Let’s start by getting to know you

We just need a few details to process your AlkhairiCare coverage plan.

  • All personal details must be provided or your application may not be processed.
  • Your certificate will be ready in 24-48 hours after a successful order.
  • Notification will be sent via email and Whatsapp.


RM 470 / person

  • *Full Name

    *Email Address

    *Mobile Number

    *Date of Birth


    *Passport Number

    *IC Number

    Travel Agent (if any)

    *Travel Date (From)

    *Travel Date (To)

  • This plan only applicable for 40 days. Please add an *Additional days below if you travel more than 40 days. The maximum days for this plan is 60 days only.

    Additional Day(s)


You can submit multiple person details by refilling the form and click "Submit" again. 

Click "Checkout" to continue with payment