1. Personal Details
Full Name As Per Id
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Agent Code
-
Agency Code
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Agency Name
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Marital Status*
Spouse Details
Full Name As Per ID*
Identification Type*
Identification No.*
Nationality*
Passport Expiry Date*
Please enter a valid Passport Expiry Date.
2. Licence
Documents*
UPLOADDocuments*
Documents*
3. Upload Document
Please upload all mandatory documents below and ensure your details are correct before submitting your application. Please select the file and tap on the upload button. Supported file types: .jpg, .png, .pdf up to 10MB
COPY OF ID (BACK)*
Passport Sized Photo*
1. Copy of ID (Front)*
Front copy of your Identity Card (e.g. IC)
2. Copy of ID (Back)*
Back copy of your Identity Card (e.g: IC)
3. Passport Sized Photo*
Please refer to Guidelines for photo requirements.
MOVEMENT OF AGENT
RESIGNATION LETTER
4. Movement of Agent
Applicable if candidate is attached with other insurer company
5. Resignation Letter
Applicable if candidate is attached with other insurer company
4. Contract
Please select licence(s) before proceeding.
LIFE-CEILI does not require a contract.
5. Declaration
Please select licence(s) before proceeding.