Let us know how we can help

Organisation details

The name of your business or organisation

Number of employees to be insured (This can be approximate)

Personal details

First name

Last name

Phone number

I would like to be contacted

You prefer to be contacted on

You prefer to be contacted at

Do you have an existing group insurance plan for your employees?

Yes

How did you learn about FWD Employee Benefits ? (You may choose more than one option)123

Search engine (e.g. Google, Yahoo etc.)

Social media (Facebook, Instagram etc.)

Hong Kong Institute of Human Resource Management (iHRM)

Exhibitions (conference, expo, roadshow etc.)

Advertisements (newspaper/magazine/leaflet etc.)

Referral (Business partner, friends, relatives etc.)

Others

By submitting this form,

- I have read and understood the Personal Information Collection Statement and Privacy Policy for FWD Life Insurance Company (Bermuda) Limited ( “the Company”) and agree to be bound by them.

- I consent that my personal data collected by the Company will be used to offer products and further services in relation to this form.