AXA Affin General Insurance Berhad
Customer Service
Mon to Fri 8.30am to 5.30pm (excluding public holidays)
WhatsApp
For minor damage claim notification
(+603) 2170 8282Claim document submission
Complaints/ Feedback
feedback@axa.com.my
AXA Affin Life Insurance Berhad
Life Insurance Hotline (one number for all services)
Contact Number
1300-88-1616Operating Hours
Mon to Thu: 8.30am-5.30pm, Fri: 8.30am-5.00pm (excluding public holiday)
Payment mode
1 Credit Card Payment Authorisation
2 JomPAY (not applicable for eMedic/ eLife policy holders)
3 Electronic Payment (INTERNET)
4 Over the Counter - MAYBANK or BSN
5 Bank Auto Debit Arrangement
6 Branch Office Counter
7 Mail
Bank Negara Guideline
Service Guide
Agency
Service Guide - EN (PDF - 317 KB)Service Guide - EN (PDF - 317 KB)Service Guide - BM (PDF - 318 KB)Service Guide - BM (PDF - 318 KB)Bancassurance
Service Guide - EN (PDF - 317 KB)Service Guide - EN (PDF - 317 KB)Service Guide - BM (PDF - 318 KB)Service Guide - BM (PDF - 318 KB)Anti-corruption Policy Statement
24-Hour Emergency Contacts
AXA Affin General Insurance Berhad
Guarantee Letter for Hospitalization
Health Insurance
(Individual & Group Health insurance)
(Group Health)
(Group Health)
Personal Accident
(SmartPA, SmartPA Easy)
(SmartPA Enhanced)
Operating Hours
Mon to Thu: 8.30am-5.30pm, Fri: 8.30am-5.00pm (excluding public holiday)
AXA Affin General Insurance Berhad
Motor Roadside Assistance
Call Us
1800-88-1033Operating Hours
24 Hours / 7 Days a week
AXA Affin General Insurance Berhad
Travel Assistance
Call Us
(+603) 2142 0399Operating Hours
24 Hours / 7 Days a week
AXA Affin Life Documents Download
No
Name
1
Absolute AssignmentAbsolute Assignment2
Contingent Owner ApplicationContingent Owner Application3
Health Declaration (for reinstatement & additional rider)Health Declaration (for reinstatement & additional rider)4
Fund Investment InstructionFund Investment Instruction5
Service RequestService Request6
Trustee's ConsentTrustee's Consent7
Information Amendment Form Occupation DetailsInformation Amendment Form Occupation DetailsNo
Name
1
Accident Claim Form (By Doctor)Accident Claim Form (By Doctor)2
Claimant Statement (Death)Claimant Statement (Death)3
Claimant Statement (Non-Death)Claimant Statement (Non-Death)4
Consent FormConsent Form5
Critical IIlness - Brain and Nerve (By Doctor)Critical IIlness - Brain and Nerve (By Doctor)6
Critical IIlness - Cancer Claim (By Doctor)Critical IIlness - Cancer Claim (By Doctor)7
Critical IIlness - Heart Related (By Doctor)Critical IIlness - Heart Related (By Doctor)8
Critical IIlness - Other IIlnesses (By Doctor)Critical IIlness - Other IIlnesses (By Doctor)9
Death Claim - Doctor Statement (By Doctor)Death Claim - Doctor Statement (By Doctor)10
Medical Claim Form by ClaimantMedical Claim Form by Claimant11
Medical Claim Form by DoctorMedical Claim Form by Doctor12
TPD Claim Form (By Doctor)TPD Claim Form (By Doctor)No
Name
1
Declaration Lost of PolicyDeclaration Lost of Policy2
Request for E-statement FormRequest for E-statement Form3
Feedback / Complaints FormFeedback / Complaints Form4
Direct Credit Form (ePayment)Direct Credit Form (ePayment)5
Contact Update FormContact Update Form6
Customer Portal FAQCustomer Portal FAQ7
Discharge FormDischarge Form8
Fillable Forms FAQFillable Forms FAQNo
Name
1
Addendum to Injury QuestionnaireAddendum to Injury Questionnaire2
