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.