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Best Zurich Personal Accident Insurance | Takaful Online Platform in Malaysia.

Eureka Pinnacle Group is Exclusively Appointed Corporate Agency to hold this Platform.

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🛡️Zurich Personal Accident (Conventional/Takaful)
🛡️PA 50k+Free 50k As low as RM12.63/month
🛡️Monthly Auto Debit via Credit / Debit card
🛡️-10% for Lady/Female Insured
🛡️-25% for Children below age 18
🛡️150% Renewal Bonue
🛡️26 Servicing Branches Nationwide
🛡️Zurich Multi-Product Discount

 

E-Application Steps:
> Instant Quote
> Fill Up Details
> Receive SMS / Email Zurich Payment-link in 24hours
> Monthly Auto-Debit via Credit / Debit Card
> E-Policy

Please refer to the policy contract for the full details of benefits, terms and exclusions that are applicable.
The information provided here is a brief summary for quick and easy reference.
The exact terms and conditions that apply are stated in the policy contract.

Zurich Personal Accident (Conventional/Takaful)

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Underwritten By Zurich Malaysia

E-APPLICATION

Available in Insurance and Takaful (Same premium and contribution). *Please choose the Insurance or Takaful option:1. Personal Accident Takaful (Shariah Compliance)2. Personal Accident Insurance (Conventional)

Zurich Personal Sentinel Version 3 Plus : Plan Type *Please choose the Plan Type:PA 50,000 - RM12.63/Month (RM 143.00/year)PA 100,000 - RM19.88 /Month (RM 225.00/year)PA 200,000 - RM31.27/Month (RM354.00/year)PA 300,000 - RM40.81/Month (RM462.00/year)PA 500,000 - RM64.31/Month (RM728.00/year)PA 750,000 - RM87.63/Month (RM992.00/year)Subject Sales and Service Tax

Insured Name: *

Identity Card (IC): (For Malaysian) | Passport Number: (For non-Malaysian) *

NRIC Number: (For Malaysian) | Passport Number: (For non-Malaysian) *

Choose FileNo file chosenDelete uploaded file

NRIC Front

NRIC Number: (For Malaysian) | Passport Number: (For non-Malaysian) *

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NRIC Back

Gender: *MaleFemale

Marital Status: *SingleMarriedDivorced

Nationality (if non-Malaysian): *

Race: *

Handphone No (Please ensure you have entered the correct number to receive Zurich Paymentlink.): *

Email Address *

Occupation: *

Mailing address In Full *

City *

State/Province *

ZIP / Postal Code *

CountryAfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaAustraliaArubaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBruneiBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCabo VerdeCayman IslandsCentral African RepublicChadChileChina, People's Republic ofChristmas IslandCocos IslandsColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCook IslandsCosta RicaCôte d'IvoireCroatiaCubaCuraçaoCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEast TimorEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrance, MetropolitanFrench GuianaFrench PolynesiaFrench South TerritoriesGabonGambiaGeorgiaGermanyGuernseyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuineaGuinea-BissauGuyanaHaitiHeard Island And Mcdonald IslandHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsraelItalyJamaicaJapanJerseyJohnston IslandJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKosovoKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacauNorth MacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontserratMontenegroMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNetherlands AntillesNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairn IslandsPolandPortugalPuerto RicoQatarReunion IslandRomaniaRussiaRwandaSaint Kitts and NevisSaint LuciaSaint Vincent and the GrenadinesSamoaSaint HelenaSaint Pierre & MiquelonSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and South SandwichSpainSri LankaStateless PersonsSudanSudan, SouthSurinameSvalbard and Jan MayenSwazilandSwedenSwitzerlandSyriaTaiwan, Republic of ChinaTajikistanTanzaniaThailandTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks And Caicos IslandsTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUS Minor Outlying IslandsUnited States of America (USA)UruguayUzbekistanVanuatuVatican CityVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.Wallis And Futuna IslandsWestern SaharaYemenZambiaZimbabwe

Important Notes: Automatic Billing *I, as the agent, hereby confirm I have obtained customer's consent to the automatic renewal and automatic billing of this policy. I confirm the customer understands that automatic renewal of this policy is subject to terms and conditions of the policy contract, as well as the successful payment of the renewal premium.

