PLEASE SELECT NATIONALITY 
AFGHANISTAN 
ALBANIA 
AMERICAN SAMOA 
ANDORRA 
ANGOLA 
ANGUILLA 
ANTARTICA 
ANTIGUA & BARBUDA 
ARCTIC OCEAN 
ARGENTINA 
ARMENIA 
ARUBIA 
ASHMORE AND CARTIER ISLANDS 
ATLANTIC OCEAN 
AUSTRALIA 
AUSTRIA 
AZERBAIJAN 
BAHAMAS 
BAHRAIN 
BAKER ISLAND 
BANGLADESH 
BARBADOS 
BARCELONA ESPANA 
BASSAS DA INDIA 
BELARUS 
BELGIUM 
BELIZE 
BENIN 
BERMUDA 
BHUTAN 
BOLIVIA 
BOSNIA AND HERZEGOVINA 
BOTSWANA 
BOUVET ISLAND 
BRAZIL 
BRITISH INDIAN OCEAN TERRITORY 
BRITISH VIRGIN ISLANDS 
BRUNEI 
BULGARIA 
BURKINA FASO 
BURUNDI 
CAMBODIA 
CAMEROON 
CANADA 
CAPE VERDE 
CAYMAN ISLANDS 
CENTRAL AFRICAN REPUBLIC 
CHAD 
CHILE 
CHINA 
CHRISTMAS ISLAND 
CLIPPERTON ISLAND 
COCOS (KEELING) ISLANDS 
COLOMBIA 
COMOROS 
CONGO DEMOCRATIC REPUBLIC 
CONGO REPUBLIC 
COOK ISLANDS 
CORAL SEA ISLANDS 
COSTA RICA 
COTE D'IVOIRE 
CROATIA 
CUBA 
CYPRUS 
CZECH REPUBLIC 
DENMARK 
DJIBOUTI 
DOMINICA 
DOMINICAN REPUBLIC 
ECUADOR 
EGYPT 
EL SAVADOR 
ENGLAND 
EQUATORIAL GUINEA 
ERITREA 
ESTONIA 
ETHIOPHIA 
EUROPA ISLAND 
FALKLAND ISLANDS 
FAROE ISLAND 
FIJI 
FINLAND 
FRANCE 
FRENCH GUIANA 
FRENCH POLYNESIA 
FRENCH SOUTHERN & ANTARCTIC LANDS 
GABON 
GAMBIA 
GAZA STRIP 
GEORGIA 
GERMANY 
GHANA 
GIBRALTAR 
GLORIOSO ISLANDS 
GREAT BRITAIN 
GREECE 
GREENLAND 
GRENADA 
GUADELOUPE 
GUAM 
GUATEMALA 
GUERNSEY 
GUINEA 
GUINEA-BISSAU 
GUYANA 
HAITI 
HCARD ISLAND & MCDONALD ISLANDS 
HOLY SEE (VATICAN CITY) 
HONDURAS 
HONG KONG 
HOWLAND ISLAND 
HUNGARY 
ICELAND 
INDIA 
INDIAN OCEAN 
INDONESIA 
IRAN 
IRAQ 
IRELAND 
ISLE OF MAN 
ISRAEL 
ITALY 
IVORY COAST 
JAMAICA 
JAN MAYEN 
JAPAN 
JARVIS ISLAND 
JERSEY 
JOHNSON ATOLL 
JORDAN 
JUAN DE NOVA ISLAND 
KAZAKHSTAN 
KENYA 
KINGMAN REEF 
KIRIBATI 
KOREA NORTH 
KOREA SOUTH 
KUWAIT 
KYRGYSTAN 
LABUAN MALAYSIA 
LAOS 
LATVIA 
LEBANON 
LESOTHO 
LIBERIA 
LIBYA 
LIECHTENSTEN 
LITHUANIA 
LUXEMBOURG 
MACAU 
MACEDONIA 
MADAGASCAR 
MALAWI 
MALAYSIA 
MALDIVES 
MALI 
MALTA 
MAN ISLE 
MARSHALL ISLANDS 
MARTINIQUE 
MAURITANIA 
MAURITIUS 
MAYOTTE 
MEXICO 
MICRONESIA, FEDERATED STATES 
MIDWAY ISLANDS 
MOLDOVA 
MONACO 
MONGOLIA 
MONTSERRAT 
MOROCCO 
MOZAMBIQUE 
MYANMAR 
NAMIBIA 
NAURU 
NAVASSA ISLAND 
NEPAL 
NETHERLANDS 
NETHERLANDS ANTILLES 
NEW CALEDONIA 
NEW ZEALAND 
NICARAGUA 
NIEU 
NIGER 
NIGERIA 
NORFOLK ISLAND 
NORTEHRN IRELAND 
NORTH KOREA 
NORTHERN MARIANA ISLANDS 
NORWAY 
OMAN 
PACIFIC OCEAN 
PAKISTAN 
PALAU 
PALMYRA ATOLL 
PANAMA 
PAPUA NEW GUINEA 
PARACELL ISLANDS 
PARAGUAY 
PERU 
PHILIPPINES 
PITCAIRN ISLANDS 
POLAND 
PORTUGAL 
PUERTO RICO 
QATAR 
REUNION 
ROMANIA 
RUSSIA 
RUSSIAN  FEDERATION 
RWANDA 
SAINT KITTS AND NEVIS 
SAINT LUCIA 
SAMOA 
SAN MARINO 
SAU TOME AND PRINCIPE 
SAUDI ARABIA 
SCOTLAND 
SENEGAL 
SERBIA AND MONTENEGRO 
SEYCHELLES 
SIERRA LEONE 
SINGAPORE 
SLOVAKIA 
SLOVENIA 
SOLOMON ISLANDS 
SOMALIA 
SOUTH AFRICA 
SOUTH GEORGIA & SOUTH SANDWICH ISLANDS 
SPAIN 
SPRATLY ISLANDS 
SRI LANKA 
ST HELENA 
ST LUCIA 
ST VINCENT & THE GRENADINES 
SUDAN 
SURINAME 
SVALBARD 
SWAZILAND 
SWEDEN 
SWITZERLAND 
SWITZERLAND 
SYRIA 
TAIWAN 
TAJIKISTAN 
TANZANIA 
THAILAND 
TOGO 
TOKELAU 
TONGA 
TRINIDAD AND TOBAGO 
TROMELIN ISLAND 
TUNISIA 
TURKEY 
TURKMENISTAN 
TURKS & CAICOS ISLANDS 
TUVALU 
UGANDA 
UKRAINE 
UNITED ARAB EMIRATES 
UNITED KINGDOM 
UNITED STATES 
URUGUAY 
UZBEKISTAN 
VANUATU 
VENEZUELA 
VIETNAM 
VIRGIN ISLANDS 
WAKE ISLAND 
WALES 
WALLS AND FUTUNA 
WEST BANK 
WESTERN SAHARA 
WESTERN SAMOA 
WORLD 
WORLD WIDE 
YANGON 
YEMEN 
ZAIRE 
ZAMBIA 
ZIMBABWE 
                        
