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5th Pillar Takaful
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Forms

Home / Forms
5th Pillar Takaful
English اردو
  • Home
  • Company
    • About Us
    • Vision & Mission
    • Management Team
    • Corporate Information
    • PACRA Rating
    • Code of Conduct
    • Waqf Deed
    • PTF Policies
    • Privacy Policy
  • Governance
    • Board of Directors
    • Board Committees
    • Management Committees
    • Shariah Advisor
    • External Auditors
    • Legal Advisor
    • Pattern of Shareholding
  • Products
    • Hajj Savings Plan
    • Digital Savings
    • Umrah Savings Plan
    • Regular Savings Plan
    • Group Life Takaful
  • Investors Relations
    • Financial Statements
    • Notices of General Meetings
      • Notice of AGM 2026
      • Notice of EoGM 2025
      • Notice of AGM 2025
    • Online Complaint Form
    • Contact Details for Investors
    • Complaints in Respect of Takaful Membership
    • SECP SDMS
    • Takaful Unit-Linked Funds
      • Target Asset Mix and Charges
      • Daily Fund Prices
      • Fund Manager's Report
      • Accounts of Unit Linked Funds
    • Sitemap
  • Media
    • News & Events
    • Memberships
  • Contact
  • Downloads
    • List of Participants Having Unclaimed / Un-Enchased Benefits
    • Forms
  • 5th Pillar Travel

Group Family Takaful

Claim Forms:

  • Claimant's Statement – Claim Form D1 (Death).pdf
  • Physician's Statement – Claim Form D2 (Death).pdf
  • Disability Employer's Statement – Claim Form DS1 (Injury or Disability).pdf
  • Disability Physician's Statement – Claim Form DS2 (Permanent Disability).pdf
  • Physician's Statement – Claim Form DS2 (Injury or Disability).pdf

Individual / Banca Takaful

Participant Services
  • Change Fund Distribution Form
  • Change Of Nomination Guardianship Form
  • Customer Information Updating Form
  • Full-Or-Partial-Surrender-Form
  • Lost PMD Form
  • Membership Amendment Request Form
  • Reinstatements Health Declaration Form – Hajj
  • Reinstatements Health Declaration Form – Saving
  • Reinstatements Health Declaration Form – Umrah
  • Request-For-Net-PIF-Value-Takaful-form
Claim Forms
  • Guidelines – How to Initiate Claims
  • Claim Intimation – Registration Form
  • Claimant's Statement – Claim Form (Death)
  • Medical Attendant's Statement – Claim Form (Death)
  • Claimant's Statement – Claim Form (Injury or Disability or Illness)
  • Medical Attendant's Statement – Claim Form (Injury or Disability or Illness)
  • AML-CFT Questionnaire
  • Complaint Resolution Forum
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Quick Links

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Get in Touch with Us

Grievance contact icon
For grievance handling: Mr. Iftikhar Ahmed
Email: grievance@5thpillartakaful.com
Contact: 021-36492847
Email icon
Email: info@5thpillartakaful.com
Phone icon
UAN: 021-111-786-573
Karachi office icon
Office No. SF-01 to SF-06, 2nd Floor, Emerald Mall, Near Do-Talwar, Clifton, Block 5, Karachi, Pakistan.
Lahore office icon
Lahore Branch: Office No. 618 - 620, 6th Floor, Al-Hafeez Executive, 30-C-3, Gulberg III, Lahore, Pakistan.
Business Working Hours:

Monday to Friday: 9:00 AM to 5:00 PM

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Federal Insurance Ombudsman Pakistan

https://fio.gov.pk/

Jamapunji SECP SDMS

DISCLAIMER: In case your complaint has not been properly redressed by us, you may lodge your complaint with Securities and Exchange Commission of Pakistan (the “SECP”). SECP will entertain only those complaints which were first directly requested to be redressed by the company and the company failed to redress the same.

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Last Update: July 29, 2026