{{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

Please select Salutation
Invalid Name
Invalid Name
Duplicate Name or Nric
Please choose Date of Birth
Please choose Date of Birth
Invalid Name.
Invalid Name
Eligibility and NRIC/FIN No. do not match
Invalid NRIC/FIN No.
Duplicate Name or Nric
Invalid Company Name
Invalid Company Registration No.
Invalid SB Transmission No.
{{dd.Description}} Invalid Nationality
{{item.Occupation}} No match "{{searchText}}" was found.
Invalid Name
Invalid Company Name
Invalid Company Registration No.
Invalid Name
Duplicate Name or Nric
Eligibility and NRIC/FIN No. do not match
Invalid NRIC/FIN No.
Duplicate Name or Nric

Contact Details

Invalid email address
Email addresses do not match
Invalid Mobile No.

Mailing Address Singapore Mailing Address

Same as above for mailing address
{{App_hashkey}} Invalid Unit No.
Incomplete Postal Code
Please enter Block/House No.
Please enter Street Name

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

Maid's Particulars
Please fill in Name
{{dd.Description}} Invalid Nationality
Invalid Date of Birth*
Invalid Passport
{{dd.Description}} Eligibility and NRIC/FIN No. do not match.
Invalid Work Permit.
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.


{{wording.My}} Plan Selection
Premium Payable:
${{DisplayedTotalPrem | number:2}}
Promotional Discount:
{{new.Quote.disRate * 100 | number:2}}%
Coverage Type:
Work Permit Type:
Plan Type:
Start Date:
End Date:
My Add On
Reimbursement of indemnity paid to insurer:


Letter of Guarantee to Philippines Embassy:


COVID-19 Cover:
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}}
Applicant's Details
Name as in NRIC/Passport:
NRIC/Passport No.:
Date of Birth:
SB Transmission No.:
Mobile No.:
Unit No.:
Postal Code:
Street Name:
Block/House No.:
Building Name:
Maid's Details
Maid’s Name:
Work Permit No.:
Passport No.:
Date of Birth:
Spouse Child Others Employee


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If yes, please select mode of communication channel:

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