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Online Proposal Form Submission

Online Proposal Form Submission 2019

In response to your feedback we have revamped the website to make your online submission process easy and simple.

Before you proceed to enter the renewal data for your 2019 Proposal Form:

  • Please check that your machine meets the minimum system configurations to use this website.

  • Please keep the listed information ready before proceeding.

  • Download or view the User Guide for the Online Proposal Form he re.

  • Download or view JLT's Privacy Notice in relation to the Personal Data Protection Act 2010 by clicking here.
Once you have submitted your proposal form, you will receive an acknowledgement from JLT within 3 working days.

To download or view the 2019 Proposal Form, please click here.

Note: Please ensure that the section on "Claims Experience" is accurately completed to reflect the updated information relating to your previous claim notification (if any).
Effective 1st December 2017 JLT’s new office address:

Level 42-01A (West Wing), Q Sentral
2A Jalan Stesen Sentral 2
Kuala Lumpur Sentral
50470 Kuala Lumpur.

JLT’s email address (, general line (03 2723 3388)

and fax number (03-2723 3301) remain unchanged.