NTU TravelSure Group 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 below before submission. You will receive an acknowledgement via your email. An invoice will be sent within 5 working days to the registered email address along with payment instructions. No hard copies will be sent.

Particulars of Authorized Representative

Applicant Information Upload

Please attach the completed group applicants spreadsheet file using the field below. Ensure that all relevant fields are completed correctly to facilitate the application process. It is only required to enter the matriculation number for students.

The uncompleted group applicants spreadsheet file can be downloaded to your computer for completion offline here[XLSX]. The file can be opened by a spreadsheet editor, like Microsoft Excel.

Payment Details

I would like to pay the premium by Credit/Debit Card on behalf of my group.
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