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I hereby warrant that all information given by me are true and correct to the best of my knowledge, freely and voluntarily given to Malayan Insurance Co., Inc. ("MICO"). I hereby authorize MICO to keep, record, store, use, process my name, address, contact details and all other information I give MICO, to transfer and share the same to other parties, and other YGC companies, their affiliates, subsidiaries, contractors, partners, agents, intermediaries, and/or other parties they may choose, for survey, statistical analysis, monitoring, research, or direct marketing, promotional, and sale purposes through telephone, e-mail, correspondence, short messaging service, and any other means of communication. If purchasing, transacting and/or acting on behalf of other person(s), I hereby warrant that I am duly authorized to perform such acts and that I am duly allowed to give their information to MICO. I bind myself to advise all other persons in whose behalf I have acted, transacted with and/or purchased any product from MICO of all the terms and conditions herein. I hereby hold MICO, its officers, directors, and employees free and harmless from any liability, directly or indirectly arising from or in connection with the disclosure, sharing, and use of the information stated above.


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Anti-Fraud: Section 251 of the lnsurance Code, as amended, imposes a fine not exceeding twice the amount claimed and/or imprisonment of two (2) years, or both, at the discretion of the court, to any person who presents or causes to be presented any fraudulent claim for the payment of a loss under a contract of insurance, and who fraudulently prepares, makes or subscribes any writing with intent to present or use the same, or to allow it to be presented in support of any claim.