Demo borang insurance

Borang Insurans (#21)

Your Vehicle Number

Type of Renewal

Identity Card Type

Identity Card No.

Model Car Name

Owner's Name

Email

Whatsapp Number

(Please provide WhatsApp phone number to receive quote. Example :- 60123456789)

Postcode Cover Note

Referral Code (Jika ada)

Which party do you prefer?

1st party

3rd party

Add-on

Windshield protection (RM150)

Add-on 1 (RM200)

Add-on 2 (RM400)

Addon subtotal