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Enquiry
Insurance Enquiry Form
Please select the insurance products you're interested in.
1.
Home & Content
Mortgage Reducing Term Assurance (MRTA)
Mortgage Takaful
Fire Insurance
Fire Takaful
Houseowners
Maxihome Contents
Home Building Takaful
2.
Personal & Family
Premier Education Savers
Yippie Care 2
Takaful Insan
Takaful Alif
Takaful Amal
Takaful PA Plus
Takaful Privilege PA
MediRider
Takaful MediRider
PremierPA Plus
Privilege PA
Prestige PA
Senior PA
Bijak Malaysia
Premier Life Income
Premier Cash Refund
Premier Care
Premier Term
Graduate Life
Single Premium Endowment Plan
Premier Capital Income
Lifestyle Security Plan via ATM
Premier Life
3.
Investment-Linked
ASEQ Capital Guaranteed
Premier Lady Savers
Premier Invest Single Premium
Precious Asian
Maybank Global Invest
Premier Capital Guarantee
Premier Value Savers
Maybank-Linked Invest
FD Premier
4.
Car & Vehicle
Motor (Private car)
Motor takaful (e-Motortakaful)
5.
Travel
Air Travel Care
Domestic Travel Care
Please fill in your personal details and any queries you may have. Our Financial Executive will get back to you shortly.
*
Name
*
IC no.
*
Sex
Please Select
Male
Female
*
Date of birth (dd/mm/yyyy)
/
/
Occupation
*
Address
*
City
*
State
*
Postcode
Office phone no.
-
*
E-mail address
Home phone no.
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*
Type your query here:
(max 1,000 characters)
Mobile phone no.
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Fax no.
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Preferred communication mode:
Email
Office phone
Home phone
Mobile phone
Fax
or
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