow the steps to successfully complete the application form.

1. Click ‘Get Form’ button to access the application form and open it in your preferred digital editor.
2. Begin by entering your personal details in the 'Individual Applicant' section. This includes your title, name, identification number, gender, date of birth, marital status, occupation, and contact information. Ensure all entries are accurate and up-to-date.
3. Fill in your correspondence address and residential address if they differ. Include all relevant details, such as postcode, town, and state to ensure proper communication.
4. Provide information about your education level and the number of children in your family, categorizing their ages appropriately.
5. Indicate your monthly personal income by selecting the applicable income range from the options provided.
6. In the 'Insurance Information' section, specify the period of insurance by noting the start and end dates. If you wish to make a nomination, select 'Yes' and ensure you complete the separate Nomination Form.
7. Answer the questions regarding your work conditions and previous insurance applications truthfully. If required, provide details of any declined insurance applications.
8. Read and agree to the declaration section. This confirms your understanding of the terms and that your answers are accurate. You will also consent to the processing of your personal data as outlined in the form.
9. Before submitting, review all information entered to ensure completeness and accuracy. Once reviewed, you can save changes, download or print the form for your records.
10. Finally, submit the completed form as instructed. If applicable, provide your bank account details for any future transactions such as claims or refunds.

Complete the Flexi PA Application Form online today to secure your personal accident coverage.