Car Insurance Vehicle Number Owner ID Type Please SelectBusiness (e.g. 51234567M)Club/Association/Organization (e.g. T08PQ1234A)Company (e.g. 198912345K)Foreign Company (e.g. T08AB1234B)Foreign Identification Number (E.g. F/G2345678N)Foreign Passport (e.g. 23456789)Government (e.g. T08GA2345B)Limited Liability Partnership (e.g. T08LL2345A)Limited Partnership (e.g. T08LP2345B)Malaysian NRIC (e.g. 200523020233)Professional (e.g. T08PA2345B)Singapore NRIC (e.g. S2345678D)Statutory Board (e.g. T08GB2345B) Owner ID Name Gender Please SelectMale Female Phone Number E-mail Marital Status Please SelectSingleMarried Date of Birth License Pass Date Claim Made Within Past 3 Years No Yes No-Claim Discount (NCD) Please Select0%10%20%30%40%50% Coverage Period: Coverage Start Date Coverage End Date Submit
