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Life Insurance Nomination Form (Malaysia)

Life Insurance Nomination Form (Malaysia)

LIFE INSURANCE NOMINATION FORM

Financial Services Act 2013 (Schedule 10) | Life Insurance Association of Malaysia (LIAM)

Date: [Nomination Date]

Insurance Company: [Insurer Name]

Policy Number: [Policy Number]

PART A — POLICYHOLDER PARTICULARS

Full Name: [Policyholder Name]

NRIC No.: [Policyholder NRIC]

Address: [Policyholder Address]

PART B — TYPE OF NOMINATION

I hereby make the following nomination under Schedule 10 of the Financial Services Act 2013:

Nomination Type: [Nomination Type]

PART C — NOMINEE DETAILS

Nominee 1:

Full Name: [Nominee 1 Name]

NRIC / Passport No.: [Nominee 1 NRIC]

Relationship: [Nominee 1 Relationship]

Share: [Nominee 1 Share]%

Nominee 2 (if applicable):

Full Name: [Nominee 2 Name]

NRIC / Passport No.: [Nominee 2 NRIC]

Relationship: [Nominee 2 Relationship]

Share: [Nominee 2 Share]%

PART D — TRUSTEE FOR MINOR NOMINEE (if applicable)

Trustee Name: [Trustee Name]

Trustee NRIC: [Trustee NRIC]

Relationship to Minor Nominee: [Trustee Relationship]

The appointed trustee shall receive and hold the policy proceeds on trust for the minor nominee until the minor attains the age of majority (18 years) under the Age of Majority Act 1971.

PART E — POLICYHOLDER DECLARATION

I, [Policyholder Name] (NRIC: [Policyholder NRIC]), hereby nominate the person(s) named above to receive the policy monies payable under Policy No. [Policy Number] upon my death, in accordance with Schedule 10 of the Financial Services Act 2013.

I acknowledge that a trustee nomination in favour of my spouse, child, or parent creates a statutory trust under Schedule 10 of the Financial Services Act 2013 and that such nomination is irrevocable without the written consent of the trustee-nominee.

I declare that all information provided above is true and accurate to the best of my knowledge.

PART F — WITNESS

Signed before me by the policyholder in my presence:

Witness Name: [Witness Name]

Witness NRIC: [Witness NRIC]

Witness Address: [Witness Address]

Date: [Nomination Date]

Policyholder

________________

Signature

Witness

________________

Signature

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What Is a Life Insurance Nomination Form (Malaysia)?

A Life Insurance Nomination Form in Malaysia records the consent or release given and the scope of what the party agrees to.

Under Paragraph 3 of Schedule 10 to the FSA 2013, a nomination made in favour of a spouse, child, or parent creates a trust — the insurer becomes a trustee holding the policy monies for the named beneficiary, and the proceeds do not form part of the policyholder's estate for distribution or estate duty purposes. This trust nomination is irrevocable without the consent of the trustee-nominee unless the trustee-nominee is a minor and consent is given by the policyholder as guardian. This distinction is critical: proceeds paid to a trustee nominee are protected from the policyholder's creditors under Section 23 of the Civil Law Act 1956 (as applied through Schedule 10 of FSA 2013).

For non-Muslim policyholders, the nomination framework under the FSA 2013 applies fully. The Wills Act 1959 governs the distribution of estate assets where no valid nomination exists, and the Public Trustee Corporation (Amanah Raya Berhad) may administer the estate under the Public Trust Corporation Act 1995. Muslim policyholders are governed by different rules: under the Islamic financial principles applicable to Takaful policies, nomination for a Muslim is governed by faraid (Islamic inheritance law) and the nominee may hold proceeds as a wali amanah (trustee) for the estate's heirs, not as a beneficial owner.

All life insurance companies in Malaysia are licensed by Bank Negara Malaysia under the Financial Services Act 2013. The Life Insurance Association of Malaysia (LIAM) represents conventional life insurers, while the Malaysian Takaful Association (MTA) represents Takaful operators. A nomination form must be submitted to and acknowledged by the insurer to be effective — verbal nominations have no legal standing under Malaysian insurance law.

The FSA 2013 also introduced the concept of a conditional nomination — a nomination that takes effect only if the primary nominee predeceases the policyholder — and contingent beneficiaries may be named in sequence. A policyholder may change a revocable nomination at any time by submitting a new nomination form to the insurer; irrevocable trust nominations (in favour of spouse, child, or parent) require the nominee's written consent to vary.

When Do You Need a Life Insurance Nomination Form (Malaysia)?

A Life Insurance Nomination Form in Malaysia is required whenever a policyholder holds a life insurance policy and wishes to designate who receives the policy proceeds on death.

A nomination form is needed when a new life insurance policy is taken out. Under FSA 2013 Schedule 10, a policyholder may submit a nomination at policy inception or at any time during the policy term. Failing to nominate means the death benefit forms part of the estate and must go through the probate process under the Probate and Administration Act 1959 — which can take months or years — before beneficiaries receive any funds.