                            
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                                State 
                                PLEASE SELECT 
BRUNEI 
FOREIGN COUNTRY 
JOHOR DARUL TAKZIM 
KEDAH DARUL AMAN 
KELANTAN DARUL NAIM 
LABUAN 
MELAKA 
NEGERI SEMBILAN DARUL KHUSUS 
PAHANG DARUL MAKMUR 
PERAK DARUL RIDZUAN 
PERLIS INDERA KAYANGAN 
PULAU PINANG 
PUTRAJAYA 
SABAH 
SARAWAK 
SELANGOR DARUL EHSAN 
SINGAPORE 
STATE CODE (FOR AD-HOC USE ONLY) 
TERENGGANU DARUL IMAN 
THAILAND 
WILAYAH PERSEKUTUAN 
PLEASE SELECT 
                            
                                Country 
                                AFGHANISTAN 
ALBANIA 
AMERICAN SAMOA 
ANDORRA 
ANGOLA 
ANGUILLA 
ANTARTICA 
ANTIGUA & BARBUDA 
ARCTIC OCEAN 
ARGENTINA 
ARMENIA 
ARUBIA 
ASHMORE AND CARTIER ISLANDS 
ATLANTIC OCEAN 
AUSTRALIA 
AUSTRIA 
AZERBAIJAN 
BAHAMAS 
BAHRAIN 
BAKER ISLAND 
BANGLADESH 
BARBADOS 
BARCELONA ESPANA 
BASSAS DA INDIA 
BELARUS 
BELGIUM 
BELIZE 
BENIN 
BERMUDA 
BHUTAN 
BOLIVIA 
BOSNIA AND HERZEGOVINA 
BOTSWANA 
BOUVET ISLAND 
BRAZIL 
BRITISH INDIAN OCEAN TERRITORY 
BRITISH VIRGIN ISLANDS 
BRUNEI 
BULGARIA 
BURKINA FASO 
BURUNDI 
CAMBODIA 
CAMEROON 
CANADA 
CAPE VERDE 
CAYMAN ISLANDS 
CENTRAL AFRICAN REPUBLIC 
CHAD 
CHILE 
CHINA 
CHRISTMAS ISLAND 
CLIPPERTON ISLAND 
COCOS (KEELING) ISLANDS 
COLOMBIA 
COMOROS 
CONGO DEMOCRATIC REPUBLIC 
CONGO REPUBLIC 
COOK ISLANDS 
CORAL SEA ISLANDS 
COSTA RICA 
COTE D'IVOIRE 
CROATIA 
CUBA 
CYPRUS 
CZECH REPUBLIC 
DENMARK 
DJIBOUTI 
DOMINICA 
DOMINICAN REPUBLIC 
ECUADOR 
EGYPT 
EL SAVADOR 
ENGLAND 
EQUATORIAL GUINEA 
ERITREA 
ESTONIA 
ETHIOPHIA 
EUROPA ISLAND 
FALKLAND ISLANDS 
FAROE ISLAND 
FIJI 
FINLAND 
FRANCE 
FRENCH GUIANA 
FRENCH POLYNESIA 
FRENCH SOUTHERN & ANTARCTIC LANDS 
GABON 
GAMBIA 
GAZA STRIP 
GEORGIA 
GERMANY 
GHANA 
GIBRALTAR 
GLORIOSO ISLANDS 
GREAT BRITAIN 
GREECE 
GREENLAND 
GRENADA 
GUADELOUPE 
GUAM 
GUATEMALA 
GUERNSEY 
GUINEA 
GUINEA-BISSAU 
GUYANA 
HAITI 
HCARD ISLAND & MCDONALD ISLANDS 
HOLY SEE (VATICAN CITY) 
HONDURAS 
HONG KONG 
