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LONPAC INSURANCE BHD (307414T) Head Office : LG, 6th, 7th, 21st to 26th Floor, Bangunan Public Bank, 6, Jalan Sultan Sulaiman, 50000 Kuala Lumpur, Malaysia. P.O. Box 10708, 50722 Kuala Lumpur, Malaysia.

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How to fill out the Lonpac Insurance online

Filling out the Lonpac Insurance application can seem daunting, but this guide will help users navigate the form with ease. By following these steps, you will ensure that all required information is accurately submitted, making the process smooth and efficient.

Follow the steps to complete your Lonpac Insurance application

  1. Click ‘Get Form’ button to obtain the Lonpac Insurance application form and open it in the appropriate editor.
  2. Enter your details in the 'Details of Proposer' section. This includes your full name as it appears on your NRIC or passport, your new NRIC or passport number, your address, telephone number, email, date of birth, race, nationality, postcode, and mobile phone number.
  3. Fill out the 'Details of Insured Person' section with the name, new NRIC or passport, or birth certificate number of the person to be insured.
  4. In the 'Choice of Plan for Insured Person' section, select your preferred coverage plan by marking the appropriate option, whether it is the basic cover or optional top-up insurance.
  5. Complete the 'Details of Premium Payment' section by indicating the frequency of premium payments — either yearly or monthly.
  6. Fill in the 'Details of Previous Insurance' section by providing information related to your previous insurer, policy number, and the inception and expiry dates of your previous policy.
  7. Review the declaration regarding the purchase of the PHM MediSavers 2015 and authorization for information disclosure. If you agree, proceed to sign and date the form in the designated area.
  8. Complete the nomination form for any beneficiaries. Provide the necessary details of the nominees and ensure to assign the shares appropriately.
  9. After completing all sections, carefully review your application for accuracy. You may then save changes, download, print, or share the completed form as required.

Complete your Lonpac Insurance application online today and ensure your coverage is in place.

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You may cancel your policy at any time by giving written notice to us. Upon cancellation, any premium refund will be based on the conditions stipulated in the policy contract. Kindly contact us at 03-22628666 or email us at customerservice@lonpac.com for cancellation of the policy.

Lonpac Insurance Bhd. operates as an insurance company. The Company offers personal and business insurance such as fire, health, liability, motor, personal accident and scheme insurance products. Lonpac Insurance serves customers in Malaysia and Singapore.

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