List of Customer Forms
|Advance Premium Payment (up to 2 years)||Download|
|Maturity Payout Option||Download|
|CashBack/Cash Benefit Start Period||Download|
|Regular Benefits Payout Option||Download|
|Fund Distribution Option||Download|
|Declaration for Change in Smoker Status||Download|
|Increase in Sum Assured||Download|
|Conversion to Paid Up||Download|
|Reduction in Sum Assured||Download|
|Reduction in Premium||Download|
|Cancellation in Supplementary Benefits||Download|
|Termination of Policy (non-PRUShield)||Download|
|Termination of Policy (PRUShield / PRUExtra)||Download|
|Plan Downgrade (PRUShield / PRUExtra)
Refer to PRUaccess > Account OVERVIEW Tab > PRUShield Downgrade
Note: Read the Product Summary of the plan chosen for the benefits and features.
|Change of Life Assured||Download|
Withdrawal / Policy Loan
Update of Personal Particulars
For the following historical / acknowledgement statements, a service fee would be charged as follows:
|Service Fee (per policy, per statement)|
|Historical Statements||Current to 1 year||>1-5 years||>5-10 years||More than 10 years|
|Premium Payment / Acknowledgement / Total Premium Paid||No Charge||$25||$50||$75|
|All types of Loans|
|Advance Premium Deposit|
|Printing of Statements & Policy Details||$10 per statement / details printout|
|*Amount Shown Inclusive of GST|
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.
Payment Instructions Form
Application for HPS Exemption Form
Trust & Revocable Nomination
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).
|Form 1 [Trust Nomination]||Download|
|Form 2 [Revocation of Trust Nomination]||Download|
|Form 3 [Appointment or Revocation of Appointment of Trustee of Policy Moneys]||Download|
|Form 4 [Revocable Nomination form]||Download|
|Form 5 [Revocation of Revocable Nomination]||Download|
|Form 6 [Notice of Revocation of Revocable Nomination]||Download|
Other Trust Nomination
Assignment of Policy
Before you assign your policy, please ensure that you have read and understood the information provided in our FAQ.
|Notice of Assignment for assignment between individual and/or bank/society/charitable organization/ business entity||Download|
|Deed of Absolute Assignment (Single assignor to Single assignee, both natural persons)||Download|
|Deed of Absolute Assignment (Single Assignor to Joint Assignees, all natural persons)||Download|
|Deed of Absolute Assignment (Joint Assignors to Single Assignee, all natural persons)||Download|
|Deed of Absolute Assignment (Joint Assignors to Joint Assignees, all natural persons)||Download|
CRS Self Certification Form
FATCA Forms for Entity
Business Reply Envelope
|Business Reply Envelope||Download|
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