Online Quotation


Kindly fill up form & submit by clicking on the submit button. Fields marked with * must be filled. We understand there is a lot of information to fill in because we do not assume. And we definitely do not want to risk the chance when there is a claim. Thank you for the understanding. 
Your Personal Details
Name *
Email 
Contact No *  
NRIC/FIN No *
Occupation *   
Date of Birth *   (ddmmyyyy)
Driving Exp * years   date of driving license issued (ddmmyyyy)
Nationality *   If Others, pls specify
Marital Status *
Gender *
NCD *  
SDD * Check Eligibility
Address *
Your Vehicle Details
Vehicle Reg No *  Your Car Plate No.
Make / Model *  eg. Honda Civic VTI 1.6A
Engine Capacity (CC) *
Seating Capacity *
Year Manufactured *  (YYYY) 
Year Registered *  (YYYY)
Type *
Parallel Imported *
Type of Coverage *
Your Insurance Details
Current Insurance Company*  eg. NTUC 
Renewal Received? * 
If Yes, what was the quote *  Premium :  Excess :    
No of Claims In 3 Years * 
Tyoe of Claim * 
Period of Claim * 
Date,Place,Details,Claim Amount of each Accident
Current Finance Company *  eg. GE Money
Quote With NCD Protector *  (only those with NCD > 30% are eligible)
Workshop Preference *
Period Of Insurance * Effective  to   ddmmyyyy format
Your Additional Named Driver Details, If Any
Name Driver 1
Name : NRIC No : Gender : 
Date Of Birth : Occupation :   
Driving Exp : years                           Marital Status :  
Name Driver 2
Name : NRIC No : Gender : 
Date Of Birth : Occupation :   
Driving Exp : years                           Marital Status :  
Remarks, If Any
Remarks :