Forms

I would like to change my contact details
I want to update my new address/ email address/ phone no. Download
I would like to change my other details
I just registered a new name at Jabatan Pendaftaran Negara (JPN) and I want to update it. Download
I want to update my NRIC No./ Passport No./ Business Registration No. Download
I want to update my nationality and country of birth. Download
I want to update my marital status and change the salutation. Download
I do not wish to receive any marketing communication from third party and/ or Prudential & its group of companies. Download
I purchased a pre-natal policy for my baby and I recently gave birth. I want to update my child's details. Download
I want a replacement for my medical card. Download
I would like to make a claim
Remarks: By clicking on any of the Download buttons, a printable version of the form will appear in a new window. You can complete and submit the form to any of our branches or by mail. All forms are to be downloaded using Acrobat Reader. Download reader here.
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Contact Number

603 2116 0228
Monday to Friday, 8:30am to 5:15pm
(excluding Public Holidays)

Fax Number

603 2032 3939

Address

Menara Prudential, 10 Jalan Sultan Ismail, 50250 Kuala Lumpur, Malaysia.
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