1. Form Container

Change of contact

You are going to update the contacts of the following policy(ies):

Change of contact is not applicable to the following terminated, matured and surrendered policy(ies):

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Address information

Please input full address. No PO Box is allowed.

Correspondence address

Residential address *

Permanent address *

Business address *

* The updates will only be applicable to policies with "B", "G", "M", "Z" and numeric as prefix.

Remark:

  1. I represent that I am not a U.S. person for purposes of U.S. federal income tax and that I am not acting for, or on behalf of, a U.S. person. I understand that the Company, believing this statement to be true, will rely on it and act on it. In the event this statement is incorrect / false, the Company reserves the right and shall be entitled to cancel the policy. Any policy issued may accordingly be considered void in which case the Company shall notify me and repay any premiums less reasonable charges and policy withdrawals/loans.
    Note: A false statement or misrepresentation of tax status by a U.S. person could lead to penalties under U.S. law. If your tax status changes and you become a U.S. citizen or resident, you must notify us within 30 days. (This Clause is not applicable to U.S. citizens or residents, who must complete IRS Form W- 9.)

Personal data collection and use

I confirm that I have read and understood the AIA Personal Information Collection Statement ("AIA PIC").
I declare and agree that any personal data and other information relating to me or my policy(ies) or investments contained in this application or collected, obtained, compiled or held by the Company by any means from time to time may be collected and utilized in accordance with the AIA PIC. I acknowledge and consent to the transfer of my personal data outside of Hong Kong for the purposes and to the types of transferee as set out in the AIA PIC.

Direct Promotional and Marketing Materials

I / We confirm that I / We have read and understood the AIA Personal Information Collection Statement ("AIA PIC").
I / We agree to the provision and use of my / our personal data for direct marketing puposes in accordance with the AIA PIC. I / We acknowledge and consent to the transfer of my / our personal data outside of Hong Kong (for policies issued in Hong Kong) or Macau (for policies issued in Macau), as the case may be, for direct marketing purposes and to the types of transferee as set out in the AIA PIC.

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Change of contact

You have made the change of contact as follows:

Policy(ies) that use the following contacts:

policy
Contact information

contact information

Address information

address information

Update other contacts

Update your inforce policy(ies) with the contact information above.