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Bank Muamalat Indonesia
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Download forms
Download forms
We provide you various forms for you to download and use it according to your needs.
Claim service
- Death Claim Form
- Maternity Claim Form
- Outpatient and Dental Claim Form
- Health Insurance Claim Form
- Critical Illness Claim Form
Policy service
- Policy Beneficiary Designation Form
- Signature Affirmation and Amendment Form
- Top Up Form
- Collateral Assignment Form
- Payment Instruction Form
- Surrender Form
- HISR Reinstatement Form
- Authorization Appointment Form
- Insurance Program Change Form
- Payment Frequency and Method Change Form
- Policy Owner Change Form
Premium service
- Authorization of Bank Account Deduction for PD CIMB Niaga
- Authorization of Credit Card Deduction Form for PD CIMB Niaga
- Top Up and Authorization Partial Withdrawal Form, for Renewal (Sharia)
- Top Up and Authorization Partial Withdrawal Form, for Renewal (Conventional)
- KYC Form for Non-Individual Beneficial Owner
- KYC Form for Individual Beneficial Owner
- KYC Form for Sharia Individual Beneficial Owner
- KYC Form for Sharia Non-Individual Beneficial Owner
- Payor Statement Form
- Authorization Appointment Form for BCA Account
- Authorization Appointment Form for BNI Account
- Authorization Appointment Form for CIMB Niaga Account
- Authorization Appointment Form for Bank Syariah Indonesia (BSI) Account
- Authorization Appointment Form for Credit Card
- Authorization Appointment Form for Bank Mandiri Autodebit
- Authorization Revocation Form for Bank Mandiri Autodebit
- Authorization Revocation Form for BCA-SLFI Account
- Premium Switch Form
- Authorization Appointment Form for BRI Account
- KYC Form (Bank Muamalat) for Sharia Individual Beneficial Owner
- KYC Form (Bank Muamalat) for Sharia Non-Individual Beneficial Owner
Other forms
- Referral Form - Asuransi Salam Anugerah Harapan
- FATCA W-8BEN Form
- FATCA W-8BEN-E Form
- FATCA W9 Form
- CRS Individual Policy Owner Form
- CRS Individual Beneficiary Form
- CRS Entity Policy Owner Form
- CRS Entity Beneficiary Form
- Policy Owner Information and Foreign Tax Obligation Statement Form (Entity)