It is mandatory for every Singapore car to renew our vehicle insurance every year.

Feeling the increased cost of insurance?

Find the cheapest quote here for .

1. Personal Information :
Name: *
Date of Birth: *  (DD/MM/YYYY)
NRIC: *
Gender: * Male     Female
Marital Status:
Occupation: *
Please enter your
Occupation :
Address: *
Block / House No:
Street:
Unit No:
Building Name:
Postal Code:
 
Email Address: *
Contact No.: *
  Are you a resident of Singapore?
Are you medically fit to drive and satisfy all driving license regulations?
1. Company Information :
Company Name: *
Contact Person: *
Company Address: *
Block / House No:
Street:
Unit No:
Building Name:
Postal Code:
 
Email Address: *
Contact No.: *
* Mandatory field

2. Driving Experience:
No. of Years Driving Licence held: *
No. of Claims in the last 3 Years: *
* Mandatory field

3. Vehicle and Insurance:
Make / Model: *
Year of Make: *
Vehicle Registration No.: *
Off-Peak Car: *
Current Insurer: *
Current No Claims Discount%: *
Renewal No Claims Discount%:
Current Policy Renewal Date:   (DD/MM/YYYY)
Cover Start Date:   (DD/MM/YYYY)
Named Drivers Discount: You can reduce your premium further by restricting the number of drivers on your policy.


Name: *
Date of Birth: * (DD/MM/YYYY)
NRIC: *
Gender: * Male     Female
Marital Status:
Occupation: *
Please enter your
Occupation :
No. of Years Driving Licence held? *
No. of Claims in the last 3 Years? *
 
  Is your car under finance agreement?

Finance Company :
Please enter your
finance company :

Have you been previously refused car insurance for any reason?
* Mandatory field

4. Additional Comment (if any):

 

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