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Insurance Products Application

Login to your personal LIVI NEOASIA account, or leave your personal information below to provide appropriate service information

* Required fields
* Must be filled in

* Required field

To avoid any LIVI NEOASIA inquiry about personal financial information**
(Does not include contact phone / communication address / mobile phone / document expiration date / LIVI NEOASIA advisor information or any other listed information)

Yes

First Name *

Last Name *

International Contact Phone *

Email Address *

When would you like us to contact you?

Preferred Contact Language *

Communication Language *

What type of insurance are you interested in? *

Health Insurance

Life Insurance

Savings Insurance

Retirement Planning

Accident Protection / Public Liability

Critical Illness

Additional Information (Optional)

0/500

Privacy Policy and Legal Terms: The personal information collected (advisor) "Code of Conduct (employee code)" and practice principles (advisor) details, action code (employee behavior) behavioral principles (advisor) "Privacy Policy" and information employee" - the information processing policy (advisor) "Privacy Rights (conditions)" behavioral principles (advisor) privacy policy.

Regarding the personal information you provide to our company will be collected, stored, queried, used or disclosed according to privacy regulations for the purpose of your personal information, storage period, transfer to third parties and personal rights, please refer to the details contained in the privacy policy.

I hereby consent to the collection, privacy and provision of information contained in the Personal Information Policy Statement for the purposes and services mentioned above. The content will provide processing for other purposes and personal information mentioned above for the following information storage points.

Book Service Center

* Required fields

First Name *

Last Name *

To avoid any LIVI NEOASIA inquiry about personal financial information** *

(Does not include contact phone/communication address/ID card/document expiration date/AVIA Vitality membership or any other listed information)

Yes

Appointment Type *

Customer Service Center - Customer application appointment phone (137) and related (3) services

Insurance/Renewal/Policy Withdrawal - Customer Service Center appointment phone (137) and related (3) services

Appointment Date & Time

Customer Contact Phone *

Customer Email *

Other Details

0/1000

Privacy Policy and Terms Statement: The personal information collected (advisor) "Code of Conduct (employee code)" and practice principles (advisor) details, action code (employee behavior) behavioral principles (advisor) "Privacy Policy" and information employee" - the information processing policy (advisor) "Privacy Rights (conditions)" behavioral principles (advisor) privacy policy.

Regarding the personal information you provide to our company will be collected, stored, queried, used or disclosed according to privacy regulations for the purpose of your personal information, storage period, transfer to third parties and personal rights, please refer to the details contained in the privacy policy.

I hereby consent to the international collection, privacy and provision of information regarding the Personal Information Policy Statement for the purposes and services mentioned, and the content will provide processing for personal information.

Customer Service & Feedback

Dear valued customer, we welcome your valuable feedback to help us provide better quality service.

* Required fields

* Required field

To avoid any LIVI NEOASIA inquiry about personal financial information**
(Does not include contact phone/communication address/ID card/document expiration date/LIVI NEOASIA Vitality membership or any other listed information)

Yes

First Name *

Last Name *

Contact Phone Number *

Email Address *

When would you like us to contact you?

Your Preferred Contact Language *

Feedback Category *

General Inquiry

Compliment

Complaint

Improvement Suggestion

Additional Details

0/1500

Privacy Policy Statement: The personal information collected (advisor) "Code of Conduct (employee code)" and practice principles (advisor) details, action code (employee behavior) behavioral principles (advisor) "Privacy Policy" and information employee" - the information processing policy (advisor) "Privacy Rights (conditions)" behavioral principles (advisor) privacy policy.

Regarding the personal information you provide to our company will be collected, stored, queried, used or disclosed according to privacy regulations for the purpose of your personal information, storage period, transfer to third parties and personal rights, please refer to the details contained in the privacy policy. For data collection statement "Privacy Policy" details, please visit https://www.lv.onl.

Unless required by law or regulation, the personal information you provide is purely voluntary. However, please note that if you choose not to provide the specified information, we will not be able to process your application.

I hereby consent to the collection and use of personal information as mentioned above and regarding the Personal Information Collection Statement applicable to your personal information.