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Motor Insurance

It will takes approximately 5 to 10 mins to fill up this motor insurance renewal quotation request form. You might need your existing policy or renewal notice, driving license & claim documents(if any).

Full Name*
NRIC*
Last 4 character of your NRIC
Date of Birth*
Email*
Mobile Number*
Vehicle Number*
Driving License Date*
Pass Date
Insurance Company*
Please indicate "New" if it is a new purchase
Expiry Date*
Claim History*
Any accident in the last 2 years?
Consent to Contact*
This is to acknowledge that our service officer will be contacting you to gather information to provide the cheapest available quotes