Name:

Mobile:

Age:
21-2930-3940-4950-5960-69

What is your average monthly income range?
Below $30,000$30,000-$60,000$60,000 and above

Are you an existing Prudential customer? NoYes

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Prudential Assurance Company Singapore (Pte) Limited (or “Prudential”) is a life insurance company that provides life and health insurance. You may refer to www.prudential.com.sg for the list of Prudential products and services. Product(s) and/ or service(s) mentioned which are not listed in the Prudential website are not offered by Prudential. By signing up, you also confirm that you have read, understood and given your consent for Prudential, its related corporations (which would include PFA), respective representatives, agents, third party service providers, contractors and/or appointed distribution/business partners (collectively referred to as “Prudential and its authorised representatives”) to collect, use, disclose and/or process your personal data for the purpose of contacting you about products and services distributed, marketed and/or introduced by Prudential and its authorised representatives through marketing activities via all channels including but not limited to SMS, Social Media, In-app Push Notification, Phone Call etc and perusing your contact details which Prudential and its authorised representatives has in its records from time to time and in accordance to the Prudential Data Privacy Notice, which is available at https://www.prudential.com.sg/Privacy-Notice. You hereby expressly understand and agree that your given consent(s) herein do not supersede or replace any other consents and/or previous consents which you may have previously given to Prudential and its authorised representatives in respect of your personal data and is without prejudice to any legal rights available to Prudential and its authorised representatives to collect, use or disclose your personal data. You understand that you can refer to Prudential Data Privacy, which is available at https://www.prudential.com.sg/Privacy-Notice for more information. |
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