Sign up to e*placement

To sign up to e*placement, just fill in your details below and press submit. One of our team members will be in contact with you shortly.

Title (required)
First Name *
Last Name *
Email Address *
Title / Position:
Brokerage Name: *
AFSL number
ABN Number:
Address:
Suburb: *
State: *
Postcode
Work Phone Number
Mobile Phone:

SGUAS Pty Ltd trading as Accident and Health Protection (ABN 15 096 726 895, AFS Licence No. 234437) (‘A+HPRO’) respects your privacy and operates at all times in accordance with its Privacy Policy. Any personal information provided by you will be treated in accordance with the Privacy Act 1988 (Cth). A+HPRO collects the personal information above in order to sign you up to our e*placement system.  A+HPRO may also disclose this information to the insurer. A+HPRO may also use this information to provide you with updates on e*placement, product updates and marketing materials from time to time. You will be provided with a means to opt out of the materials sent to you. In accordance with A+HPRO’s Privacy Policy you may obtain access at any time to personal information that A+HPRO or its service providers hold on you. A+HPRO’s Privacy Policy contains information about how to access and correct the personal information A+HPRO holds on you and also how to complain about a breach of privacy. If you would like additional information about privacy or would like to obtain a copy of the Privacy Policy, please contact the A+HPRO Privacy Officer at the details provided in its Privacy Policy which can be accessed here.

E*PLACEMENT ONLINE SYSTEM