Marketing Consent Form

Etiqa Insurance aims to comply with the requirements of the Personal Data Protection Act (PDPA) and respects your choices.
You may wish to receive marketing related information on our products, services, benefits, promotions and rewards via the mode(s) as specified below.

If you have already given consent and wish to withdraw your consent, please use this form instead.

Your Particulars

Salutation: *
Gender: *
Name: *
NRIC/Passport No.: * (eg: S1234567A)
Occupation: *
Contact No.: *
Date of Birth: *
Email Address: *
I consent to receive updates on your products, benefits, promotions and rewards through:

Direct MailFaxSMS/MMSPhone CallEmailAll
By submitting this form:

(a) I consent to Etiqa Insurance and its related corporations (collectively, the “Maybank”), its agents, authorised service providers and marketing partners collecting, using, disclosing and/or processing my personal data, in order to contact me about products and services marketed by Etiqa Insurance or its partners as well as benefits, promotions and rewards, via the modes selected above and using my contact particulars which Etiqa Insurance may have in its records from time to time (including where applicable my Singapore telephone number(s));

(b) I confirm and agree that my consents granted herein do not supersede or replace any other consents which I may have previously provided to Etiqa Insurance in respect of my personal data, and are additional to any rights which Etiqa Insurance may have at law to collect, use or disclose my personal data.

Please note:

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

2) Please allow 30 working days for your request to be processed by Etiqa Insurance and your records 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