GREAT Value Protect

Simply fill up the form below

Statement pursuant to Section 25(5) of the Insurance Act (Cap 142) (or any subsequent amendments thereof), you are to disclose in this proposal form, fully and faithfully, all the facts you know, or ought to know, which may affect the insurance cover you are applying for. Otherwise, you may receive nothing from the policy.

Please complete all the mandatory fields. Forms with incomplete details will not be processed.

Purchaser's Full Name*

As per your NRIC/FIN/Passport.

Purchaser's ID No.*

Purchaser's Date of Birth*

Purchaser's Nationality*

As per your ID.

Purchaser's Gender*

Purchaser's Email*

Please enter a valid email address to receive your policy documents.

Insured's Full Name*

As per Insured's NRIC/FIN/Passport.

Insured's ID No.*

Insured's Date of Birth*

Insured's Nationality*

As per Insured's ID.

Insured's Gender*

Relationship to Purchaser*

Plan Type*

PDPA Consent Clause

By providing the information set out above, I/ we agree and consent to Great Eastern and its related corporations (collectively, the "Companies"), as well as their respective representatives, agents, the Companies’ authorised service providers and relevant third parties (the Companies and all the other foregoing parties, collectively, "Great Eastern Persons"), collecting, using and/or disclosing my/ our personal data, for purposes reasonably required by the Companies to evaluate my/ our proposal and to provide the products or services which I am/ we are applying for (including any policy renewals and policy upgrades, substitutions or replacements) and such other purposes as described in Great Eastern’s Privacy Statement (collectively, the "Purposes") which is accessible from Great Eastern Singapore’s website and which I/ we confirm I/ we have read and understood.

Where personal data of any person is disclosed by me/ us, I/ we confirm and represent that I/ we have obtained the consent of the individual concerned, unless such consent is not required under relevant laws:

(i) to collect such personal data; (ii) to the disclosure of such personal data to the Great Eastern Persons; and (iii) for the Great Eastern Persons’ collection, use and/or disclosure of such personal data; for the Purposes.

Marketing Consent

Please read the following and indicate your consent before check out.

We* want to ensure that you fully enjoy our services and products as we update you on relevant news, promotions and advice. We will keep in touch with you through post, digital platforms (including social media), and email.

Your privacy is of utmost importance to us and you can withdraw your consent via Great Eastern’s website at any time.

* We/us refers to Great Eastern, our related corporations, respective representatives and agents. For more details, please refer to the Privacy and Security Policy on Great Eastern’s website.

Declaration

By activating GREAT Value Protect, I agree to share my Personal Data with Great Eastern and I agree to the Important Notice, Declaration and Policy Application, Service & Administration.

Please enter the characters you see above.

Find out more

» Product Summary

» Important Notice, Declaration and Policy Application, Service & Administration

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GREAT Value Protect

Simply fill up the form below

Please complete all the mandatory fields. Forms with incomplete details will not be processed.

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