HOWLAND ISLAND 
HUNGARY 
ICELAND 
INDIA 
INDIAN OCEAN 
INDONESIA 
IRAN 
IRAQ 
IRELAND 
ISLE OF MAN 
ISRAEL 
ITALY 
IVORY COAST 
JAMAICA 
JAN MAYEN 
JAPAN 
JARVIS ISLAND 
JERSEY 
JOHNSON ATOLL 
JORDAN 
JUAN DE NOVA ISLAND 
KAZAKHSTAN 
KENYA 
KINGMAN REEF 
KIRIBATI 
KOREA NORTH 
KOREA SOUTH 
KUWAIT 
KYRGYSTAN 
LABUAN MALAYSIA 
LAOS 
LATVIA 
LEBANON 
LESOTHO 
LIBERIA 
LIBYA 
LIECHTENSTEN 
LITHUANIA 
LUXEMBOURG 
MACAU 
MACEDONIA 
MADAGASCAR 
MALAWI 
MALAYSIA 
MALDIVES 
MALI 
MALTA 
MAN ISLE 
MARSHALL ISLANDS 
MARTINIQUE 
MAURITANIA 
MAURITIUS 
MAYOTTE 
MEXICO 
MICRONESIA, FEDERATED STATES 
MIDWAY ISLANDS 
MOLDOVA 
MONACO 
MONGOLIA 
MONTSERRAT 
MOROCCO 
MOZAMBIQUE 
MYANMAR 
NAMIBIA 
NAURU 
NAVASSA ISLAND 
NEPAL 
NETHERLANDS 
NETHERLANDS ANTILLES 
NEW CALEDONIA 
NEW ZEALAND 
NICARAGUA 
NIEU 
NIGER 
NIGERIA 
NORFOLK ISLAND 
NORTEHRN IRELAND 
NORTH KOREA 
NORTHERN MARIANA ISLANDS 
NORWAY 
OMAN 
PACIFIC OCEAN 
PAKISTAN 
PALAU 
PALMYRA ATOLL 
PANAMA 
PAPUA NEW GUINEA 
PARACELL ISLANDS 
PARAGUAY 
PERU 
PHILIPPINES 
PITCAIRN ISLANDS 
POLAND 
PORTUGAL 
PUERTO RICO 
QATAR 
REUNION 
ROMANIA 
RUSSIA 
RUSSIAN  FEDERATION 
RWANDA 
SAINT KITTS AND NEVIS 
SAINT LUCIA 
SAMOA 
SAN MARINO 
SAU TOME AND PRINCIPE 
SAUDI ARABIA 
SCOTLAND 
SENEGAL 
SERBIA AND MONTENEGRO 
SEYCHELLES 
SIERRA LEONE 
SINGAPORE 
SLOVAKIA 
SLOVENIA 
SOLOMON ISLANDS 
SOMALIA 
SOUTH AFRICA 
SOUTH GEORGIA & SOUTH SANDWICH ISLANDS 
SPAIN 
SPRATLY ISLANDS 
SRI LANKA 
ST HELENA 
ST LUCIA 
ST VINCENT & THE GRENADINES 
SUDAN 
SURINAME 
SVALBARD 
SWAZILAND 
SWEDEN 
SWITZERLAND 
SWITZERLAND 
SYRIA 
TAIWAN 
TAJIKISTAN 
TANZANIA 
THAILAND 
TOGO 
TOKELAU 
TONGA 
TRINIDAD AND TOBAGO 
TROMELIN ISLAND 
TUNISIA 
TURKEY 
TURKMENISTAN 
TURKS & CAICOS ISLANDS 
TUVALU 
UGANDA 
UKRAINE 
UNITED ARAB EMIRATES 
UNITED KINGDOM 
UNITED STATES 
URUGUAY 
UZBEKISTAN 
VANUATU 
VENEZUELA 
VIETNAM 
VIRGIN ISLANDS 
WAKE ISLAND 
WALES 
WALLS AND FUTUNA 
WEST BANK 
WESTERN SAHARA 
WESTERN SAMOA 
WORLD 
WORLD WIDE 
YANGON 
YEMEN 
ZAIRE 
ZAMBIA 
ZIMBABWE 
                            
