WorkWell with AIA

Event name

Company name

Event name

Company name

Date and time

Event venue

Client name

*Special characters (~!@#$%^&*()[]\-=;',./) are not allowed for name

Client mobile number

*Please fill in a valid mobile number.

Client email address

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Representative code*

AIA Representative

*For internal use only - please leave blank

Please provide your consent by ticking on the checkbox below:

I want to know the latest promotions and customer benefits and consent to receiving marketing, advertising and promotional material from, and the conducting of consumer, marketing-related and other similar research and analysis by, AIA Persons[1] and to each of them collecting, using, disclosing, storing, retaining and processing all my personal data in accordance with the terms in this form and the AIA Personal Data Policy (Singapore). I also consent to AIA Persons disclosing my personal data to independent third parties and their representatives and for them to process my personal data, for such purposes.

*Please tick consent before submission

Contact me by^[2]

Post
Email and social media
Voice Call
Text message (eg. SMS/MMS)

I understand that the consent provided by me in this form is in addition to and does not supersede any consent given previously for the above purposes.

I may withdraw one or more consents that I have given, at any time via AIA+ or by completing and submitting the relevant form(s) (https://www.aia.com.sg/en/marketing-consent-withdrawal). For further support on withdrawal of consent, I may contact AIA Customer Care Hotline at 1800 248 8000.

^[1] ^{"AIA Persons" refers to AIA Singapore Private Limited, its associated persons/organisations, its and their third party service providers its and their representatives, whether within or outside Singapore.}

^{[2] According to the postal and email addresses and all telephone numbers (of which I confirm that I am the user and/or subscriber) in AIA Persons' records.}

Thank you!

Your registration has been received and a confirmation email will be sent to your registered email.