Register for the #JomVaccine campaign below to get a free COVID-19 vaccination insurance. For more details and T&Cs, please click here.

Note: If you are an existing Fi Life’s Term Life policy holder, you do not need to submit this form for yourself as you are already automatically covered by this insurance. However, you do need to submit it if you are registering for your teenage children.

Full Name Of The Person To Be Insured *
Parent/Legal Guardian's Full Name *
Parent/Legal Guardian's NRIC *
Email *
Phone Number *
State *
Postcode *

Preferred language *

I agree to the following terms and conditions:

Beyond vaccination insurance, would you like to know more about our medical and life insurance?