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Motor Insurance (Private)

Devotion. Experience.
We Strive to Serve Our Best.

Incorporated since 1996.
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Motor Insurance (Private)

Download forms here

dl_private dl_commercial

 

 

    About Yourself

    Insured* (Full name)

    IC

    Your Email (required)

    Is the insured driving?*

    YesNo

    Date of Birth*

    Driving Experience*

    Gender

    MaleFemale

    Any claims for the past three years?

    YesNo

    Please indicate claims amount and date

    NCB*

    Car Details

    Please note that if there is not a brand new vehicle, there is no need to fill in information on make, model. registration date, engine capacity. However, do indicate the full vehicle number.

    Type of Plan*

    Vehicle No.*

    Make

    Model

    Registration Date of Vehicle

    Engine Capacity

    Named Driver
    YesNo

    Name

    IC / FIN / Passport No.

    Date of Birth

    Driving Experience

    Gender

    MaleFemale