CAR DETAILS
Off-Peak Car?
What is your vehicle make?
What is your vehicle model?
Is your vehicle registered under a company?
What is your vehicle registration no.?
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Which year was your car manufactured?
Which year was your car registered?
DRIVER DETAILS & DRIVING EXPERIENCE
add driver MAIN DRIVER
What is your gender?
Date Of Birth
Years of driving experience?
Based on current driving licence issued date
What is your occupation nature?
What is your occupation?
What is your marital status?
add driver ADD A DRIVER
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What is your NCD% at Renewal?
Do you have Certificate of Merit?
Click HERE to check for your certificate of merit
Demerit Points (if any)
Any claims in the last 3 years?
Do you have a valid license?
COE Expiry Date
Policy Start Date
INSURANCE & PREFERENCES
Cover Type :
Comprehensive
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Who is your Current Insurer?
Any Workshop?
Loss of Use Benefit?
NCD Protector?