                         
                        
                            
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                            Next 
                        
                     
                    
                    
                    
                    
                        
                        
                        
                        
                        
                            
                            
                                State 
                                PLEASE SELECT 
BRUNEI 
FOREIGN COUNTRY 
JOHOR DARUL TAKZIM 
KEDAH DARUL AMAN 
KELANTAN DARUL NAIM 
LABUAN 
MELAKA 
NEGERI SEMBILAN DARUL KHUSUS 
PAHANG DARUL MAKMUR 
PERAK DARUL RIDZUAN 
PERLIS INDERA KAYANGAN 
PULAU PINANG 
PUTRAJAYA 
SABAH 
SARAWAK 
SELANGOR DARUL EHSAN 
SINGAPORE 
STATE CODE (FOR AD-HOC USE ONLY) 
TERENGGANU DARUL IMAN 
THAILAND 
WILAYAH PERSEKUTUAN 
PLEASE SELECT 
                            
                                Country 
                                AFGHANISTAN 
ALBANIA 
AMERICAN SAMOA 
ANDORRA 
ANGOLA 
ANGUILLA 
ANTARTICA 
ANTIGUA & BARBUDA 
ARCTIC OCEAN 
ARGENTINA 
ARMENIA 
ARUBIA 
ASHMORE AND CARTIER ISLANDS 
ATLANTIC OCEAN 
AUSTRALIA 
AUSTRIA 
AZERBAIJAN 
BAHAMAS 
BAHRAIN 
BAKER ISLAND 
BANGLADESH 
BARBADOS 
BARCELONA ESPANA 
BASSAS DA INDIA 
BELARUS 
BELGIUM 
BELIZE 
BENIN 
BERMUDA 
BHUTAN 
BOLIVIA 
BOSNIA AND HERZEGOVINA 
BOTSWANA 
BOUVET ISLAND 
BRAZIL 
BRITISH INDIAN OCEAN TERRITORY 
BRITISH VIRGIN ISLANDS 
BRUNEI 
BULGARIA 
BURKINA FASO 
BURUNDI 
CAMBODIA 
CAMEROON 
CANADA 
CAPE VERDE 
CAYMAN ISLANDS 
CENTRAL AFRICAN REPUBLIC 
CHAD 
CHILE 
CHINA 
CHRISTMAS ISLAND 
CLIPPERTON ISLAND 
COCOS (KEELING) ISLANDS 
COLOMBIA 
COMOROS 
CONGO DEMOCRATIC REPUBLIC 
CONGO REPUBLIC 
COOK ISLANDS 
CORAL SEA ISLANDS 
COSTA RICA 
COTE D'IVOIRE 
CROATIA 
CUBA 
CYPRUS 
CZECH REPUBLIC 
DENMARK 
DJIBOUTI 
DOMINICA 
DOMINICAN REPUBLIC 
ECUADOR 
EGYPT 
EL SAVADOR 
ENGLAND 
EQUATORIAL GUINEA 
ERITREA 
ESTONIA 
ETHIOPHIA 
EUROPA ISLAND 
FALKLAND ISLANDS 
FAROE ISLAND 
FIJI 
FINLAND 
FRANCE 
FRENCH GUIANA 
FRENCH POLYNESIA 
FRENCH SOUTHERN & ANTARCTIC LANDS 
GABON 
GAMBIA 
GAZA STRIP 
GEORGIA 
GERMANY 
GHANA 
GIBRALTAR 
GLORIOSO ISLANDS 