Alcohol Usage QuestionnaireAlcohol Usage Questionnaire3
Asthma Questionnaire By Attending DoctorAsthma Questionnaire By Attending Doctor4
Asthma Questionnaire By Life AssuredAsthma Questionnaire By Life Assured5
Attending Doctor's StatementAttending Doctor's Statement6
Back Disorder Questionnaire By Life AssuredBack Disorder Questionnaire By Life Assured7
Chest Pain Questionnaire By Life AssuredChest Pain Questionnaire By Life Assured8
Consent for Release of InformationConsent for Release of Information9
COVID-19 Exposure QuestionnaireCOVID-19 Exposure Questionnaire10
COVID-19 Questionnaire for Health Care WorkersCOVID-19 Questionnaire for Health Care Workers11
Covid-19 Recovery QuestionnaireCovid-19 Recovery Questionnaire12
Declaration of Good HealthDeclaration of Good Health13
Diabetes Questionnaire by Attending DoctorDiabetes Questionnaire by Attending Doctor14
Diabetes Questionnaire by Life AssuredDiabetes Questionnaire by Life Assured15
Epilepsy Questionnaire by Attending DoctorEpilepsy Questionnaire by Attending Doctor16
Epilepsy Questionnaire by Life AssuredEpilepsy Questionnaire by Life Assured17
Medical Examination of Child For Juvenile Insurance PolicyMedical Examination of Child For Juvenile Insurance Policy18
Family Doctor's ReportFamily Doctor's Report19
Gastric Questionnaire by Life AssuredGastric Questionnaire by Life Assured20
General Medical Questionnaire By DoctorGeneral Medical Questionnaire By Doctor21
General Medical Information Questionnaire By Life AssuredGeneral Medical Information Questionnaire By Life Assured22
Gout Questionnaire By Life AssuredGout Questionnaire By Life Assured23
Growth, Cyst, Lump & Tumor Questionnaire By Life AssuredGrowth, Cyst, Lump & Tumor Questionnaire By Life Assured24
Headache and Migraine Questionnaire By Life AssuredHeadache and Migraine Questionnaire By Life Assured25
Hypertension Questionnaire By Attending DoctorHypertension Questionnaire By Attending Doctor26
Hypertension Questionnaire by Life AssuredHypertension Questionnaire by Life Assured27
Injury Questionnaire by Life AssuredInjury Questionnaire by Life Assured28
Mental Health Questionnaire By DoctorMental Health Questionnaire By Doctor29
Mental Health Questionnaire By Life AssuredMental Health Questionnaire By Life Assured30
Statement to Medical ExaminerStatement to Medical Examiner31
Substance Used QuestionnaireSubstance Used Questionnaire32
Thyroid questionnaire By Life AssuredThyroid questionnaire By Life Assured33
Lifestyle QuestionaireLifestyle QuestionaireNo
Name
1
Amendment to Proposal FormAmendment to Proposal Form2
Aviation QuestionnaireAviation Questionnaire3
Amendment To Proposal Form (AXASaver) LIEN without TPDAmendment To Proposal Form (AXASaver) LIEN without TPD4
AXA Standalone FATCA FormAXA Standalone FATCA Form5
E-Application Authorization FormE-Application Authorization Form6
Foreigner QuestionnaireForeigner Questionnaire7
General Occupation QuestionnaireGeneral Occupation Questionnaire8
Mountaineering & Rock Climbing QuestionnaireMountaineering & Rock Climbing Questionnaire9
Nominees & Trustees FormNominees & Trustees Form10
Oil Rig QuestionnaireOil Rig Questionnaire11
Overseas Travel & Residence QuestionnaireOverseas Travel & Residence Questionnaire12
Skin Scuba QuestionnaireSkin Scuba Questionnaire13
AXA Military QuestionaireAXA Military Questionaire14
