Due to company will update form version from times to times,
kindly download latest version direct from Gesica or Epartner.
If want to download from below link, kindly login E-Partner first.
– Living Claims Requirement Checklist
(Check List)
– Living Assurance Claim Form – Claimant’s Statement
(Fill in by CLIENT)
– Confidential Medical Certificate (Check Below List)
(Fill in by DOCTOR)
CTC = Certified True Copy
– Confidential Medical Certificate (Cancer)
– Confidential Medical Certificate (Brain, Nerve & Muscle related condition)
– to be completed by Consultant Neurologist
– Confidential Medical Certificate (Heart related conditions)
– Confidential Medical Certificate (Other Illnesses)
1. Living Assurance Claim Form – Claimant’s Statement
2. Original copy of Letter of Authorisation/Consent (3 copies)
3. CTC Of Life Assured’s NRIC
4. CTC Of Claimant’s NRIC (if different from Life Assured)
5. All relevant investigation test results or reports for individual Covered Event
(Relevant reporting requirements will be displayed in the Check List Form）
If Life Assured is a non-Malaysian or event occurred outside Malaysia (except Singapore)
(i) CTC of Life Assured’s Full Passport Book