Agents' Corner

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Agents' Corner

Mayban Prestige Club

About you / your company

In order for us to get to know you and your business better, would appreciate it if you could provide some brief information as follows:

*1. Name:		*denotes compulsory field
2. Address:
*3. Contact number :
*4. Status of agency :	Individual Agent Corporate Agent
*5. Applying for :	New Agency 2nd Principal 3rd Principal

*6. How did you get to know Mayban Assurance:

	By recommendation. If so, by
	Others

7. Size of portfolio (S$):

8. Three most important business lines in your portfolio:

a.
b.
c.

9. Type of business you are likely to place with Mayban Assurance:

	Personal Insurance		Business Insurance		Construction Related Risks
	Motor		Marine Cargo		Scheme

10. Message:

Please submit the above information by clicking the button below. We will get in touch with you soon.

If you wish to retain your mail, please print this page before you submit.

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