Application Forms

Type of Application:

  1. 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. 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. 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. 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. 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. 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. 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. 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. 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. 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. 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. 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. 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. 14 Payment through PruCard
    • Payment through PruCard

      Please click here for more information.

  15. 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. 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. 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. 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. 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