Demo borang insurance Borang Insurans (#21)Car detailsYour Vehicle Number Type of Renewal - Select -RenewalTransfer OwnershipIdentity Card Type - Select -IC NumberPasssport NumberPolice IDArmy IDBusiness Registration NumberIdentity 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) PreviousNextWhich party do you prefer? 1st party 3rd partyAdd-on Windshield protection (RM150) Add-on 1 (RM200) Add-on 2 (RM400)Addon subtotal Previous Submit Form