Private Motor Car Insurance Quotation YOURSELF FAX: 6776 7912 Name: Email: NRIC/FIN No.: Address: Marital Status: Occupation: Nationality: Driving Experience: Safe Driver Discount from Traffic Police: Demerit Points: YOUR VEHICLE Registration Number: Engine Capacity (CC): Seating Capacity: Year Manufactured: Year of Registration: Make: Model: Parallel Imported? Company Registered Car? YOUR INSURANCE HISTORY NCD at next renewal: Current/previous Motor insurer: Total no of claim in last 3 years: Total claim amount in last 3 years: Current Finance company: NO OBLIGATION QUOTATION. FEEL FREE TO CONTACT Agnes Lee 9006 8287