A nomination form is needed when a policyholder's family circumstances change — upon marriage, divorce, the birth of a child, or the death of a previously named nominee. A change of nomination requires a fresh nomination form submitted to the insurer, and the prior nomination is automatically revoked upon receipt of the new form (for revocable nominations).

A nomination form is required when a policyholder wishes to confirm that policy proceeds are protected from creditors. A trust nomination in favour of a spouse, child, or parent under Schedule 10 of the FSA 2013 removes the proceeds from the estate and places them beyond reach of estate creditors under Section 23 of the Civil Law Act 1956.

A nomination form is needed when a policyholder wants to split the death benefit among multiple beneficiaries in specified proportions — for example, 50% to a spouse and 25% each to two children. Each beneficiary's name, NRIC, relationship, and proportion must be stated on the form.

A nomination form is required after a divorce, as a nomination in favour of a former spouse does not automatically lapse under Malaysian law (unlike in some jurisdictions). The policyholder must actively submit a fresh nomination to revoke the former spouse's entitlement.

What to Include in Your Life Insurance Nomination Form (Malaysia)

A valid Life Insurance Nomination Form in Malaysia must contain the following essential elements under Schedule 10 of the Financial Services Act 2013.

Policy Identification: The form must state the policy number, the insurer's name, the life assured's full name, and the NRIC number. All details must match the policy contract exactly as maintained in the insurer's records.

Nominee Details: Each nominee must be identified by full legal name (as per NRIC or passport), NRIC or passport number, date of birth, relationship to the policyholder, contact address, and the percentage share of the death benefit allocated to that nominee. The total percentage across all nominees must equal 100%.

Nomination Type: The form must specify whether the nomination is a trustee nomination (in favour of a spouse, child, or parent, creating a trust under Schedule 10 FSA 2013) or an executor nomination (in favour of any other person, who receives as executor of the estate). This classification determines whether the proceeds are protected from estate creditors.

Trustee Appointment (if applicable): Where a trustee nomination is made in favour of a minor (a person below 18 years under the Age of Majority Act 1971), an adult trustee must also be appointed to receive the proceeds on the minor's behalf until the minor attains majority.

Conditional / Contingent Beneficiary: The form should name a contingent beneficiary who receives the proceeds if the primary nominee predeceases the policyholder. Without a contingent nominee, the proceeds fall into the estate if the primary nominee dies first.

Policyholder Declaration: The policyholder must sign and date the form, declaring that the information is accurate and that the nomination is made freely and voluntarily. For a trust nomination, the signature acknowledges the irrevocable nature of the trust in favour of the named beneficiary.

Witness: The nomination form must be signed in the presence of a witness who is not a nominee. The witness must provide their full name, NRIC, and address. Insurers regulated by Bank Negara Malaysia require witness attestation for nominations to be valid under LIAM standard procedures.

Additional compliance elements for a Life Insurance Nomination Form (Malaysia) used in Malaysia include: Under Malaysian law, the Contracts Act 1950 (Act 136) governs contractual obligations. The Companies Act 2016 (Act 777) regulates corporate entities through the Companies Commission of Malaysia (SSM). The Employment Act 1955 (Act 265) and the Department of Labour govern employment matters. The Personal Data Protection Act 2010 (Act 709) and the Personal Data Protection Department protect personal data. The Inland Revenue Board of Malaysia (LHDN) administers tax obligations. The Industrial Court adjudicates employment disputes under the Industrial Relations Act 1967 (Act 177). Forms-legal.com provides this template as a starting point for Malaysia-compliant documentation.

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Reference this free template in an article, syllabus, or research note:

APA

Forms Legal. (2026). Life Insurance Nomination Form (Malaysia) (Malaysia) [Legal document template]. Forms Legal. https://forms-legal.com/malaysia/personal/insurance/life-insurance-nomination-malaysia

MLA

"Life Insurance Nomination Form (Malaysia) (Malaysia)." Forms Legal, 2026, https://forms-legal.com/malaysia/personal/insurance/life-insurance-nomination-malaysia.

BibTeX
@misc{formslegal-life-insurance-nomination-malaysia,
  author       = {{Forms Legal}},
  title        = {Life Insurance Nomination Form (Malaysia) (Malaysia)},
  year         = {2026},
  howpublished = {\url{https://forms-legal.com/malaysia/personal/insurance/life-insurance-nomination-malaysia}},
  note         = {Free legal document template. Based on Contracts Act 1950 (Act 136)}
}

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Frequently Asked Questions

Based on Contracts Act 1950 (Act 136) — Template last modified June 2026

This template is provided for informational purposes only and does not constitute legal advice. Laws vary by jurisdiction and change over time. Consult a qualified attorney for advice specific to your situation.Full disclaimer

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