APPLICATION FORM FOR STUDENT INSURANCE COVERAGE

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Student can apply for Insurance Letter for Industrial Training / Exchange Programme / Others using the form here http://www.utm.my/studentaffairs/

List of insurance scheme are as follows:

  1. Death benefit (Natural causes)                                :  RM 12,000
  2. Accidential Death                                                     : RM 22,000
  3. Total Permanent Disablement ( Natural Causes )   : RM 12,000 (max)
  4. Permanent Disablement ( Accidential Causes )      : RM 12,000 (max)
  5. Hospital Allowance (Accidental Causes)                 : Limit up to 30days / General Hospital only – RM50/days
  6. Funeral Expenses                                                   : RM 2,000
  7. Repatriation Expenses                                            : RM 2,000

IMPORTANT NOTED : 
Please enclose a COPY of the following documents :
i. Organization’s Offer Letter
ii. Matric Card
iii. Identity Card

Application can be email to suzanaz@utm.my / noraznizaho@utm.my/ sita@utm.my

(Please take note that the issuance of the letter will take within three (3) working days and do come to collect your letter after that period. Thank you).