Private Motor Vehicle


• Applicable to first time car owners and renewal • 30% discount based on basic premium excluding GST

Please complete the form below for a quote and our friendly staff will get back to you as soon as possible. Thank you.
1. Coverage and Period of Insurance

 

2. Vehicle Details

 

 

 

3. Proposer (Vehicle Registered Owner Only)

 

 

 

 

 

 

4. Claim Experience

 

5. Additional Named Driver


 

6. Additional Information

 

I/we hereby understand that I/we need to disclose our personal data in order for Assure (Singapore) Pte Ltd to generate a quotation for me/us. I/we have read the Privacy Policy and I/we consent to the collection and use of my/our personal data in accordance with its terms and conditions. I/we agree and understand that accuracy of quotation premium is solely reliant on information provided by me/we only.

 

 

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