Motor Insurance Quotation

If your insurance has not expired, you can actually renew your insurance instantly without waiting for a manual quotation from us.

However, for certain vehicle model, insurance classes or others reason such as lapsed policy, you will need us to manually quote you. For this purposes, kindly complete the below form, and we will revert with an official quotation for your consideration.

MANUAL INSURANCE QUOTATION FORM
Upon submission of this form, we will revert to you within 30 mins with the official quotation. If you are agreeable to the quotation, proceed with payment and we will email you the cover note.
Name as per NRIC*
NRIC / Passport*
Date of Birth (For Non-Malaysian)
 / 
 / 
Nationality (Non-Malaysian Only)
Mobile Number:*
Email:*
Address:*
Vehicle Number*
Sum Coverage Amount (RM)*
Car Model / Make*
Windscreen Coverage (RM)
Name & NRIC of Second Name Driver
Optional Coverage:*
Do you wish to include Road Tax in the quotation?*
Remarks: