The Insurance Declaration Form is a crucial document in the Malaysian insurance industry, required by both conventional insurers and Takaful operators under the Financial Services Act 2013 and Islamic Financial Services Act 2013. This form must be completed by prospective policyholders before insurance coverage can be provided, serving as their formal declaration of material facts and circumstances relevant to the risk being insured. It includes personal information, risk details, insurance history, and various declarations regarding the accuracy of information provided. The document plays a vital role in the underwriting process, helping insurers assess risks accurately while ensuring compliance with Malaysian regulatory requirements, including those set by Bank Negara Malaysia. It also serves as a legal record of the applicant's consent for personal data processing under the Personal Data Protection Act 2010.
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1. Personal Information: Declarant's details including full name, ID/passport number, date of birth, nationality, and contact information
2. Risk Details: Specific information about the subject matter to be insured (property, life, health condition, etc.)
3. Insurance History: Previous insurance coverage, claims history, and existing policies
4. Financial Information: Income details, source of funds for premium payments, and other relevant financial information
5. Health Declaration: Current health status, medical history, and lifestyle factors (for life/health insurance)
6. Beneficiary Information: Details of nominated beneficiaries including full names, relationship, and contact information
7. Declaration Statements: Standard declarations regarding truth of information, understanding of terms, and consent for data processing
8. Authorization: Permissions for information verification, medical record access, and personal data processing
1. Occupation Details: Required for specific types of insurance where occupation affects risk assessment (e.g., life, personal accident insurance)
2. Property Details: Required for property insurance, including location, construction details, security measures
3. Vehicle Information: Required for motor insurance, including vehicle details, usage, and modification information
4. Travel Details: Required for travel insurance, including destination countries, travel dates, purpose of travel
5. Family Medical History: Required for life/health insurance where family health background is relevant
6. Lifestyle Questions: Optional section for specific insurance types requiring information about dangerous sports, smoking, etc.
7. Business Details: Required for commercial insurance, including business nature, turnover, and employee information
1. Schedule A - Medical Questionnaire: Detailed health-related questions for life/health insurance applications
2. Schedule B - Property Schedule: Detailed list of property/assets to be insured with values and specifications
3. Schedule C - Claims History: Detailed listing of previous insurance claims
4. Appendix 1 - Privacy Notice: Detailed information about how personal data will be collected, used, and protected
5. Appendix 2 - Declaration Language Options: Translations of key declarations in main languages used in Malaysia (Bahasa Malaysia, English, Mandarin)
6. Appendix 3 - Required Documents Checklist: List of supporting documents required for the insurance application
Relevant legal definitions
Clauses
Relevant Industries
Insurance
Financial Services
Healthcare
Banking
Real Estate
Automotive
Manufacturing
Retail
Transportation
Construction
Professional Services
Islamic Finance
Relevant Teams
Legal
Compliance
Risk Management
Underwriting
Claims Processing
Customer Service
Sales
Operations
Product Development
Data Protection
Shariah Advisory
Policy Administration
Relevant Roles
Insurance Underwriter
Risk Manager
Compliance Officer
Insurance Agent
Insurance Broker
Claims Manager
Legal Counsel
Policy Administrator
Product Development Manager
Customer Service Representative
Sales Manager
Actuarial Analyst
Operations Manager
Data Protection Officer
Shariah Compliance Officer
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