AXA-Standalone Customer Fact Find FormAXA-Standalone Customer Fact Find Form15
AXA Supplementary Form on Beneficial Owner & Common Reporting Standard (CRS)AXA Supplementary Form on Beneficial Owner & Common Reporting Standard (CRS)16
AXA-Tax Residency Self-Certification Form (Individual)AXA-Tax Residency Self-Certification Form (Individual)17
AXA-Tax Residency Self-Certification Form (Entity)AXA-Tax Residency Self-Certification Form (Entity)18
AXA Questionnaire on Beneficial OwnerAXA Questionnaire on Beneficial Owner19
Payor Details FormPayor Details Form20
Amendment to Proposal Form_Acceptance of AAI_Substd for Age Band 1 to 50Amendment to Proposal Form_Acceptance of AAI_Substd for Age Band 1 to 50Enquiry Form
Branch Locator
AXA Affin General Insurance Berhad
03-2031 7282
Monday to Friday 8.30am to 5.30pm (Excluding public holidays)
HEAD OFFICE, Customer Service Centre, Ground Floor Wisma Boustead, 71 Jalan Raja Chulan, 50200 Kuala Lumpur, Malaysia
AXA AFFIN Life Insurance Berhad - Kuala Lumpur
03-2117 3698
9:00am - 5:00pm Monday-Thursday; 9:00am - 4:30pm Friday
HEAD OFFICE (Customer Service Centre) 8th Floor Chulan Tower, No 3 Jalan Conlay, 50450 Kuala Lumpur, Malaysia
AXA Affin General Insurance Berhad - Cheras Branch
165 & 165-1, Jalan Lancang, Taman Seri Bahtera, 56100 Cheras, Kuala Lumpur, Malaysia
AXA Affin General Insurance Berhad - Klang Branch
28 Jalan Tiara 2A/KU1, Pusat Perniagaan Bandar Baru Klang, 41150 Klang, Selangor, Malaysia
AXA AFFIN Life Insurance Berhad - Petaling Jaya Branch
Block C Lot 19-01, 3 Two Square, No.2, Jalan 19/1, 46300 Petaling Jaya, Selangor, Malaysia
AXA Affin General Insurance Berhad - Petaling Jaya Branch
No. 46A & B, Jalan SS 21/35, Damansara Utama, 47400 Petaling Jaya, Selangor, Malaysia
AXA Affin General Insurance Berhad - Subang Jaya Branch
No 113, Ground Floor, Jalan SS15/5A, 47500 Subang Jaya, Selangor, Malaysia
AXA Affin General Insurance Berhad - Puchong Branch
GF-09, IOI Business Park, Persiaran Puchong Jaya Selatan, 47170 Puchong Jaya, Selangor, Malaysia
AXA Affin General Insurance Berhad - Johor Bharu Branch
No. 67 & 67A, Jalan Molek 1/29, Taman Molek, 81100 Johor Bahru, Johor, Malaysia
AXA Affin General Insurance Berhad - Batu Pahat Branch
35, Ground Floor, Jalan Flora Utama 5, Taman Flora Utama, 83000 Batu Pahat, Johor, Malaysia
AXA Affin General Insurance Berhad - Sungai Petani Branch
86, 1st Floor, Jalan Legenda 1, Legenda Heights, 08000 Sungai Petani, Kedah, Malaysia
AXA Affin General Insurance - Alor Setar Sales Office
No. 151, 2nd Floor, Kompleks Perniagaan Sultan Abdul Hamid Fasa 2, Persiaran Sultan Abdul Hamid, 05050 Alor Setar, Kedah, Malaysia
AXA Affin General Insurance Berhad - Kota Bharu Branch
PT227, Ground and First Floor, Jalan Kebun Sultan, 15350 Kota Bharu, Kelantan, Malaysia
AXA Affin General Insurance Berhad - Melaka Branch
Ground Floor, 61 Jalan Melaka Raya 8, Taman Melaka Raya, 75000 Melaka, Malaysia
AXA AFFIN Life Insurance Berhad - Melaka Branch
Ground Floor UMB Building No. 61, Jalan Melaka Raya 8 Taman Melaka Raya 75000 Melaka, Malaysia
AXA Affin General Insurance Berhad - Seremban Branch
No. 77B & 77B-1, Lorong Haruan 5/3, Oakland Commercial Centre, 70300 Seremban, Negeri Sembilan, Malaysia.
AXA AFFIN Life Insurance Berhad - Seremban Branch
Ground Floor, 107, Jalan S2 B20, Pusat Dagangan Centrio Seremban 2, 70300 Seremban, Negeri Sembilan.
