Application Forms

1 Prudential Business Reply Envelope

Prudential Business Reply Envelope

You can now use the Prudential Business Reply Envelope to mail your application forms to us.

Click Download

2 Alteration of Policy Benefits

Alteration of Policy Benefits

If you wish to do any Alterations to your existing policy benefits like increase, reduction or cancellation, please complete the Application for Alteration Form 2 and mail it back to us at:

Prudential Assurance Company Singapore (Pte) Limited
Robinson Road P.O.Box 492
Singapore 900942

Click Download for form.

3 Change of Address and Contact Information / Change of Personal Particulars Form

Change of Address and Contact Information / Change of Personal Particulars Form

Update of Address and Contact Information

Via our customer online portal, simply login to PRUaccess to submit your request.

Via mail, simply Click Download for form, complete and mail it back to us at:

Prudential Assurance Company Singapore (Pte) Limited
Robinson Road P.O. Box 492
Singapore 900942

Change of Personal Particulars

Via mail, simply click Download for form, complete and mail it back to us at:

Prudential Assurance Company Singapore (Pte) Limited
Robinson Road P.O. Box 492
Singapore 900942

Please include a photocopy of your NRIC/Passport.
For change of name, please include a photocopy of your NRIC with the Deed Poll.

4 Change in Mode of Payment or Premium Frequency

Change in Mode of Payment or Premium Frequency

If you wish to change your premium details such as mode and frequency, please complete the "Application for Alteration Form 1" and mail it back to us at:

Prudential Assurance Company Singapore (Pte) Limited
Robinson Road P.O. Box 492
Singapore 900942

Click Download for form.

5 Lapse Notice Reinstatement Form

Lapse Notice Reinstatement Form

If you wish to reinstate your non-link policy, which is lapsed for more than 60 days, please complete the Reinstatement form and mail it back to us at:

Prudential Assurance Company Singapore (Pte) Limited
Robinson Road P.O.Box 492
Singapore 900942

Click Download for form.

Please contact your financial consultant for further details.

6 Unpaid Premium Notice Reinstatement Form

Unpaid Premium Notice Reinstatement Form

If you wish to reinstate your link policy, which is lapsed for more than 60 days, please complete the Reinstatement Form and mail it back to us at:

Prudential Assurance Company Singapore (Pte) Limited
Robinson Road P.O.Box 492
Singapore 900942

Click Download for form.

Please contact your financial consultant for further details.

7 Application for Partial Withdrawal

Application for Partial Withdrawal

If you wish to partially withdraw the unit value from your unit-linked policy, please complete the Application for Partial Withdrawal and mail it back to us at:

Prudential Assurance Company Singapore (Pte) Limited
Robinson Road P.O. Box 492
Singapore 900942

Click Download for form.

Please note the pricing will be on the date the Application form is received by Prudential.

8 Application for Cash Bonus /Cash Back / Loan Form

Application for Cash Bonus /Cash Back / Loan Form

Via our customer online portal, simply login to PRUaccess to submit your request for cashback and policy loan application.

Via mail, simply click Download for form, complete and mail it back to us at:

Prudential Assurance Company Singapore (Pte) Limited
Robinson Road P.O.Box 492
Singapore 900942

9 Application for Fund Switch

Application for Fund Switch

Via our customer online portal , simply login to PRUaccess to submit your request for your investment linked policy / Pruselect Vantage policy (SGD/USD),

Via mail, simply click Download for form (PruSelect Vantage Policy) and
click Download for form (Investment Linked Policy), complete and mail it back to us at:

Prudential Assurance Company Singapore (Pte) Limited
Robinson Road P.O.Box 492
Singapore 900942

With effect from 17 Sep 2012, Customer Knowledge Assessment (CKA) requirement will be extended to Fundswitch and Premium Redirection on all our PruLink plans.

Please refer to the attached Information Sheet (English and Chinese version) for more information.
Click here.

10 Premium Redirection

Premium Redirection

Via our customer online portal, simply login to PRUaccess to submit your request for change the proportions in which your regular premiums are being invested.

Via mail, simply click Download for form. (PruSelect Vantage policy) and
click Download for form (Investment Linked Policy) for form, complete and mail it back to us at:

Prudential Assurance Company Singapore (Pte) Limited
Robinson Road P.O. Box 492
Singapore 900942

With effect from 17 Sep 2012, Customer Knowledge Assessment (CKA) requirement will be extended to Fundswitch and Premium Redirection on all our PruLink plans.

