NTU TravelSure Application Form

Statement pursuant to Section 25(5) of the Insurance Act, you are to disclose in the Application Form, fully and faithfully, all the facts that you know or ought to know, otherwise this Policy issued hereunder may be void.

Eligibility of Cover

  • Insured must be a Student or Staff from an NTU College/School/Department/Research Centre
  • Insured must be domiciled in Singapore
  • The trip must start and end in Singapore within the period of Insurance

Please fill in all fields and payment instructions below before submission. Only students are required to enter their matriculation number. You will receive an acknowledgement via your email. Your Travel Insurance Certificate and Policy will be issued within 5 working days and they will be sent to the registered email address. No hard copies will be sent.

Particulars

Payment Details

I would like to pay the premium by Credit/Debit Card.
I agree that no reversal is allowed under any circumstances whatsoever, once the payment is charged to the Credit/Debit Card.
Please note that your premium deduction is offline and this will be done within 5 working days.

Conditions

  • Pre-existing medical conditions are not covered by the Policy
  • The trip must not be for the purpose of seeking medical treatment
  • The Insured person must be domiciled in Singapore

Declaration

I hereby declare that I am in good health and am aware of and agree to abide by the Policy’s Terms, Conditions and Exclusions. I also understand that the issuance of the policy is based on all statements and answers set out in this Application Form which are complete and true. I am aware that I can seek advice from a qualified adviser before making a commitment to purchase the product. In the event that I choose not to seek advice from a qualified adviser, I take sole responsibility to ensure that this product is appropriate for financial needs and insurance objectives.