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The Singapore Government Staff Credit Co-operative Society Limited.....1 Sophia Road, #05-21, Peace Centre, Singapore 228149..
   
 
  :: HOSPITALIZATION CLAIM
 Application Form >>Apply for Hospitalization Claim
     
*-Compulsaryfields
  Name : *
  NRIC No. :
  Email :
  New Address :
  Res Phone :
Phone(Office/HP)
  Bank Name :
  Bank Account No. :
  Nature of Illness :
  Days Hospitalised :
  :
  By submit this application, I/We
  * I understand the above information to be true and correct while I submit this information ONLINE.
  *Authorise SGS Coop Ltd to conduct credit and verify information given herein reference to me/us.
  *Agree that my/our applications are subject to approval. The terms & conditions are subject to changes.