Thai Life Insurance - A Thai Company for the Thai People

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Qualification

Effective Insured.
Age not over 65 years old at the date for register.
Traveling abroad within 90 days per trip.
In case of the insured is foreigner, there is no coverage by the time he goes back to his country.

How to register

You have to inform your registration for approval to be covered abroad 7 days in advance otherwise your registration will be void.
Your registration is completed by phone or e-mail only.
For more information, please call 662-246-9562 during business hours or hotline@tlicarecenter.com

* You can register for traveling abroad by filling out this form below

Personal detail

Mr.Mrs.Ms.

Name Surname

Policy Number * Please identify by 8 digits numbers. Example:12345678.

Identification Number (Foreigner does not have to fill out )
*Please identify by 13 digits numbers with no mark. Example: 1234567890123.

Birthday (Day/Month/Year)

Telephone * Please identify area code, mobile telephone number with no mark ( '-') such as 6622980646

E-mail *Please identify E-mail address such as webmaster@thailife.com

Traveling Information

Passport Number * Please identify 1 English letter and 6 digits number such as A123456

Destination

Departure Date

Arrival Date (hometown)

I am full confirmed that all information is true and I've already read all service condition.