1Policy
2Person
3Options
4Sign
5Generate
Policy Information
Insured Details
Policy Owner Details
Witness Details
Assignee Details
A. Update Customer Details
Documentary proof is required, i.e. Birth Certificate/Identity Card/Passport.Insured - Update Details
(tick checkbox before key in)
(tick checkbox before key in)
(tick checkbox before key in)
(tick checkbox before key in)
(tick checkbox before key in)
(tick checkbox before key in)
Policy Owner - Update Details
(tick checkbox before key in)
(tick checkbox before key in)
(tick checkbox before key in)
(tick checkbox before key in)
(tick checkbox before key in)
(tick checkbox before key in)
Nominee/Trustee/Assignee - Update Details
(tick checkbox before key in)
(tick checkbox before key in)
(tick checkbox before key in)
(tick checkbox before key in)
(tick checkbox before key in)
(tick checkbox before key in)
B. Change of Payment Mode
C. Change of Payment Method
D. Change of Signature
Tap to Sign (Old Signature)
Tap to Sign (New Signature)
E. Others
Signature Details
Signature of Policyowner
Tap to Sign (Policyowner)
Signature of Witness
Tap to Sign (Witness)
Signature of Assignee
Tap to Sign (Assignee)
Generate PDF / Reset Form
Request For Change of Customer Details And Payment Method
LF5188 · 2 Pages (email to POS : mypos@manulife.my )
Saved
Secured Session Active: This platform operates on a static, local-injection framework. We do not store, log, or track any personal details or financial credentials on external servers.