Application Forms

1. Prudential Business Reply Envelope

Prudential Business Reply Envelope
1. 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
1. 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
1. Update of Address and Contact Information
  
  If you wish to update us on your change of address and contact information, simply login to PruAccess (our online service for our policyholders) or complete the "Update of Address and Contact Information 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.
  
  Change of Personal Particulars
  
  If you wish to update us on a change in personal particulars such as NRIC Number or Name, 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.
  
  Please include a photocopy of your NRIC/Passport/Deed Poll.

4. Change in Mode of Payment or Premium Frequency

Change in Mode of Payment or Premium Frequency
1. 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
1. 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
1. 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
1. 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
1. If you wish to apply for policy loan, withdraw your cash bonus or cashback, please complete the Application for Cash Bonus / CashBack / Policy Loan 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.

9. Unlimited Free Fund Switches

Unlimited Free Fund Switches
1. If you wish to do a fund switch for your investment linked policy / Pruselect Vantage policy (SGD/USD), simply login to PruAccess (our online service for our policyholders) to apply online or complete the "Fund Switch Application 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.
  
  Click Download for form. (PruSelect Vantage plan)
  
  Wish to enjoy UNLIMITED Free Fund Switches for your PruLink Funds?
  
  Our PruLink investment-linked funds have shown excellent results, with many of our funds generating more than 20% returns.
  
  We have subsequently received requests from customers wishing to surrender their policies, in order to realise the profits from the appreciated value of their units.
  
  Customers have also indicated that they wish to regain exposure to the markets by purchasing another single premium investment-linked policy within a very short time.
  
  Allow us to highlight why such actions might in fact, ultimately be disadvantageous to you:
  - Unnecessary Additional Costs
    New single premium policies come with upfront charges. By terminating one policy and buying another one, you may incur unnecessary front-end and administrative costs.
  - Risk of Uninsurability
    Terminating your insurance policy could result in higher premiums due to changes in age or health at the time of re-purchase.
  Flexible options with your PruLink policy
  
  To realise the gains from the appreciation in the value of your units, it is not in fact, necessary for you to surrender your policy. Rather, use the following fund switch option available to ALL PruLink policyholders:
  - If you believe that the stock markets are too volatile, or are likely to drop in the near future, switch a portion of your units to the PruLink Singapore Cash Fund - this locks the gains from the appreciated value of the units in your policy.
    
    The PruLink Singapore Cash Fund invests in lower-risk Singapore fixed interest deposits, cash and similar assets. This fund allows you to park your funds at minimum risk.
  - If your investment objectives have changed since your initial purchase, switch to a different PruLink Fund that meets these new investment objectives.
  Unlimited free fund switches
  
  In recognising that over the long term, policyholders' objectives and risk profile may change, we are pleased to inform you that you will enjoy an unlimited number of fund switches, absolutely free!
  
  This enables you to change, reshape or rebalance your portfolio at no cost, and most importantly, reap the benefits of investing long-term.
  
  If you would like more information, please call our PruCustomer Line at 1800 333 0333, or speak to your Prudential Financial Consultant today.

10. Premium Redirection

Premium Redirection
1. If you have an investment linked policy / Pruselect Vantage policy (SGD/USD), you may change the proportions in which your regular premiums are being invested. To do so, please log in to PruAccess (our online service for our policyholders) to apply online, or complete the "Premium Redirection Application 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. (All linked plans except PruSelect Vantage )
  
  Click Download for form. (PruSelect Vantage plan)

11. One Time Credit Card Deduction Form

One Time Credit Card Deduction Form
1. 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
1. If you wish to make your premium payments through Visa or Mastercards issued by Standard Chartered Bank, DBS/POSB, Maybank, UOB or Citibank, please complete the Application for Regular Premium Payment by Credit Card 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, cheque or Giro for all premium(s) until your application is approved by Prudential.

13. Payment through Interbank GIRO

Payment through Interbank GIRO
1. 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
1. Please click here for more information.

15. Standard Chartered Redemption Form

Standard Chartered Redemption Form
1. If you are a Standard Chartered PRUprestige Visa Signature/ Prudential Platinum Credit Card holder, you can now convert your Std$ 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
1. Good news! Our customers can now pay for regular premium and recurrent single premium cash policies at over 24-hour 250 SingPost S.A.M. (Self-Service Automated Machines) via NETS. You may pay for single or multiple policies with your other bills at one go.
  
  Minimum payment is $20 and maximum is the ATM withdrawal limit set by your 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.

17. Duplicate Policy

Duplicate Policy
1. 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
1. 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.

Application Forms

Type of Application: