Apply for Hospitalization Claim
By clicking on 'Submit', I declare the following:
I read the rules and regulations with regard to the Hospitalisation Benefits Scheme.
I confirm that the information given is FULL,TRUE and CORRECT.
The Society shall have the authority to recover the sum paid to me should there be any information found which disqualify the claim.
I hereby authorise my surgeon or physician to release any information with regard to my hospitalisation to the Society.
(*Please send your Hospitalisation Bill / Discharge Summary via Email to firstname.lastname@example.org)