Enrolment Page


applications form

Child Insured Applications form

press submit & sign below



e-sign your applications below

your applications will be processed immediately

Thank You for Choosing us

We are the only Malaysia life insurer company that helps Malaysians, forever for you.

MCIS Life is Comply with Personal Data Protection Act PDPA  2010
the form is strictly used for MCIS life product sign up only.


Dear customer, please acknowledge to contact our listed consultants & agent only.

Please check at our agent & consultants page.

Contact us

We will contact you to proceed and sign up for medical card. We will come to your place.