Update company particulars request form

Need to update particulars?

Request to change company particulars by completing the form and providing the necessary documents below. We will use the particulars to verify and may need to contact you for further clarification. We will contact you within 7 working days from your submission.

Please fill in your existing details below for us to verify your account.

Select the particulars that you would like to update

Declaration, authorisation and data privacy consent

1. I acknowledge and agree to the collection, use and disclosure of my personal data which has been provided for the purposes of procuring insurance products & services as per the terms in DirectAsia's Personal Data Protection Statement.
2. I authorise DirectAsia Insurance to use the personal data given in this form or otherwise obtained and disclose such data to DirectAsia Insurance authorised staff, associated individuals and/or companies or any indpendent third parties (within or outside Singapore) who will provide claims administrative, advice, and/or information or claims services in relation to my claim. I understand and give consent for DirectAsia Insurance to use my personal data for audit, business analysis, reinsurance purposes and for the purposes set out in DirectAsia Insurance Terms and Conditions which can be found at https://www.directasia.com/terms-conditions.
3. By submitting this form, I confirmed that the information given is true and correct to the best of my knowledge and belief.