Maya Payment

Payment Type

Full Name

Mobile No

Amount

Set up automatic payments (optional)

Payment For

Employee ID Number

Payment Source

Card Details

Cardholder Name

Card No.

Card details are sent to Maya for tokenization and are not stored by this form.

Payment Instructions

1. Fill out payment details:

For Insurance:
- Name: Policyholder / Insured Name
- Email: Policyholder’s Email
- Description: For Insurance payment, please indicate the policy number, the policyholder / insured’s name, and payment amount details.
For Salary Loan:
- Name: Employee Name
- Email: Employee’s Email
- Description: For Salary Loan, please indicate your Employee No., and the details / breakdown of payment amount.

2. Click Continue
Note: Check your email for more information about your payment

If you wish to change your card, go to My Account > Saved Card and click Change Card