Loyalty BONUS!
Enjoy 5%
incremental sum
assured for
accidental death &
total disablement
every year for up to
15%!
Enjoy 5%
incremental sum
assured for
accidental death &
total disablement
every year for up to
15%!
SIRIUS Personal Accident Application Form
| All rights reserved. |
FACT FILE
There is 50% more
admission to hospital
for accident &
poisoning than
cancer treatment.
~ Source MOH
There is 50% more
admission to hospital
for accident &
poisoning than
cancer treatment.
~ Source MOH
Star Capital Insurance
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NOW AVAILABLE!
In 2 types of Formats ( .xps & .pdf) for your viewing and printing ease:
In 2 types of Formats ( .xps & .pdf) for your viewing and printing ease:
| SIRIUS Personal Accident Insurance Plan! For $368 per year SIRIUS Personal Accident Insurance offers 24 hours worldwide coverage with up to S$575,000 for you and/or your family. |
Print, Fill in form and Sign.
3 Ways to submit SIRIUS Personal Accident Plan Application forms:
1. Scan completed form and email to enquiry@starcapitalinsurance.com.
Payment*
* Payment:
3 Ways to submit SIRIUS Personal Accident Plan Application forms:
1. Scan completed form and email to enquiry@starcapitalinsurance.com.
Payment*
- Subject: SIRIUS
- ATTN: SIRIUS
- ATTN: SIRIUS
Star Capital Insurance Pte. Ltd
Blk 167, Jalan Bukit Merah
#06-12, The Connection,
Tower 4,
Singapore 150167
* Payment:
- For payment by cheque, please mail to the above address.
- For payment by cash, please contact us
- For payment by credit card, please complete the Credit Card Payment
Authorization form. Either fax to 627 627 57, scan & email to
payment@starcapitalinsurance.com or mail it to the above address.
| Mother's Day & Father's Day Promotion Get up to $40 Gift Vouchers for every purchase of a SIRIUS Personal Accident Plan (adult plans only) |