{{wording.My}} Quote

Coverage Period {{new.Quote.coverageDesc}} and Work Permit Type {{new.Quote.workPermitTypeDesc}} {{descPT}} and Plan Type {{new.Quote.planTypeDesc}}. {{wording.I}} will like the plan to start from {{new.Quote.sDate}} to {{new.Quote.eDate}}.
{{wording.My}} premium payable is ${{DisplayedTotalPrem | number:2}}.

{{wording.My}} Details

I will like to sign up as a new member on Etiqa’s online platform

Personal InformationInsured Information

Sal.

Please select Salutation

Name Invalid Name

Name

Invalid Name

Duplicate Name or Nric

Date of Birth Please choose Date of Birth

Gender

Name of Employer Invalid Name.

Nature of Business/Industry Invalid Name

Eligibility

Eligibility and NRIC/FIN No. do not match

NRIC/FIN No.

Invalid NRIC/FIN No.

Duplicate Name or Nric

Company Name Invalid Company Name

Company Registration No. Invalid Company Registration No.

SB Transmission No. Invalid SB Transmission No.

CPF No. Invalid CPF No.

Marital Status

Nationality

Invalid Nationality

Smoking Status

Race

Occupation

No match "{{searchText}}" was found.

Specific Occupation Invalid Name

Company Name Invalid Company Name

Company Registration No. Invalid Company Registration No.

Name

Invalid Name

Duplicate Name or Nric

Eligibility

Eligibility and NRIC/FIN No. do not match

NRIC/FIN No.

Invalid NRIC/FIN No.

Duplicate Name or Nric

Contact Details

Email Invalid email address

Confirm email Email addresses do not match

Mobile Phone Invalid Mobile No.

Organisation

Invalid Organisation

Mailing Address Singapore Mailing Address

Same as above for mailing address

Unit No. {{App_hashkey}} Invalid Unit No.

Postal Code Incomplete Postal Code

Block No. Please enter Block/House No.

Street Name Please enter Street Name

Building Name

* The beacon device which is required to enforce telematics car insurance, will be mailed to this address.

Maid's Particulars

Maid's Name Please fill in Name

Nationality

Invalid Nationality

Date of Birth Invalid Date of Birth*

Eligibility

Eligibility and NRIC/FIN No. do not match.

Passport no. Invalid Passport

FIN No. Invalid FIN No.

Work Permit No. Invalid Work Permit No.

Important notes:

Kindly note that the purchase of ePROTECT maid & Security Bond requires downloading from MOM. Hence processing is only available from Monday to Friday, before 4.30pm. Application received after 4.30pm will be processed on the next working day. Also, processing is not applicable on public holidays.
Kindly note, employer of Indonesian maids is required by the Embassy of the Republic of Indonesia in Singapore to purchase a new security bond of S$6,000. This is applicable when hiring a new helper or renewing a contract. Please click here for more details.
We will notify you of the transmission results within 3 working days via email.
Kindly ensure that you have keyed in the correct details for submission. Shall there be any erroneous data input, a delay in the application may be expected.
If you have any enquiries, please Whatsapp our friendly Customer Service Consultants at +65 6887 8777 or customer.service@etiqa.com.sg. Our opening hours are Monday to Friday, 8.45am to 5.30pm. We are closed on weekends and public holidays.

Your Plan

Cost Breakdown

Total Premium ${{new.Quote.totalPrem | number:2}}

Summary

{{wording.My}} Plan Selection

Premium Payable:

${{DisplayedTotalPrem | number:2}}

Promotional Discount:

{{ (new.Quote.disRate * 100) | number:2 }}% {{ (new.Quote.disRate) | number:2 }}%

Coverage Type:

{{new.Quote.coverageDesc}}

Work Permit Type:

{{new.Quote.workPermitTypeDesc}}

Plan Type:

{{new.Quote.planTypeDesc}}

Start Date:

{{new.Quote.sDate}}

End Date:

{{new.Quote.eDate}}

My Add On

Reimbursement of indemnity paid to insurer:

No
Yes

Letter of Guarantee to Philippines Embassy:

No
Yes

COVID-19 Cover:

NoYes

Additional Hospitalisation & Surgical Expenses:

${{new.Quote.hosipitalExpense | number:0}}

Critical Illnesses Coverage:

${{new.Quote.criticalIllness | number:0}}

Home Cover:

${{new.Quote.homeCover | number:0}}

Additional Maid's Liability:

${{new.Quote.maidEmployerLiability | number:0}}

Co-Insurance Waiver:

NoYes

Applicant's Details

Name as in NRIC/Passport:

{{Proposer.ddNameID}}

Eligibility:

{{Proposer.ddEligibleID}}

NRIC/Passport No.:

{{Proposer.ddNRICID}}

Date of Birth:

{{Proposer.Dob}}

SB Transmission No.:

{{Proposer.ddReferenceNo}}

CPF No.:

{{Proposer.CPF_No}}

Email:

{{Proposer.ddEmail}}

Mobile No.:

{{Proposer.ddMobileID}}

Unit No.:

{{Proposer.ddUnitID}}

Postal Code:

{{Proposer.ddPostalCodeID}}

Street Name:

{{Proposer.ddStreetID}}

Block/House No.:

{{Proposer.ddBlockID}}

Building Name:

{{Proposer.ddBuildingID}}

Maid's Details

Maid’s Name:

{{ppl.name}}

Nationality:

{{nationalityDesc}}

Eligibility:

{{ppl.eligible}}

Passport No.:

{{ppl.Passport}}

FIN No.:

{{ppl.NRIC}}

Work Permit No.:

{{ppl.Work_Permit_No}}

Date of Birth:

{{ppl.dob}}

Relationship:

Spouse Child Others Employee

Communications

I wish to receive information, including marketing materials from Etiqa Insurance, from the following communication channels. By clicking yes, I accept and agree with Terms and Conditions for the Declarations and Undertaking.

Yes

If yes, please select mode of communication channel:

Important Notice: Declarations and Undertaking

I have read, understood and agreed with the above Terms and Conditions for the Declarations and Undertaking.

ePROTECT maid

Online Life Insurance

ePROTECT maid

{{wording.My}} Quote

{{wording.My}} Details

Personal InformationInsured Information

Contact Details

Mailing Address Singapore Mailing Address

{{ppl.label}}

Summary

{{wording.My}} Plan Selection

My Add On

Applicant's Details

Maid's Details

ePROTECT maid

Online Life Insurance

ePROTECT maid

{{wording.My}} Quote

{{wording.My}} Details

Personal InformationInsured Information

Contact Details

Mailing Address Singapore Mailing Address

{{ppl.label}}

Summary

{{wording.My}} Plan Selection

My Add On

Applicant's Details

Maid's Details

Existing Member

New Member