Membership Application

Cover Member Contact Details Persons Covered Payments Confirm

Thank you for choosing to join Allianz Global Assistance.

Our application wizard will now guide you through the process of applying for a membership.

Before starting the application you will need to ensure that:

  • - You have Adobe Reader installed on your computer. If you don’t have this application installed, please click here.
  • - Your browser’s pop-up blocker is turned off.


The following information will be required:

  • - The details of all persons to be covered
  • - Your credit card (Visa / Mastercard) or Australian bank account details
  • - The details of your previous fund including join/cease dates (if applicable)


Please ensure the details you enter are accurate.