Insure Your Car (Passenger Vehicle)

We get you the best rate as easy as 123.

  1. Complete and submit the E Form
  2. We will source the quotations on your behalf
  3. Our service team will sms/email you the quotations

Personal Details

Full Name
Gender Male    Female
Email
Contact No.
Martial Status
Date of Birth
NRIC
Nationality
Occupation
Name of Employer
Non Claim Bonus
Class 3 Pass Date
Existing Insurer
Postal Code

Insurance / Car Details

Make/Model/Engine capacity
Transmission
Car Plate Number
Year Manufacture
Date of Registration
(if different)
Finance Company
Claims For Past 3 Years
Claims Details

Additional Drivers (1)

Name of Driver
Gender Male    Female
D.O.B
Occupation
Class 3 Pass Date
Relationship to Insured

Additional Drivers (2)

Name of Driver
Gender Male    Female
D.O.B
Occupation
Class 3 Pass Date
Relationship to Insured

Claim (1)

Self Claim Amount
3rd Party Claim Amount
Estimate Accident Date
Cause of Accident

Claim (2)

Self Claim Amount
3rd Party Claim Amount
Estimate Accident Date
Cause of Accident