About Us

Insurance Renewal Private Car

Insurance Renewal Commercial Owners (Corporate Owners)

Insurance Renewal Commercial Owners (Private Owners)

Insurance Renewal Private Car



Insured Data
*Owner's Name
*Mobile No.
Email Address
*NRIC No.
*Date of Birth (DD/MM/YY)
*License Pass Date (DD/MM/YY) (exact date found behind driving license)
*Gender
*Marital Status
*Occupation
*Bank / Finance Company (if vehicle is still under finance / loan)


1st Named Driver (optional)
Named driver :
NRIC No. :
DOB (DD/MM/YY) :
Gender :
Marital Status:
Relationship to Owner:
Licensed Pass Date (DD/MM/YY) :
Occupation
2nd Named Driver (optional)
Named driver :
NRIC No. :
DOB (DD/MM/YY) :
Gender :
Marital Status:
Relationship to Owner:
Licensed Pass Date (DD/MM/YY) :
Occupation


Vehicle Data
*Car Plate No.
*Make / Model
*Yr of Manufacturer
*Registration Date (DD/MM/YY)
*Engine Capacity


Insurance Data
*Type of Cover
*Current Insurance Company
*NCD upon Renewal
*Date of Expiry (DD/MM/YY)
*Renewal Premium
*Any Accident during past 3 years?
If Yes please input the Accident date and Claim amount
Other Requests


How did you get to know about us ?
*How did you know about us ?
If Others, please define
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