Medium

Available on

Apple Android Windows

Family Takaful Claim Form for Individual Family Takaful Plan (Malaysia) Mobile App

Quickly complete and submit claims from any mobile device with this Family Takaful Claim Form for Individual Family Takaful Plan (Malaysia) app. Includes participant details, type of claim, claimant declaration and more.

  • Lendlease
  • The Cooperative
  • PG&E
  • Red Bull
  • Mirvac

Want to learn more about GoCanvas?

Request a Demo

Take a peek inside the Family Takaful Claim Form for Individual Family Takaful Plan (Malaysia) Mobile App

Included Features

Our App Builder gives you the power to easily add and remove the ones you want. {{controller.show_all ? 'See included features.' : 'See more features.'}}

  • {{data.title}}

Included Fields

Customize to add, remove, or edit any of the fields below.

  • Ico textbox

    1. Takaful Certificate No / No Sijil Takaful

  • Ico textbox

    2. Name / Nama

  • Ico textbox

    3. New NRIC No / No KP Baru

  • Ico textbox

    Old IC No/Passport No/Company Registration No / No KP Lama/No Pasport/No Pendaftaran Syarikat

  • Ico textbox

    4. Correspondence Address / Alamat Surat-menyurat

  • Ico textbox

    5. Telephone / Telefon

  • Ico textbox

    Handphone / Telefon Bimbit

  • Ico textbox

    Facsimile No / No Faksimili

  • Ico textbox

    6. E-Mail Address / Alamat E-mel

  • Ico textbox

    7. Name of Member/Employee covered by this certificate / Name ahli/kakitangan yang dilindungi di ...

  • Ico textbox

    8. Selected Benefit Category, if applicable / Kategori mafaat yang disertai, sekiranya berkenaan

  • Ico checkbox

    Death / Kematian

  • Ico checkbox

    Permanent Total Disability / Keilatan Kekal Sepenuhnya

  • Ico checkbox

    Permanent Partial Disability / Keilatan Kekal Sebahagian

  • Ico checkbox

    Temporary Total Disability / Keilatan Sementara Sebahagian

  • Ico checkbox

    Temporary Partial Disability / Keilatan Sementara Sebahagian

  • Ico checkbox

    Critical Illness / Penyakit Kritikal

  • Ico checkbox

    Medical Expenses / Perbelanjaan Perubatan

  • Ico checkbox

    Hospitalisation Benefit / Manfaat Hospital

  • Ico checkbox

    Funeral Expenses / Perbelanjaan Pengkebumian

  • Ico checkbox

    Bereavement Benefit / Khairat Kematian

  • Ico checkbox

    Academic Excellence Award / Anugerah Kecemerlangan Akademik

  • Ico checkbox

    Others, please specify / Lain-Lain, sila nyatakan

  • Ico statictext

    Please complete the specified claim forms and submit supporting documents listed in the form / Si...

  • Ico statictext

    Please note that the Company may require additional supporting documents to be submitted after th...

  • Ico statictext

    Part 3 : Declaration by Participant and/or Claimant / Perakuan Peserta dan/atau Pihak Yang Menuntut

  • Ico statictext

    I/We hereby declare that, to the best of my/our knowledge, the above statements and facts are tru...

  • Ico statictext

    This for was completed by someone else, I/we hereby declare that all statements provided by them ...

  • ...and More!

Related Finance & Insurance Apps... and they're all free for GoCanvas subscribers!

App Name

Affidavit of Repossession

Use the Affidavit of Repossession mobile app is to certify that the undersigned has repossessed the motor vehicle describe...

App Name

Patient Information and Financial Policy

This app covers the basic patient information as well as the patient's insurance and therefore authorizes medical professi...

App Name

First Notice of Default and Right to ...

Financial institutions and lenders holding title of property are entitled to repossess or request a voluntarily surrender ...

App Name

Texas Department of Insurance - Const...

This Construction Safety Inspection Checklist app is designed to be used by inspectors as they perform extensive evaluatio...

App Name

Hold Harmless Agreement

Financial institutions and repossession companies can use a smartphone or tablet with the Hold Harmless Agreement mobile a...

App Name

Household Inventory: How to Make Your...

Making a list of all your belongings may seem a monumental task, which is what keeps many people from ever getting started...

App Name

Individual Hospitalization Claim Form...

The Individual Hospitalization Claim Form mobile app was designed for patients filing health insurance claims for hospital...

App Name

Household Inventory: Special Inventor...

The Household Inventory: Special Inventory (Clothing Children's) mobile app is great for not only documenting the clothes...

More Information


Recent Blog Posts