Garage R Insurance - Main Driver / Vehicle Form

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Save more with us today on cheaper premiums and earn more credits at Garage R Performance Centre Pte Ltd. Our Insurance Specialists will get in touch with you 1-2 months before your renewal month!

Quotation: Allianz, Tokio Marine, MSIG, India International Insurance, Aviva, III, Etiqa, NTUC, Sompo

Email *

My Name Is *

My Postal Code Is *

My Occupation Is *

My NRIC Is *

My Gender Is *

Male

Female

My Date Of Birth Is *

My Contact Number Is *

I'm *

Single

Married

I Am Looking For A *

Comprehensive Motor Insurance

Third Party Fire & Theft Motor Insurance

Third Party Only Motor Insurance

License Pass Date *

The Year Of Registration Of My Car Is *

The Make Of My Car Is *

The Model Of My Car Is *

The Car Plate Number Of My Car Is *

The Engine Capacity Of My Car Is *

Is Your Car An Off Peak Car? *

Yes

My Current No Claim Discount (NCD) is *

Have You Ever Had Your License Revoked? *

If your answer to this is Yes, please kindly explain to us what happened in the "Other" Section below.

Other:

Have You Made Any Claims In The Last 3 Years? *

If your answer to this is Yes, please kindly explain to us what happened in the "Other" Section below.

Other:

My Current Insurance Provider Is *

When Does Your Current Insurance Policy Expire? *

Promo Code Applied

Please Key In Garage R Staff Name/Month/Year (E.g. JohnJan2021)

Submit

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