Skip to content
POLICY SURRENDER/CANCELLATION FORM
Date of Birth:
Type of Identification:
Reason for Cancellation/Surrender:
CONDITIONS AND RESTRICTIONS
To be completed by the Insured. Please select request:
I want to Surrender:
Cancel the Policy:
I understand that by this my insurance policy with your company is terminated. I further understand that if I choose to cancel my Risk policy(ies), no refund will be made to me.
Please note that the Surrender Administration Charge may apply to my investment/endowment policy (ies) if I wish to surrender.
DOCUMENT REQUIRED: A fully completed and signed Cancellation or Surrender form
PAYMENT DETAILS: kindly ensure that the account name is the same as the insured's name
Account into which proceeds should be paid (For Surrender request only)
Type of Account:
the undersigned declare that:
1. I am the legal owner of the Policy
2. I confirm that the information on this form is true and correct.
Policy Holder Signature:
WooCommerce not Found