1. 2025 PREMIUM PAID AND ANNUAL STATEMENT are now available in e-Connect for download. Find out more here.

 

2. SCAM ALERT! Be cautious of scammers who are pretending to offer personal bank loan with insurance coverage protection with condition of premium payments to be paid prior to releasing the approved loan amount. Do not fall victim to the scam!

 

3. We encourage you to take precautions when giving out any confidential information over the Internet. You will not be asked to provide personal details online to access our product information.

 

4. Roadside Assistance Programme Update: Effective 1 September 2026, RSA Auto Network Sdn Bhd will be the new roadside assistance provider for Great Eastern Life Malaysia. Services include towing, roadside repairs, car replacement assistance, hotel accommodation arrangement, service centre referrals, and other related assistance services. Terms and conditions apply. 📞 24-Hour Customer Service Hotline: 03-4813 3519 

Application Form

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Declaration

Disclaimer

STATEMENT Pursuant to Schedule 9 of the Financial Services Act 2013

A "consumer insurance contract" is a contract of insurance entered into, varied or renewed by an individual wholly for purposes unrelated to your trade, business or profession.

In relation to non-consumer insurance contracts STATEMENT pursuant to Paragraph 4, Schedule 9 of the Financial Services Act 2013, you are to disclose in this form any matter that: (a) you know to be relevant to the decision of the insurer on whether to accept the risk or not and the rates and terms to be applied; or (b) a reasonable person in the circumstances could be expected to know to be relevant. This duty of disclosure shall continue until the time the contract is entered into, varied or renewed. Failure to take reasonable care in answering the questions may result in avoidance of your contract of insurance, refusal or reduction of your claim(s), change of terms or termination of your contract of insurance.

In relation to consumer insurance contracts STATEMENT pursuant to Paragraph 5, Schedule 9 of the Financial Services Act 2013, you are under a duty to take reasonable care not to make a misrepresentation when answering any specific questions that are relevant to the decision of the insurer on whether to accept the risk or not and the rates and terms to be applied. This duty of disclosure shall continue until the time the contract is entered into, varied or renewed. Failure to take reasonable care in answering the questions may result in avoidance of your contract of insurance, refusal or reduction of your claim(s), change of terms or termination of your contract of insurance.

I/We understand that it is my/our duty to take reasonable care not to make a misrepresentation in answering the questions in this Proposal Form and I/we hereby declare that I/we have fully and accurately answered the questions above. 

I/We, the undersigned, hereby agree that it is a fundamental condition of this Policy that the premium due be paid and received by the Company within 60 days from inception date of cover. I/We agree that failing to comply with this Condition than this Policy is automatically cancelled and the Company shall be entitled to the pro-rata premium for the period they have been on risk.

I/We hereby acknowledge that I/we have read and understood the Personal Data Protection Notice and consent to the processing of my/our personal data for the purposes described in the Notice.

Product disclosures are only available in digital form. I/We acknowledge that a digital copy of Product Disclosure Sheet was provided via download and that I’ve/We've read and understand the key information contained in the Product Disclosure Sheet.

Be the first to know about exclusive promotions, offers, customer rewards and/or product offerings from the Company's related corporations and/or business partners.

Your privacy is of utmost importance to us. For full details on how your data is collected, used, transferred, and how to manage your marketing preferences, please refer to the Personal Data Protection Notice on Great Eastern General Malaysia's website.

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