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Customer Forms

1. Change of Payment Mode

2. Change of Payment Method

3. Policy Reinstatement - Lapse within 90 days

4. Policy Reinstatement - Lapse beyond 90 days

5. Nomination

   - FAQ - Making A Nomination


Change of Payment Mode

1. Payment modes available are monthly, quarterly, semi-annually and annually. Policyowner may request to change the payment mode at anytime subject to the following rules & requirements. However, it is to be noted that monthly premiums are only permitted when the payments are made through Direct Debit Instruction, Banker's Order (BO) or Salary Deduction.
Current Mode Requested Mode Date To Effect the Change
Monthly Annual At PA* only
Semi-annual At PA or 6 months from PA
Quarterly At PA or 3 months, 6 months from PA
Quarterly Annual At PA* only
Semi-annual At PA or 2 quarter from PA
Monthly At any premium due date.
Semi Annual Annual At PA* only
Quarterly At PA or any premium due date
Monthly At any premium due date
Annual Semi Annual At any premium due date
Quarterly At any premium due date
Monthly At any premium due date

"PA" = Policy Anniversary

2. Premium for modes other than annual are calculated as follows:
Payment Mode Calculation (Traditional) Calculation (Investment-Linked)
Semi Annual Annual Premium x 0.52 Annual Premium / 2
Quarterly Annual Premium x 0.261 Annual Premium / 4
Monthly Annual Premium x 0.087 Annual Premium / 12



Please fill in the following particulars in the Request For Change Form: 

  • Policy No : Policy Number
  • Insured : Name of the Insured
  • Details of amendment/change requested : To change my payment mode from (existing payment mode) to ( new payment mode)
  • Place and Date : The place and date when this form is signed
  • Signature of Insured/Policy Owner : Signature and details of the Policy Owner. The signature must be the same as our records and must be duly witnessed by a disinterested party.
  • Signature of witness : Signature and details of the witness.

Click here to download the Request For Change Form.


Send the completed form together with payment, if any, to:
Manulife Insurance Berhad
Policyowner Service Department
Level 12, Menara Manulife
No. 6, Jalan Gelenggang,
Damansara Heights,
50490 Kuala Lumpur


you may fax to us the completed form at 603 - 2092 2960

5. If you have any other queries, please contact our Customer Service Centre at:
Telephone No.: 03-2719 9112