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ComCare

Service Financial Request

There are 2 Financial request form and instructions for your easy reference

1 Member Addition Fill member details in our Template


Submit your request to our AIA care centre via KH.Care@aia.com

2 Member Termination Fill member details in our Template


Submit your request to our AIA care centre via KH.Care@aia.com

Note: Only Contact Person or Authorised person that can email for the request change
Please contact us via our AIA Care hotline: 086 999 242 or 023 999 242 or via email KH.Care@aia.com
H.Care@aia.com

H.Care@aia.com

are@aia.com
FINANCIAL

Company Name

Contact Person Name

Contact Person's E-mail Address

Requestor's Contact Number

Date of Request Submission

Type of Change Request

No Policy Number* Category* Title FirstName LastName


FINANCIAL REQUEST

mpany Name

ntact Person Name

ntact Person's E-mail Address

questor's Contact Number

te of Request Submission

pe of Change Request Member Addition Request

DOB
Sex MaritalStatus Nationality IdType IdNo EmployeeNo
(DDMM/YYYY)
r Addition Request

EffectiveDate
EmploymentDate Salary
(DDMM/YYYY)
FINAN

Company Name

Contact Person Name

Contact Person's E-mail Addres

Requestor's Contact Number

Date of Request Submission

Type of Change Request

No Policy Number* Certicate* Category* Title FirstName LastName


FINANCIAL REQUEST

ompany Name

ontact Person Name

ontact Person's E-mail Address

equestor's Contact Number

ate of Request Submission

pe of Change Request Member Termination Request

DOB
Sex MaritalStatus Nationality IdType IdNo EmployeeNo
(DDMM/YYYY)
ermination Request

EffectiveDate
EmploymentDate Salary
(MM/DD/YYYY)

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