List of customer forms


Investment Linked Policy & Non-Investment Linked PolicyOnlineDownload
PRUShield Policy / PRUExtra PolicyOnlineDownload

Credit CardOnline 
GIRO Online 

Payment FrequencyOnlineDownload
Payment MethodDownload
Advance Premium Payment (up to 2 years)Download
Maturity Payout OptionDownload
CashBack/Cash Benefit Start PeriodDownload
Regular Benefits Payout OptionDownload
Fund Distribution OptionDownload
Portfolio SolutionsDownload
Declaration for Change in Smoker StatusDownload
Increase in Sum AssuredDownload
Conversion to Paid UpDownload
Reduction in Sum AssuredDownload
Reduction in PremiumDownload
Cancellation in Supplementary BenefitsDownload

Termination of Policy (non-PRUShield)

If you’re considering terminating your policy, it’s important to explore your options and make an informed decision.

Please note that the termination application is applicable only to policies with no cash value. You can check if your policy has a cash value via our Prudential Singapore app or PRUServices (web) or refer to your policy documents.

 

For more information on exploring your options, please visit Keeping Your Policy | Prudential Singapore.

Download
Termination of Policy (PRUShield / PRUExtra)Download
Plan Downgrade (PRUShield / PRUExtra)Download
Change of Life AssuredDownload

Application for Cash Benefit WithdrawalOnline Download
Application for Policy LoanOnline Download
Application for Partial Withdrawal Online Download
Questionaire for Free partial withdrawal (Cancer, Heart attack & Stroke)Download
Application for Cash Bonus / PRUAsset Withdrawal Download

Update of AddressOnline Download
Update of Marketing ConsentOnline  
Update of Contact DetailsOnline Download
Update of Particulars Download
Change in Occupation Download

Application for Fund Switch / Premium RedirectionOnlineDownload

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

Service Fee (per policy, per statement)
Historical StatementsCurrent to 1 year>1-5 years>5-10 yearsMore than 10 years
Premium Payment / Acknowledgement / Total Premium PaidNo Charge$25.20$50.40$75.60
All types of Loans
Advance Premium Deposit
Other Transactions
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.

Bank Draft / Telegraphic Transfer / Direct CreditDownload

For further information on the HPS Exemption process, kindly click on this linkDownload

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 the Life Insurance Association (LIA) Singapore’s Your Guide to the Nomination of Insurance Nominees (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]OnlineDownload
Form 5 [Revocation of Revocable Nomination]Download
Form 6 [Notice of Revocation of Revocable Nomination]Download

Juvenile & Educational TrustDownload
Supplemental Deed for Juvenile & Educational Trust – for changes on Sec73 Trust Nomination or Juvenile & Educational Trust NominationDownload

Before you assign your policy, please ensure that you have read and understood the information provided under Assignment of Policy in Understanding life insurance.

 

Notice of Assignment for assignment between individual and/or bank/society/charitable organization/ business entityDownload
Notice of Assignment between Joint Assignors (both natural persons), and Business EntityDownload
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

Update of Tax Residence Status for IndividualDownload
Update of Tax Residence Status for EntityDownload

 

Form W-8BEN-EDownload
Form W-8ECIDownload
Form W-8EXPDownload
Form W-8IMYDownload
Form W-9Download

Form W-9Download
Form W-8BENDownload

Business Reply EnvelopeDownload

 

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

Prudential Assurance Company Singapore (Pte) Limited

Privy Box No. 920427

Singapore 929292

If you’re considering surrendering your policy, it’s important to explore your options and make an informed decision.

Please note that the surrender application is applicable only to policies with cash value. You can check if your policy has a cash value via our Prudential Singapore app or PRUServices (web) or refer to your policy documents.

For more information on exploring your options, please visit Keeping Your Policy | Prudential Singapore.