Marketing Withdrawal Form

1

Etiqa Insurance aims to comply with the requirements of the Personal Data Protection Act (PDPA) and respects your choices.

You can choose to withdraw your consent to receive marketing related information on our products, services, benefits, promotions and rewards via the mode(s) as specified below.

Your Particulars

Salutation
First Name
Last Name
NRIC/Passport No.
Occupation
Contact No
Date of Birthof appointment
Fax
Addressyour full name
I wish to withdraw from updates on your products, benefits, promotions and rewards through:

Please note:

1) The information provided above is solely for the purpose of withdrawing the consent for receiving marketing materials and does not serve as a notification of updates of personal particulars.

2) Please allow 30 working days for your request to be processed by Etiqa and your records will be updated accordingly.

* denotes mandatory fields

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Etiqa Insurance aims to comply with the requirements of the Personal Data Protection Act (PDPA) and respects your choices.

You can choose to withdraw your consent to receive marketing related information on our products, services, benefits, promotions and rewards via the mode(s) as specified below.

If you have not given consent and wish to do so, please use this form instead.

Your Particulars

I wish to withdraw from updates on your products, benefits, promotions and rewards through:

Direct MailFaxSMS/MMSPhone CallEmailAll

Please note:

1) The information provided above is solely for the purpose of withdrawing the consent for receiving marketing materials and does not serve as a notification of updates of personal particulars.

2) Please allow 30 working days for your request to be processed by Etiqa and your records will be updated accordingly.

I confirm that I have read and understood the Etiqa Insurance Data Protection Policy and hereby consent to the collection, use, disclosure and/or processing of my personal data by Etiqa Insurance and Maybank Group.

* denotes mandatory fields