Lowest Insurance

Referred by: SGCM

Personal Information
Full Name *:	*
NRIC/Passport No *:	* NRIC is invalid
Home Address:
Gender *:	Please Select Male Female *
Claim Experience *:	Any claims made in past 3 years? Yes  No Claims made in Oct-2010 to Oct-2011 No. of claims 0 1 2 3 or more  claims  totalling $ Claims made in Oct-2009 to Oct-2010 No. of claims 0 1 2 3 or more  claims  totalling $ Claims made in Oct-2008 to Oct-2009 No. of claims 0 1 2 3 or more Please enter your claims amount claims  totalling $
License Pass Date *:	(dd.mm.yyyy) * * Click here if owner has no license.
Date of Birth *:	* * (dd.mm.yyyy)
Marital Status *:	Please Select Married Single *
Occupation *:	Please Select Academic, Educator Actor, Actress, Entertainer Agriculture and Fishing (eg: Farms) Aircraft Pilot/Cabin Crew Arts, Entertainment & Recreation Banker, Accountant, Fund Manager Clerical, Administrative Computer Engineer, Technician Computer Engineer, Technician (Outdoor) Construction, Supervisor, Worker (Indoor) Contractor, Subcontractor Doctor, Medical or Lab Staff Electrical Works Executive, Managerial Gas Supply Hawker/Hotel/Restaurants/Food Catering Homemaker Housewife Insurance, Property Agent Junk dealers, refuse & garbage removal Landscaping & maintenance Co Lawyer, Legal Profession Management, Director, CEO Manufacturing Mechanic Military, Police, Civil, Defence, etc Motor Trade/Motor Repair Activities News Reporter, Journalist Other, Technician, Engineer Others, Indoor Others, Outdoor Professional Professional, Scientific & Technical Activities Real Estate Renovation, Contractor Rental and Leasing Activities Retiree Sales, Marketing, Service, Surveyors, Valuers Security Firms (eg: CISCO) Self, Employed, Own, Company Service, Customer, Support, in, house Social & non-profit organizations Student Transport and Storage Unemployed Water Supply, Sewerage and Waste Management *
Job Type *:	Please Select Indoor Outdoor *
Contact No *:	*
Email *:	* Invalid Email Address
Vehicle Information
Insurance Type *:	Please Select Comprehensive Third Party Fire & Theft Third Party Only *
Vehicle No. *:	* Invalid Vehicle No
Period of Insurance *:	From: * (dd.mm.yyyy)
No Claim Discount (upon renewal) *:	Please Select 0% 10% 20% 30% 40% 50% (Upon Renewal) 50% (Currently) *
OFD (Offence Free Discount) *:	Please Select No Yes *
Current Insurer *:	Please select Allianz AVIVA LTD AXA Chartis China Taiping EQ Etiqa Federal First Capital HSBC India International Liberty Lonpac Mitsui Sumitomo MSIG Nipponkoa NTUC Income Overseas Assurance QBE Insurance (International) Ltd Royal & Sun Alliance SHC Capital Sompo Japan Tenet Tokio Marine United Overseas Insurance Zurich Other *
Current Renewal Premium :	$