Please indicate the HealthPal subscriber's details who is signing up for the bundled deals. If you are purchasing it for yourself and your family, please indicate their names below.
Your Name (required)
NRIC/FIN/Passport Number (required)*
Contact Number (required)
Email (required)
Date of Birth (required)
Name of Family Members (if applicable)
Referral ID (optional)
*With effect from 1st September 2019 in accordance with PDPC's Advisory Guidelines on the PDPA for NRIC and other National Identification numbers, HealthPal will not be storing any NRIC and other National Identification data in our servers.
As we are providing a Medical Card service partnered with MHC, we seek your understanding that NRIC and other National Identification numbers is still required for setting up your eCard.
I hereby agree to the Terms of Use and that the information provided is correct. We may use your Personal Data for our marketing, product development or other commercialisation purposes.