Travel PA

Alliance Bank is an authorized distributor of Zurich General Insurance Malaysia.

6 . Insured Information

I am below 17 years old

Insured Person Name

NRIC/Passport/Others No.

Insured Person DOB

Relationship

Nationality

NRIC/Passport/Others No.

Date Of Birth

Gender

Male Female

Your Email

Mobile No.

Nationality

7. Spouse Information

Spouse Name

NRIC/Passport/Others No.

Date Of Birth

Gender

Male Female

Nationality

8. Child Information

Name

NRIC/Passport/Others No.

Date Of Birth

Gender

Male Female

Nationality

Address Line 1

Address Line 2

Post Code

Town/City

State

Country

Name as per MyKad/ Passport

MyKad or Passport No.

Date Of Birth

Relationship

Address

Nationality

Effective From

Effective To

Promo Code
Do you have a promo code?

Total Payable Amount
(inclusive of 6% SST.)

Basic Premium

Stamp Duty

SST 6%

Commission 25.00%

*I hereby consent to the automatic renewal and automatic billing of this policy. I understand that automatic renewal of this policy is subject to terms and conditions of the policy contract, as well as the successful payment of the renewal premium. Yes No

*You acknowledge that the purchase is done via Zurich Agent’s portal. An agent will earn commission, provide you seamless and personalised product/claim services.
You may purchase a similar product directly from Zurich General Insurance and it is commission-free. You will self-serve your insurance needs or contact Zurich for assistance.

Important : Please read and take note for your Duty of Disclosure before proceeding. Alternatively, you may visit Zurich branches for your coverage needs.

By selecting this option, I signify my consent to share the data with the Inland Revenue Board of Malaysia (IRBM) for the purpose of generating the e-invoice to comply with the IRBM’s requirements.

External Marketing
I would like to receive the latest marketing and promotional news from entities within Zurich Malaysia financial group and business partners of Zurich.

*Data Protection
I confirm that the information provided in this application is complete and accurate. I have read and consent to the processing of my personal data in accordance with the NOTICE TO CUSTOMERS RELATING TO THE PERSONAL DATA PROTECTION ACT 2010 as published on Zurich Website.

*Product Disclosure Sheet
Please read and understand the Product Disclosure Sheet to understand the benefits, terms and condition and associated risks, so you can make an informed decision on whether the product suit your needs.

*Required Field

Personal Data Protection Notice

Frequently Ask Question (FAQ)

Product Disclosure and Policy Wording

Click to view
PIDM's TIPS brochure

The benefit(s) payable under this product is (are) protected by PIDM up to limits. For more information, please refer to PIDM's Takaful and Insurance Benefits Protection System brochure on Zurich General Insurance Malaysia's site or PIDM's website.

		Silver (RM)	Gold (RM)	Diamond (RM)
Benefit	Benefit Description	Maximum Sum Insured (RM)
	Section A - Unlimited Cover & Medical Related Covers
1.	Medical Expenses
1A.	Overseas Medical Expenses	300,000	500,000	Unlimited
1B.	Overseas Dental Expenses	Included in 1A	Included in 1A	Included in 1A
1C.	Follow up Treatment in Malaysia	50,000	50,000	50,000
1D.	Alternative Medicine	500	500	1,000
1E.	Outpatient Treatment in Malaysia	Included in 1C	Included in 1C	Included in 1C
2.	Overseas Hospital Income (RM250 per day)	15,000	15,000	30,000
3.	Child Care Benefit	7,000	10,000	15,000
4.	Compassionate Visit	7,000	10,000	15,000
5.	Emergency Medical Evacuation	Unlimited	Unlimited	Unlimited
6.	Medical Repatriation	Unlimited	Unlimited	Unlimited
7.	Repatriation of Mortal Remains	Unlimited	Unlimited	Unlimited
	Section B - Travel Inconvenience Covers
8.	Travel Cancellation
8A.	Travel Cancellation	20,000	25,000	30,000
8B.	Travel Alteration	20,000	25,000	30,000
9.	Travel Curtailment	20,000	25,000	30,000
10.	Travel Interruption	1,000	1,500	3,000
11.	Travel Delay - more than 6 consecutive hours (RM150 for every 6 consecutive hours)	Overseas 3,600, within Malaysia 450	Overseas 3,600, within Malaysia 450	Overseas 7,200, within Malaysia 900
12.	Travel Misconnection - more than 6 consecutive hours (RM200 for every 6 consecutive hours)	400	600	1,200
13.	Travel Reroute - more than 6 consecutive hours (RM200 for every 6 consecutive hours)	400	600	1,200
14.	Baggage Delay - more than 6 consecutive hours (RM200 for every 6 consecutive hours)	Overseas 800, within Malaysia 200	Overseas 800, within Malaysia 200	Overseas 2,000, within Malaysia 800
15.	Baggage & Personal Effects	5,000	7,000	10,000
	Sub-Limit for the benefit 15:
	(i) Any one (1) item or Pair or Set of items	500	500	500
	(ii) Portable Personal Computers	1,000	1,500	2,000
	(iii) Baggage	250	250	250
16.	Personal Money	1,000	2,000	3,000
17.	Travel Documents	5,000	6,000	8,000
18.	Personal Credit Card Theft	1,000	1,500	3,000
	Section C - Personal Accident & Liability Covers
19.	Accidental Death and Permanent Disablement
	(i) 30 days to 17 years old	75,000	75,000	125,000
	(ii) 18 years old to 85 years old	300,000	300,000	500,000
20.	Personal Liability	1,000,000	1,000,000	1,000,000
	Section D - Urban Traveller's Covers
21.	Home Care Benefits	2,000	3,000	5,000
22.	Pet Care Benefits	1,000	1,000	1,000
23.	Rental Car Excess
23A.	Car Excess	2,000	3,000	5,000
23B.	Car Return	Included in 23A	Included in 23A	Included in 23A
24.	Emergency Telephone and Internet Usage	100	200	500
25.	Special Coverage
	(i) 30 days to 17 years old	75,000	75,000	125,000
	(ii) 18 years old to 85 years old	300,000	300,000	500,000
	Section E - Additional Benefits
26.	Badal Haji (only applicable to Muslim)	3,000	3,000	3,000
27.	Wakaf (only applicable to Muslim)	1,000	1,000	1,000
28.	Qurban (only applicable to Muslim)	1,000	1,000	1,000
29.	Emergency Cash (only applicable to non-Muslim)	5,000	5,000	5,000
	Section F - Travel Assistance Benefits
30.	Travel Assist	Included	Included	Included

	Section G - Covid-19 Benefits (Optional)
31.	Travel Cancellation due to Covid-19
31A.	Travel Cancellation due to Covid-19	20,000	25,000	30,000
31B.	Travel Alteration due to Covid-19	10,000	10,000	10,000
32.	Overseas Medical Expenses due to Covid-19	100,000	300,000	500,000
33.	Hospital Allowance due to Covid-19 (RM150 per day)	9,000	9,000	9,000
34.	Child Care Benefit due to Covid-19	10,000	10,000	10,000
35.	Death due to Covid-19	10,000	10,000	10,000

Personal Data Protection Notice

Frequently Ask Question (FAQ)

Product Disclosure and Policy Wording

Click to view
PIDM's TIPS brochure

1. Reminder

2. Implementation of e-Invoicing