Insurance Application Forms

It is now possible to print blank insurance  application forms in Portable Document Format (PDF). Adobe PDF files require Acrobat Reader software from Adobe Systems Inc.  You can submit the forms via fax or mail. Applications that are blurred cannot be processed. The forms should be printed on white paper. The forms are designed for A4 paper (210 x 297 mm), with no holes or perforations.

For more information and to download Adobe Acrobat Reader free of charge.

If you already have Adobe Acrobat Reader and can select the forms to print.

• SIHAT Malaysia (Health Care)
• Golfer's Insurance  
• Personal Accident
• Motor Insurance
• Road Tax Renewal  

Copyright © 2001 by Pacific & Orient Berhad
Company Privacy Statement

Pacific & Orient Insurance Co. Berhad (No. 12557-W)
11^th Floor, Wisma Bumi Raya
No 10, Jalan Raja Laut
50350 Kuala Lumpur, Malaysia
Teleinsurance: 1-800-88-2121
Telephone Number: 03 298 5033 Fax Number : 03 293 8145 (General)
Fax: 03 292 6700 (Marketing) Fax: 03 293 8490 (Finance) Fax: 03 294 0936 (Claims)
 Email: poi@pacific-orient.com