OFW Online Application Form

OFW Insurance Coverage

FOR MIGRANT WORKER APPLICATION FORM
PERSONAL INFORMATION

For faster application, you may upload your passport here. Only PDF, JPEG, PNG, and GIF file formats are supported.

Type in details as they appear on the passport.

EMPLOYMENT INFORMATION
From
To
  NOTES:
  • Please be advised that our processors may change the start and end date of your insurance cover based on the employment document you will be submitting. (Insurance start date should not be later than the insurance application date).
  • Make sure that the employment dates you input match the contract date indicated in the working permit/visa.

Note: Required documents are Passport and Working Visa/Permit. Valid employment contract is required for coverage below 12 months. Only PDF, JPEG, PNG, and GIF file formats are supported.


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NAME OF BENEFICIARIES
PAYMENT LOCATION
Note:
A payment instruction will be sent to your nominated email address based on your selection
PAYMENT NOMINATION