AXA Affin General Insurance Berhad - Kuantan Branch
B-8008 2nd & 3rd floor, Sri Kuantan Square, Jalan Telok Sisek, 25000 Kuantan, Pahang, Malaysia
AXA Affin General Insurance Berhad - Mentakab Branch
No. 66, 1st Floor, Jalan Orkid, 28400 Mentakab, Pahang, Malaysia
AXA Affin General Insurance Berhad - Bukit Mertajam Branch
2996 Jalan Maju, Taman Sri Maju, 14000 Bukit Mertajam, Penang, Malaysia
AXA Affin General Insurance Berhad - Penang Branch
Ground & 1st Floor, Wisma AXA, 1E, Lebuh Penang, 10200 Penang, Malaysia
AXA AFFIN Life Insurance Berhad - Penang Branch
No. F-6-1, Bay Avenue, Lorong Bayan Indah 1, Queensbay, Sungai Nibong, 11900 Penang, Malaysia
AXA Affin General Insurance Berhad - Ipoh Branch
No. 7, 7A & 9, Persiaran Greentown 5, Greentown Business Centre, 30450 Ipoh, Perak, Malaysia
AXA AFFIN Life Insurance Berhad - Ipoh Branch
C-G-6 & C-G-7, Greentown Square, Jalan Dato Seri Ahmad Said, 30250 Ipoh, Perak, Malaysia
AXA Affin General Insurance - Teluk Intan Sales Office
NO. 16G, Jalan Intan 4, Bandar Baru Teluk Intan, 36000 Teluk Intan, Perak, Malaysia
AXA Affin General Insurance - Kuala Terengganu Branch
18-A, Dataran Panji, Panji Curve Business Park, Jalan Panji Alam, 21100 Kuala Terengganu, Terengganu.
AXA Affin General Insurance Berhad - Tawau
TB 281, Tingkat 1, Blok 29, Fajar Komplex, Jalan Haji Karim, Town Extension II, 91000 Tawau, Sabah, Malaysia.
AXA Affin General Insurance Berhad - Kota Kinabalu Branch
Lot 27-1 & 27-2, Ground & 1st Floor, Block D, Kepayan Perdana Commercial Centre, Jalan Lintas, 88200 Kota Kinabalu, Sabah, Malaysia
AXA AFFIN Life Insurance Berhad - Kota Kinabalu Branch
Unit 27-1 (Ground Floor), 26-2 (1st Floor) & 27-3 (2nd Floor), Block D Kepayan Perdana, Commercial Centre, Jalan Lintas, 88200 Kota Kinabalu, Sabah, Malaysia
AXA Affin General Insurance Berhad - Miri Branch
Lot 582, Pelita Commercial Centre, Miri Pujut Road, 98000 Miri, Sarawak, Malaysia
Postal Address : P.O.Box. No.1530, 98008 Miri, Sarawak, Malaysia
AXA Affin General Insurance Berhad - Kuching Branch
Ground Floor & 1st Floor, Sublot 3, Lot 68-71, Jalan Green, 93150 Kuching, Sarawak, Malaysia
AXA AFFIN Life Insurance Berhad - Kuching Branch
2nd Floor, Sublot 3 of Lots 68, 70 & 71, Section 22, Jalan Green, 93150 Kuching, Sarawak, Malaysia
AXA Affin General Insurance Berhad - Sibu Branch
Lot 4018, Block 7, Sibu Town District No. 20, Ground Floor, Wong King Huo Road, 96000 Sibu, Sarawak, Malaysia
AXA AFFIN Life Insurance Berhad - Sibu Branch
2nd Floor, No. 16 & 18, Jalan Wong King Huo, 96000 Sibu, Sarawak.
AXA AFFIN Life Insurance Berhad - JB Branch
No. 69, Jalan Molek 1/29, Taman Molek, 81100 Johor Bahru, Johor
AXA AFFIN Life Insurance Berhad
Ground Floor, 107, Jalan S2 B20, Pusat Dagangan Centrio Seremban 2, 70300 Seremban, Negeri Sembilan.
