Personal Accident :
Application form
Our website is secured by 128-bit SSL encryption technology. It is safe to transact here.
Insured information
Insured ( age over 18, Hong Kong resident and buy the insurance in Hong Kong )
Surname :
First Name :
Gender :
Contact phone no. :
Email :

Press here, I confirm to apply for the above insurance having read and accepted the declaration and all the terms and conditions of use of this website.