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9800 6748
9799 8707
6880 3297
ONECI.net@gmail.com
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Useful information:
a) What to do when there is an accident?
b) Your guide to insuring your motor vehicle.
c) Claims involving Malaysia Vehicle
d) Factors that affecting car insurance premium
Your Particulars
Name
:
NIRC
:
Gender
:
Male
Female
Date of Birth
:
DDMMYYYY
Marital Status
:
Single
Married
Others
Occupation
:
Date of License
:
DDMMYYYY
Nationality
:
Singaporean
Singapore PR
Others
Contact number
:
Email address
:
Mailing Address
:
Your Vehicle Information
Vehicle No
:
Engine Type
:
Normal
Turbo
Body Type
:
Saloon
MPV
SUV
Space Wagon
Station Wagon
4 wheel drive
Parallel Import
:
Yes
No
No Claim Discount (NCD)
:
0%
10%
20%
30%
40%
50%
Any Claim in past 3 years
:
Yes
No
Claim Detail (If yes)
:
Please fill in date of accident, claim amount, insured company..etc
Current Insurer
:
Renewal Premium $
:
Additional Info
:
Date of insurance if it is different from road tax expired date. Additional name driver's: Name, IC, DOB, Occupation, date of licence.
Required
*