Important Notes: Declaration & Consent *I, as the agent, hereby confirm that I have read and informed the customer of the Personal Data Protection Notice as published on Zurich General Insurance Malaysia Berhad's website https://www.zurich.com.my/pdpa

Important Notes: *I hereby confirm that I have taken reasonable care to answer all questions herein honestly and to the best of my knowledge, belief and recollection and that I shall remain under a continuous duty to inform the Company of any change, amendment or addition to the aforesaid questions until the Policy is issued and comes into effect. I understand that the Company may avoid the policy and reject any claim payable thereunder (whether in whole or in part) in the event of deliberate misrepresentation, misdescription, error, omission or non-disclosure of fact (whether or not there was an inquiry/question raised pertaining to the same) with or without an intention to defraud the Company by me which would have been affected the premium payable or the acceptance of the risk by the Company.

Important Notes: *I agree that the Company shall have the right to use my data and personal information for the purpose of the insurance operational process which might include transfer of data and personal information to the Company’s related companies, subsidiaries and/or its holding company, outsourcing partners, re-insurers and solicitor but not limited to affiliate companies including their outsourcing partners.

Important Notes: *I further agree that the Company, its partners and its related companies, subsidiaries and/or its holding company can share and use my data and personal information for the purpose of promoting the Company’s and its related companies’, subsidiaries’ and/or its holding company’s product, new services and support requirement; and marketing campaigns and activities and commercial transactions.

I Understand And I Agree To The Declaration & Signature - Important Notices to the Applicants: *Important Notices to the Applicants: Your Duty of Disclosure Before you enter into a contract of general insurance with an Insurer, you have a duty to disclose to the Insurer every matter within your knowledge that is material to the Insurer’s decision whether to accept the risk of the insurance and, if so, on what terms. You have the same duty to disclose those matters to the Insurer before you renew, extend, vary or reinstate a contract of general insurance.It is important that all information contained in this application is understood by you and is correct, as you will be bound by your answers and by the information provided by you in this application. You should obtain advice before you sign this application if you do not properly understand any part of it Your duty of disclosure continues after the application has been completed up until the contract of insurance is entered into.Non Disclosure: If you fail to comply with your duty of disclosure, the Insurer may have the option of avoiding the contract of insurance from its beginning. If your non-disclosure is fraudulent, the Insurer may also have the right to keep the premium that you have paid.Change of Risk or Circumstances: You should advise Insurer as soon as practicable of any change to your normal business as disclosed in this application, such as changes in business activities, location, acquisitions and new overseas activities.Subrogation Where you have agreed with another person or company, who would otherwise be liable to compensate you for any loss or damage which is covered by the contract of insurance, that you will not seek to recover such loss or damage from that person, Insurer will not cover you, to the extent permitted by law, for such loss or damage.

I Understand And I Agree To The Declaration & Signature - Important Notices to the Applicants: *I have read and understood the Important Notices contained in this application.I agree that this proposal, together with any other information or documents supplied, will form the basis of any contract of insurance.I acknowledge that if this application is accepted, the contract of insurance will be subject to the terms and conditions as set out in the policy wording as issued or as otherwise specifically varied in writing by Insurer.I declare, after inquiry, that the statements, particulars and information contained in this application and in any documents accompanying this application are true and correct in every detail and that no other material facts have been misstated, suppressed or omitted.I undertake to inform Insurer of any material alteration to those facts before completion of the contract of insurance. We understand that Insurer needs to deal with our personal data to administer our Policy and offer us insurance products and services. To achieve these purposes, We allow Insurer to collect, use and disclose our personal data to selected third parties in or outside Malaysia, in accordance with Insurer’s Personal Data Protection Notice, which is found in this website at We may contact this website for access to or correction of our personal data, or for any other queries or complaints.

I Understand And I Agree To The Declaration & Signature - Important Notices to the Applicants *

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