Panel Hospital Locator
Pantai Hospital Batu Pahat
9s, Jalan Bintang Satu, Taman Koperasi Bahagia, 83000 Batu Pahat, Johor
KPJ Pasir Gudang Specialist Hospital
Lot PTD 204781,Jalan Persiaran Dahlia 2, Taman Bukit Dahlia 2, 81700 Pasir Gudang, Johor
Medical Specialist Centre - Wisma Maria
Wisma Maria Jalan Ngee Heng, 80100 Johor Bahru, Johor
Putra Medical Centre Alor Setar
888, Jalan Sekerat, Off Jalan Putra, 05100 Alor Setar, Kedah
Pantai Hospital Sungai Petani
1, Persiaran Cempaka, Bandar Amanjaya , 08000 Sungai Petani, Kedah
Pantai Hospital Batu Pahat
9s, Jalan Bintang Satu, Taman Koperasi Bahagia, 83000 Batu Pahat, Johor
KPJ Pasir Gudang Specialist Hospital
Lot PTD 204781,Jalan Persiaran Dahlia 2, Taman Bukit Dahlia 2, 81700 Pasir Gudang, Johor
Medical Specialist Centre - Wisma Maria
Wisma Maria Jalan Ngee Heng, 80100 Johor Bahru, Johor
Putra Medical Centre Alor Setar
888, Jalan Sekerat, Off Jalan Putra, 05100 Alor Setar, Kedah
Pantai Hospital Sungai Petani
1, Persiaran Cempaka, Bandar Amanjaya , 08000 Sungai Petani, Kedah
Kota Bharu Medical Centre
Pt 179-184, Jalan Sultan Yahya Petra, Lundang, 15200 Kota Bharu, Kelantan
COLUMBIA ASIA HOSPITAL - ISKANDAR PUTERI
PERSIARAN AFIAT, TAMAN KESIHATAN AFIAT, 79250, NUSAJAYA, JOHOR
Nilai Medical Centre(formerly NCI Hospital)
Pt 13717, Jalan BBN 2/1, 71800 Nilai, Negeri Sembilan
KPJ Seremban Specialist Hospital
Lot 6219 & 6220, Jalan Toman 1, Kemayan Square, 70200 Seremban, Negeri Sembilan
Pantai Hospital Batu Pahat
9s, Jalan Bintang Satu, Taman Koperasi Bahagia, 83000 Batu Pahat, Johor
KPJ Pasir Gudang Specialist Hospital
Lot PTD 204781,Jalan Persiaran Dahlia 2, Taman Bukit Dahlia 2, 81700 Pasir Gudang, Johor
Putra Medical Centre Alor Setar
888, Jalan Sekerat, Off Jalan Putra, 05100 Alor Setar, Kedah
Pantai Hospital Sungai Petani
1, Persiaran Cempaka, Bandar Amanjaya , 08000 Sungai Petani, Kedah
PANTAI HOSPITAL LAGUNA MERBOK
NO. 1, LORONG BLM 1/10 BANDAR LAGUNA MERBOK, 08000, SUNGAI PETANI,KEDAH
Pantai Hospital Batu Pahat
9s, Jalan Bintang Satu, Taman Koperasi Bahagia, 83000 Batu Pahat, Johor
KPJ Pasir Gudang Specialist Hospital
Lot PTD 204781,Jalan Persiaran Dahlia 2, Taman Bukit Dahlia 2, 81700 Pasir Gudang, Johor
Putra Medical Centre Alor Setar
888, Jalan Sekerat, Off Jalan Putra, 05100 Alor Setar, Kedah
Pantai Hospital Sungai Petani
1, Persiaran Cempaka, Bandar Amanjaya , 08000 Sungai Petani, Kedah
Panel Workshop Locator
YONG HUP SOON MOTOR WORKS SDN BHD
NO. 1, JALAN BUDI 4, TAMAN PERINDUSTRIAN WAWASAN 2020, 83000 BATU PAHAT, JOHOR
YON HUAT MOTOR WORKS SDN BHD
LOT 1770, 3683 & 3684, JALAN BINDU, KG BINDU, TONGKANG PECHAH, 83010 BATU PAHAT, JOHOR
SIN HENG AUTO WORKS SDN BHD
NO. 9, JALAN PERMATANG 17, TAMAN DESA JAYA, 81100 JOHOR BAHRU, JOHOR
NEW WAY MOTOR WORKSHOP SDN BHD
3, JALAN SEROJA 47, TAMAN JOHOR JAYA, 81100 JOHOR BAHRU, JOHOR
NANMAR MOTOR SERVICE SDN BHD
NO. 32, JALAN SEROJA 37, TAMAN JOHOR JAYA, 81100 JOHOR BAHRU, JOHOR
KU MOTOR WORKSHOP SDN BHD
NO. 1, JALAN PERMATANG 2, TAMAN DESA JAYA, 81100 JOHOR BAHRU, JOHOR
AH KUM MOTOR WORKSHOP SDN. BHD.
NO. 10, 12, 32, JALAN MUTIARA EMAS 7/4, TAMAN MOUNT AUSTIN, 81000 JOHOR BAHRU, JOHOR
SOON LEE WELDER & SPRAYING WORKS SDN BHD
NO. 1, JALAN TEKNOLOGI 1, KAWASAN PERINDUSTRIAN MENGKIBOL, 86000 KLUANG, JOHOR