GREAT BRITAIN 
GREECE 
GREENLAND 
GRENADA 
GUADELOUPE 
GUAM 
GUATEMALA 
GUERNSEY 
GUINEA 
GUINEA-BISSAU 
GUYANA 
HAITI 
HCARD ISLAND & MCDONALD ISLANDS 
HOLY SEE (VATICAN CITY) 
HONDURAS 
HONG KONG 
HOWLAND ISLAND 
HUNGARY 
ICELAND 
INDIA 
INDIAN OCEAN 
INDONESIA 
IRAN 
IRAQ 
IRELAND 
ISLE OF MAN 
ISRAEL 
ITALY 
IVORY COAST 
JAMAICA 
JAN MAYEN 
JAPAN 
JARVIS ISLAND 
JERSEY 
JOHNSON ATOLL 
JORDAN 
JUAN DE NOVA ISLAND 
KAZAKHSTAN 
KENYA 
KINGMAN REEF 
KIRIBATI 
KOREA NORTH 
KOREA SOUTH 
KUWAIT 
KYRGYSTAN 
LABUAN MALAYSIA 
LAOS 
LATVIA 
LEBANON 
LESOTHO 
LIBERIA 
LIBYA 
LIECHTENSTEN 
LITHUANIA 
LUXEMBOURG 
MACAU 
MACEDONIA 
MADAGASCAR 
MALAWI 
MALAYSIA 
MALDIVES 
MALI 
MALTA 
MAN ISLE 
MARSHALL ISLANDS 
MARTINIQUE 
MAURITANIA 
MAURITIUS 
MAYOTTE 
MEXICO 
MICRONESIA, FEDERATED STATES 
MIDWAY ISLANDS 
MOLDOVA 
MONACO 
MONGOLIA 
MONTSERRAT 
MOROCCO 
MOZAMBIQUE 
MYANMAR 
NAMIBIA 
NAURU 
NAVASSA ISLAND 
NEPAL 
NETHERLANDS 
NETHERLANDS ANTILLES 
NEW CALEDONIA 
NEW ZEALAND 
NICARAGUA 
NIEU 
NIGER 
NIGERIA 
NORFOLK ISLAND 
NORTEHRN IRELAND 
NORTH KOREA 
NORTHERN MARIANA ISLANDS 
NORWAY 
OMAN 
PACIFIC OCEAN 
PAKISTAN 
PALAU 
PALMYRA ATOLL 
PANAMA 
PAPUA NEW GUINEA 
PARACELL ISLANDS 
PARAGUAY 
PERU 
PHILIPPINES 
PITCAIRN ISLANDS 
POLAND 
PORTUGAL 
PUERTO RICO 
QATAR 
REUNION 
ROMANIA 
RUSSIA 
RUSSIAN  FEDERATION 
RWANDA 
SAINT KITTS AND NEVIS 
SAINT LUCIA 
SAMOA 
SAN MARINO 
SAU TOME AND PRINCIPE 
SAUDI ARABIA 
SCOTLAND 
SENEGAL 
SERBIA AND MONTENEGRO 
SEYCHELLES 
SIERRA LEONE 
SINGAPORE 
SLOVAKIA 
SLOVENIA 
SOLOMON ISLANDS 
SOMALIA 
SOUTH AFRICA 
SOUTH GEORGIA & SOUTH SANDWICH ISLANDS 
SPAIN 
SPRATLY ISLANDS 
SRI LANKA 
ST HELENA 
ST LUCIA 
ST VINCENT & THE GRENADINES 
SUDAN 
SURINAME 
SVALBARD 
SWAZILAND 
SWEDEN 
SWITZERLAND 
SWITZERLAND 
SYRIA 
TAIWAN 
TAJIKISTAN 
TANZANIA 
THAILAND 
TOGO 
TOKELAU 
TONGA 
TRINIDAD AND TOBAGO 
TROMELIN ISLAND 
TUNISIA 
TURKEY 
TURKMENISTAN 
TURKS & CAICOS ISLANDS 
TUVALU 
UGANDA 
UKRAINE 
UNITED ARAB EMIRATES 
UNITED KINGDOM 
UNITED STATES 
URUGUAY 
UZBEKISTAN 
VANUATU 
VENEZUELA 
VIETNAM 
VIRGIN ISLANDS 
WAKE ISLAND 
WALES 
WALLS AND FUTUNA 
WEST BANK 
WESTERN SAHARA 
WESTERN SAMOA 
WORLD 
WORLD WIDE 
YANGON 
YEMEN 
ZAIRE 
ZAMBIA 
ZIMBABWE 
                            
