Proposal & Documents

Stage 4 of 6 · Capture proposal form and upload supporting documents

A

Policyholder Details

Full Name
Samnang Touch
National ID
554223997118
Date of Birth
13 Jan 1976
Phone
+855 96 110 884
B

Nominee Details

C

Plan Confirmation

Product
Manulife Group Credit Life
Coverage
$10,000
Premium
$18/mo
Term
5 years
Frequency
Monthly
Riders
None
+
Upgrade for $8 more/month
By paying $8 more, the customer gets cover for 14 critical illness conditions.
D

Health Declaration

Has the customer been diagnosed with any chronic illness?
Has the customer been hospitalised in the last 2 years?
Does the customer use tobacco products regularly?
E

Document Upload

These will be bundled with the proposal form and payment record as a single submission packet sent to underwriting.

  • Income proofRequired
    Salary slip / business income statement
  • Bank statementRequired
    Last 3 months
  • National ID (front & back)Required
    Scanned colour copy
  • Medical reportOptional
    Required if any health flag
  • Proof of addressOptional
    Utility bill or rental agreement
F

RM Declaration & Signature

RM Signature
Sign here
Proposal + documents + payment will be submitted together as one packet.
Complete nominee, declaration and required document uploads