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Foreign Worker Bond

Online Life Insurance

Foreign Worker Bond

{{wording.My}} Foreign Worker Quote


Coverage Period {{Quote.coverage}} months for {{Quote.num_fw}} foreign workers and total estimated number of foreign workers this year is {{Quote.total_fw_estimate}}.
{{wording.My}} premium payable is ${{Quote.approved_premium | number:2}}.

Personal InformationInsured Information

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

Contact Details

Required Field Invalid email address
Email addresses do not match
Required Field Please enter a valid mobile number. Kindly avoid entering random or incorrect numbers. Invalid Mobile No.
{{dd.Description}} Invalid Organisation

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.

Policy Details

Commencement date must be within 14 months from approval date
Please select a number
Workers' Particulars
{{ppl.label}} {{$index+1}}
{{dd.Description}} Salutation and Gender not match
Please fill in Name
{{dd.Description}} Invalid Nationality
Invalid Date of Birth*
{{dd.Description}} Eligibility and NRIC/FIN No. do not match.
Invalid Passport
Invalid FIN No.
Invalid Work Permit.
Male Female Salutation and Gender do not match


Application Summary


{{wording.My}} Plan Selection
Premium Payable:
${{new.Quote.approved_premium | number:2}}
Coverage Type:
{{new.Quote.coverage}} Months
Commencement Date:
{{new.Quote.startDate}}
Expiry Date:
{{new.Quote.endDate}}
Foreign Worker(s):
{{selectedFW}}
Applicant's Details
Email:
{{Proposer.ddEmail}}
Mobile No.:
{{Proposer.ddMobileID}}
Company Name:
{{Proposer.ddComNameID}}
Company Registration Number:
{{Proposer.ddComNRICID}}
SB Transmission No.:
{{Proposer.ddReferenceNo}}
CPF:
{{Quote.CPF_No}}
Unit No.:
{{Proposer.ddUnitID}}
Postal Code:
{{Proposer.ddPostalCodeID}}
Block/House No.:
{{Proposer.ddBlockID}}
Street Name:
{{Proposer.ddStreetID}}
Building Name:
{{Proposer.ddBuildingID}}

Worker's Details
Salutation:
{{ppl.insuredSal}}
Worker Name (as per Passport):
{{ppl.name}}
Date of Birth:
{{ppl.dob}}
Nationality:
{{nationalityDesc[$index]}}
Passport No.:
{{ppl.Passport}}
Eligibility:
{{ppl.eligible}}
FIN No.:
{{ppl.NRIC}}
Work Permit No.:
{{ppl.Work_Permit_No}}
Gender:
{{ppl.gender}}

Communications

Marketing Consent

By selecting yes to below, I/We consent to receive marketing communication from Etiqa on Etiqa's insurance products via the following channel.

Yes No
{{pdpaItem.description}}

I/ We can choose to withdraw my consent by submitting the Marketing Withdrawal From at www.etiqa.com.sg or email to customer.service@etiqa.com.sg. For more details, please refer to Etiqa's Data Protection Statement on Etiqa’s website.

Declaration
Unable to proceed Please check the box to agree to the Terms and Conditions before continuing.
Applicant's Consent and Declaration
  1. All information provided by me in connection with this application are true, accurate and complete.
  2. I agree that this application and declaration shall be the basis of the contract between Etiqa and myself.
  3. If I do not fully and faithfully give the facts as I know them or ought to know them, I may receive nothing from the policy.
  4. I agree to the policy terms, exclusions and conditions as expressed in the proposal form, policy wordings and endorsements.
{{ showApplicantTerms ? 'Show less' : 'Read more' }}

Agent's Consent and Declaration
  1. I have been duly authorised by the Applicant to act on his/ her/ their behalf for the purpose of applying for this insurance.
  2. I confirm that I have read, informed and explained to the Applicant on the Policy Wordings, Application Summary, and Data Protection Statement. The Applicant understood and has agreed to it.
  3. I also confirm that the Applicant has read and acknowledged the "Applicant's Consent and Declaration" section. I confirm I have duly obtained and retained the copy of the Applicant's acknowledgement of the "Applicant's Consent and Declaration" section. I will provide any necessary documentation as and when required by Etiqa or as mandated by applicable laws and regulations.
  4. I confirm that all information provided in this Application and supporting document (where applicable) is accurate, true and complete to the best of my knowledge.
  5. I declare that there is no conflict of interest in the arrangement of this insurance policy.
  6. I agree to the policy terms, exclusions and conditions as expressed in the proposal form, policy wordings and endorsements.
{{ showAgentTerms ? 'Show less' : 'Read more' }}

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