Update Personal Information – ASKA Insurances

Dear Client,

ASKA Insurances values your input to update your personal information. As an insurance company, we are required to have all relevant and up to date information of our clients. Furthermore, we want to improve our service by keeping you updated about your insurance policy, new developments, campaigns and all our other services. To be able to do this we need your correct personal information to reach you via telephone, email and sms notification. Please fill in your personal information, upload your valid ID and submit the information to ASKA Insurances.

IMPORTANT NOTE
In order to complete this online form to update your personal information, you must have either a scan or a (digital) picture of your valid ID at hand.
Accept*
I've read the introduction page and accept the mentioned terms & conditions
Terms & Conditions
I hereby accept that ASKA Insurances will use my personal information to keep me updated about my insurance policy and for the performance of marketing activities and statistical analysis.

Which insurance policies do you have at ASKA?* (more than one choice)*
Car insurance
Travel insurance
Fire Insurance (private of business)
Business Interruption Insurance
Household effects
Valuables Insurance
Funeral Insurance
Life Insurance
Construction All Risk Insurance
Liability Insurance
Pension
Name*
First name Last name
Home address*
Street

House number*
e.g.: 12 or 232B

Place of residence*
Curaçao
Bonaire
St. Maarten
The Netherlands

Form of Identification*
Identity Card (Sédula)
Driver’s license
Passport
Form of Identification*
Driver’s license
ID / Sédula*
Identiy card number (Sédula) - 19_ _ - _ _ _ _ - _ _
Driver's license*
Driver’s license number
Passport*
Passport number

Expiration date Identification*
The provided identification must be valid for at least 3 months from today’s date. The information entered here must be equal to the information on the copy, scan or (digital) picture that will be submitted.
Date Format: DD dash MM dash YYYY

Country code*
Home phone/Mobile phone*
Home phone/Mobile phone
Country code
Work Phone

E-mail*
Enter Email Confirm Email

Occupation*
Fill in your occupation*

Upload valid ID

Valid identity document (Identity card, driver’s license or passport)

The identity document must be valid.

The expiration date and information on the uploaded ID must match the expiration date and information filled on the previous page.

The valid ID can be a digital scan or a photo. It's important that the information on the ID is complete and visible. We must be able to read the information on the ID and recognize the face on the picture.

Please keep in mind that we cannot update your information if you do not have a valid ID

Select and upload the requested document*

Drop files here or

Accepted file types: jpg, gif, png, pdf.

Thank you for completing the online form to update your personal information and submitting your valid ID. Please verify that the information provided is correct. If you must change or correct provided information, you can edit the information by clicking on the button “Previous” to go back and make the necessary changes. 

PERSONAL INFORMATION CLIENT

Insurance policies: {Which insurance policies do you have at ASKA?* (more than one choice):164} First name: {Name (First):11.3}
Last name: {Name (Last):11.6}
Home address: {Home address (Street Address):5.1} {House number:6}
Place of residence: {Place of residence:16}
Form of Identification: {Form of Identification:94}{Form of id 2:168}
Home phone/Mobile phone: {Home phone/Mobile phone:143} {Home phone/Mobile phone:144}
Work Phone: {Work Phone:146}
E-mail: {E-mail:126}
Occupation: {Occupation:166} {other occupation:167}

REQUESTED DOCUMENTS

Uploaded document(s) :
{Select and upload the requested document:55}
Confirm the overview of the provided personal information*
I hereby confirm that the information provided is true, correct and complete and that the overview is correct and according to the provided information. I also authorize ASKA Insurances to update my registered personal information according to the information provided with this online form.
Would you like to receive a quotation of our insurance products or other information?**
Yes
No
Select a insurance or product?*
Car insurance
Travel insurance
Fire Insurance (private or business)
Business Interruption Insurance
Household effects
Valuables Insurance
Funeral Insurance
Life Insurance
Construction All Risk Insurance
Liability Insurance
Pension

UPDATE your personal information

Step 1 of 4 - Importance updating your personal information

IMPORTANT NOTE

Upload valid ID

Please keep in mind that we cannot update your information if you do not have a valid ID

PERSONAL INFORMATION CLIENT

REQUESTED DOCUMENTS