Assurance Kit
Gift Reissuance Request Form

Please complete all mandatory fields.

Applicant's Name*

Applicant's ID No
(Last 4 Characters)*

Applicant's Mobile Number*

Applicant's Registered Email Address*

The email address originally used to register for the Assurance Kit.

New Email Address
(if applicable)

Please provide the new email address (if any) to reissue the gift to.

Gift To Reissue*

Reason for Reissuance of Gift*

If Others, please provide reason
(if applicable)

Financial Representative's Name*

Financial Representative's
business contact number*

IAC Number*

Please note that the gift will only be reissued once, and only after the original gift has expired, where applicable, to avoid duplicate redemption. Please expect 4 to 6 weeks for the processing of gift reissuance request.

Incomplete requests will not be processed.

By submitting this form, you agree and consent to us* as well as our respective authorised service providers and relevant third parties (the “Companies”), collecting, using and/or disclosing your personal data, for purposes reasonably required by the Companies to administer this form request and such other purposes as described in Great Eastern’s Privacy Statement which is accessible from Great Eastern’s website, which you confirm you have read and understood.

Please enter the characters you see above.

* We/us refers to Great Eastern, our related corporations (collectively, the “Companies”), as well as our respective representatives and agents. For more details, please refer to the Privacy and Security Policy on Great Eastern’s website.

Useful link

Assurance Kit Terms and Conditions

Assurance Kit Gift Reissuance Request Form

Please complete all mandatory fields.

Assurance Kit
Gift Reissuance Request Form