Get E-payment Authorization Form / Borang Kebenaran E-bayaran

Filing the E-Payment Authorization Form / Borang Kebenaran E-Bayaran online is an essential step to ensure direct credit of payments to your bank account. This guide provides a clear and structured approach to completing the form accurately and efficiently.

Follow the steps to successfully complete your online form.

1. Press the ‘Get Form’ button to obtain the E-Payment Authorization Form in your preferred format.
2. Begin by filling in your name in the 'Name of Policy Owner/Assignee' field. Ensure this matches the name associated with your policies.
3. Enter your NRIC number in the respective fields for both the 'New' and 'Old' NRIC or your passport number if applicable.
4. Indicate the bank name where you would like the payments to be credited. This must be a bank that participates in the Interbank Giro Payment System.
5. Provide the full name of the bank account holder as it appears on the bank records. This should be the same as the policy owner or assignee.
6. Input your bank account number, ensuring that it is correct to avoid any payment errors.
7. Select the account type as either 'Individual' or 'Joint' (if you are the primary account holder). This classification affects how the payments are processed.
8. Fill in your mobile number for payment notifications to stay informed about your transaction statuses.
9. Provide your email address. This will be used for sending confirmations and notifications related to transactions.
10. Read through the Terms and Conditions section thoroughly. You must acknowledge and agree to these terms before proceeding.
11. Sign the form where indicated to authorize Allianz Life Insurance Malaysia Berhad to process the direct credit payments.
12. A witness must also sign the form, providing their name, NRIC number, and contact information.
13. After completing the form, review all entries for accuracy. Once confirmed, save your changes and download, print, or share the document as needed.

Complete your E-Payment Authorization Form online today and ensure your payments are credited directly to your bank account.