Fill up the form to get Free Worldwide Travel Insurance
First Name *

As per NRIC
Family Name *

As per NRIC
Nationality *

NRIC/ Fin no. *

Date of Birth *

(aged 18 and above)
Destination *

Country travelling to
Travel Start Date *

Must be from 20 Apr 2018 onwards
Travel End Date *

Must be before 10 Oct
Contact Number *

Address *

Unit Number *

Postal Code *

Are you a PolicyPal's user? If no, we will create a PolicyPal account to store the free insurance in the event that you are the selected winner. *

I confirm that the information given in this form is true, complete and accurate *

I have read and accepted the terms and conditions of PolicyPal's Free Travel Insurance Giveaway 2018 ( *

Thank you for completing the form. We will announce the winners on 11 Apr 2018 on our Facebook group (

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