Customer Forms

For the following historical / acknowledgement statements, a service fee would be charged as follows:

Kindly complete the form and make a payment via AXS – kiosk, * m-Station (mobile app) and ** e-Station (online). We do not accept any other modes of payment.

* m-Station: Click Bills – Select Insurance – Scroll down and select Prudential – Select Service Fee and proceed to make the payment.

** e-Station: Kindly log on to http://www.axs.com.sg/ – Click on consumers – On your left panel, click on Pay My Bills now – On your left panel again, Click Bills – Select Insurance – Scroll down and select Prudential – Select Service Fee and proceed to make the payment.

Please complete the form and submit together with payment.

Before you make a nomination or create a trust or change or revoke them under the Insurance Act, please ensure that you have read and understood the information provided in Your Guide to Nomination of Insurance Nominees 2015 (NOB Guide).

Before you assign your policy, please ensure that you have read and understood the information provided in our FAQ.

When you have completed the above Policy Changes Form, mail it back to us at:

Prudential Assurance Company Singapore (Pte) Limited

Robinson Road P.O.Box 492

Singapore 900942