                         
                        
                            
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                                        Benefit 
                                        Benefit Description 
                                        Silver (RM) 
                                        Gold (RM) 
                                        Diamond (RM) 
                                     
                                 
                                
                                            
                                                1.  
                                                Accidental Death 
                                                50,000 
                                                200,000 
                                                500,000 
                                             
                                            
                                                2.  
                                                Accidental Permanent Disablement 
                                                50,000 
                                                200,000 
                                                500,000 
                                             
                                            
                                                3.  
                                                Accidental Hospital Benefit (maximum up to 60 days) (Per day) 
                                                50 
                                                200 
                                                500 
                                             
                                            
                                                4.  
                                                Academic Achievement Award 
                                                50 
                                                200 
                                                500 
                                             
                                            
                                                5.  
                                                Common Illnesses (maximum up to 15 days) (Per day) 
                                                50 
                                                200 
                                                500 
                                             
                                            
                                                6.  
                                                Kidnap Benefit 
                                                10,000 
                                                20,000 
                                                50,000 
                                             
                                            
                                                7.  
                                                Exam and Tuition Fees 
                                                500 
                                                2,000 
                                                5,000 
                                             
                                            
                                                8.  
                                                Double Indemnity on Public Conveyance 
                                                50,000 
                                                200,000 
                                                500,000 
                                             
                                            
                                                9.  
                                                Loss/Damage to Gadget 
                                                100 
                                                300 
                                                500 
                                             
                                 
                            
                         
                        
                        
                        
                        
                        
                        
                        
                        
                        
                        
                            
                            
                                
                            
                                
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