How to Apply & Sign Up?

 

Please download the proposal form below to fill in your details.

 

Don’t forget to save a copy for your future reference.

 

Proposal Form

 

Aon Malaysian Medical Indemnity Proposal Form (For New Applications)

  Click here to download document

Aon Malaysian Medical Indemnity Renewal Form

  Click here to download document   

Please contact Aon MMI Service Team if you require any assistance

Payment Methods

 

Once you’re done, submit to Aon Malaysia with proof of payment via mail, courier, fax or email.

 

Cheque or Bank Draft

  • Make cheque or bank draft payable to AON INSURANCE BROKERS (MALAYSIA) SDN BHD
  • Write doctor’s name, identity card number and telephone number on the reverse of the cheque
  • Complete details in Aon Malaysian Medical Indemnity Proposal Form or Aon Malaysian Medical Indemnity Renewal Form, attach bank advice to Aon Malaysia
 

Telegraphic Transfer or Online Internet Banking

Beneficiary Name
Aon Insurance Brokers (Malaysia) Sdn Bhd

 

Beneficiary Address
Tower 3, Avenue 7, The Horizon
Bangsar South
No. 8 Jalan Kerinchi
59200 Kuala Lumpur
Malaysia

Bank Name
Public Bank Berhad

 

Bank Branch
Tiong Nam

Bank Address
Level 1 & 2, Wisma Public Bank
Jalan Raja Laut
50350 Kuala Lumpur
Malaysia

Bank Account Number 3088838605

 

Swift Code PBBE MYKL

 

"Reference / Remarks / Description (compulsory)"
Doctor’s Name or Identity Card Number

 

Complete details in Aon Malaysian Medical Indemnity Proposal Form or Aon Malaysian Medical Indemnity Renewal Notice and attach bank advice