Please refer to the attached Information Sheet (English and Chinese version) for more information.
Click here.

11 One Time Credit Card Deduction Form

One Time Credit Card Deduction Form

If you wish to use your credit card ( Visa or MasterCard’s issued by Standard Chartered Bank, DBS/POSB, May bank, UOB or Citibank) only for one time premium payment, please complete the Credit Card Authorization form and mail it back to us at:

Prudential Assurance Company Singapore (Pte) Limited
Robinson Road P.O.Box 492
Singapore 900942

Click Download for form.

Please continue to pay by cash or cheque for the subsequent premiums.

12 Payment through Standard Chartered Bank, DBS/POSB, Maybank, UOB or Citibank Visa / Mastercards

Payment through Standard Chartered Bank, DBS/POSB, Maybank, UOB or Citibank Visa / Mastercards

Via our customer online portal, simply login to PRUaccess to make your premium payments through Visa or Mastercards issued by Standard Chartered Bank, DBS/POSB, Maybank, UOB or Citibank.

Via mail, simply click Download for form, complete and mail it back to us at:

Prudential Assurance Company Singapore (Pte) Limited
Robinson Road P.O.Box 492
Singapore 900942

Please continue to pay by cash, cheque or Giro for all premium(s) until your application is approved by Prudential.

13 Payment through Interbank GIRO

Payment through Interbank GIRO

If you wish to make your premium payments through GIRO, please complete the Application Form for Interbank Giro and mail it back to us at:

Prudential Assurance Company Singapore (Pte) Limited
Robinson Road P.O. Box 492
Singapore 900942

Click Download for form.

We wish to inform you that the bank normally requires 2 months to process the new Interbank Giro application. In the meantime, please continue to send us your payment.

14 Payment through PruCard

Payment through PruCard

Please click here for more information.

15 Standard Chartered Redemption Form

Standard Chartered Redemption Form

If you are a Standard Chartered PRUprestige Visa Signature/ Prudential Platinum Credit Card holder, you can now convert your reward points to pay for your Prudential policy premium.

For more information , please visit the Standard Chartered website.

Click download for form

16 Islandwide Convenience for Your Premium Payments

Islandwide Convenience for Your Premium Payments
You can make payment for your regular premium and recurrent single premium cash policies at any one of the following payment machines:
1. SingPost S.A.M. (Self-Service Automated Machines)
  You can now pay at any 250 SingPost S.A.M. (Self-Service Automated Machines) via NETS, operating 24 hours daily! At your convenience, pay single or multiple policies with other bills at one-go. Minimum payment is $20 and maximum is the ATM withdrawal limit set by the bank. You may either pay the exact premium instalment or in multiples of premium instalments.
  
  For S.A.M. locations, please refer to http://www.singpost.com.sg/downloads/sam.pdf or call the Singapore Post hotline at 1605.
2. AXS
  Start paying your new business and renewal premium at all AXS machines! Payment made at the AXS machine before 7pm on any working day will be transmitted to our office within the same day. With over 750 AXS machines strategically located island-wide, operating 24 hours daily, the extensive network of AXS station will ensure better accessibility and provide convenience for you.
  
  For information on the AXS locations, you may visit www.axs.com.sg or call AXS customer service hotline at 6560-2727 (8am to 10pm daily).

17 Duplicate Policy

Duplicate Policy

If you have lost/ misplaced/ destroyed your policy contract and require another copy, you will need to complete the Indemnity form.

Alternatively, you may visit our Customer Centre personally with your identity/document to sign a letter of indemnity.

For more information, please contact your Prudential Financial Consultant or call our PruCustomer Line at 1800 333 0333.

Click Download for form.

18 PruShield Application For Change of Payer Form

PruShield Application For Change of Payer Form

If you wish to change the payer for your PruShield policy, please complete the Application For Change of Payer Form and mail it back to us at:

Prudential Assurance Company Singapore (Pte) Limited
Robinson Road P.O.Box 492
Singapore 900942

Click Download for form.

19 Payment Instructions

Payment Instructions

If you wish to provide us with your payment instructions, please complete the "Payment Instructions Form" and mail it back to us at:

Prudential Assurance Company Singapore (Pte) Limited
Robinson Road P.O. Box 492
Singapore 900942

Click Download for form

Application Forms

Type of Application: