Insurance Claim Form - STAMS-ADTEC Taiping

e-INSURANCE

APPLICATION FOR STUDENT INSURANCE PLANS AND CLAIMS

Fill the form below to submit your insurance claim

Important Notice

ADTEC Taiping only processes student applications. The final approval is subject to evaluation by the Takaful provider.

Personal Information

Full Name

NDP

Division

Semester

Gender

IC No

Telephone No

Enter your phone number without dashes or spaces

Email Address

We'll never share your email with anyone else

Mailing Address

Estimate Claim Amount (RM)

Bank Name

TUNTUTAN TAKAFUL KEMALANGAN DIRI (GPA) DISEBABKAN KEMALANGAN

I want to make a GPA claim

Download Templates

Please download and complete these forms before submitting your claim:

Borang Pelepasan Tuntutan Takaful Ikhlas GPA

Borang Tuntutan Takaful Kemalangan Diri Takaful Ikhlas

Penerangan Takaful Kemalangan Diri Berkelompok (GPA) ADTEC

Print and complete these forms. Then scan and upload them along with other required documents.

Upload Supporting Documents Upload relevant medical reports, receipts, and other supporting documents (PDF, JPG, PNG, DOC formats, max 5MB each)

TUNTUTAN KELUARGA TAKAFUL HAYAT (GTT) DISEBABKAN KEMATIAN DAN HILANG UPAYA KEKAL

I want to make a GTT claim

Download Templates

Please download and complete these forms before submitting your claim:

Penerangan Takaful Hayat Berkelompok (GTT)

Borang Tuntutan Keluarga Takaful Ikhlas

Borang Pelepasan Tuntutan Takaful Ikhlas

Print and complete these forms. Then scan and upload them along with other required documents.

Upload Supporting Documents Upload death certificate, medical reports, and other supporting documents (PDF, JPG, PNG, DOC formats, max 5MB each)

Important Note:

Please send all physical documents to the following address:

PENGARAH
PUSAT LATIHAN TEKNOLOGI TINGGI (ADTEC) TAIPING, PERAK
PT 15643, Kamunting Raya,
Mukim Assam Kumbang,
34600 Kamunting, Taiping,
Perak Darul Ridzuan.
(U.P : BPPL – TUNTUTAN INSURAN PELAJAR)