I declare that the particulars stated above are true and correct and I understand that if I have in this or any further declaration in respect of this claim, made any false or fraudulent statement or suppress conceal or falsely state any material fact whatsoever my claim may be refused.
I/We consent to receive marketing and promotional information from Sompo (e.g. via email, mail, SMS, etc.). I/We understand that I / We can withdraw or manage my/our consent to receive marketing and promotional information at www.sompo.com.sg
I/We am/are aware of and agree to abide by the Policy terms, conditions and exclusions and confirm that the information given in this application/form is true, accurate and complete.
This is an electronic claims submission, you need not submit the physical form to us. We may, however, at our discretion request for the original supporting documents and/or more information to verify and assess your claim.