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MOTOR INSURANCE COVER
The policy covers you against any loss or damage caused to your car, third party's property and injuries or it's accessories due to natural and man- made calamities.
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Full Name:
*
Your answer
Telephone Number
*
Your answer
E-mail
*
Your answer
Permanent Address
*
Your answer
Make of Vehicle
*
Your answer
Model.
*
Your answer
Vehicle Registration No.
*
Your answer
Color
*
Your answer
Chassis No./ VIN
*
Your answer
Year of Manufacture
*
Your answer
Cubic Capacity
*
Your answer
Mileage
Your answer
No. of Seat
*
Your answer
Cover Type
*
Choose
Comprehensive
Third Party
Third Party Fire & Theft
Fleet (If any)
Your answer
Cover period
Choose
3 months
6 months
1 year
Schedule type
*
Choose
Individual
Corporate
Taxi
Hiring
Uber
Mini bus
Maxi bus
Motor Cycle
Ambulance hearse
Own goods up to 3000 cc
Own goods above 3000 cc
Art tanker
General cartage up 3000 cc
General cartage above 3000 cc
Special type on site
Special type on road
Class
DV Plate
If not
Third Party Cover
, Please indicate the Sum insured. (the value of your vehicle)
Your answer
Currency
*
Choose
Ghana Cedis (GH₵)
Dollar ($)
Euro (€)
Pounds (£)
Third party property damage limit (TPPDL)
*
Choose
5000
above 5000
If above 5000, please specify the amount of TPPDL
Your answer
Type of Identification Card
*
Choose
Ghana Card
Driver's License
Voters ID
Ssnit Card
Passport
Kindly indicate the ID number chosen above
*
Your answer
I have read, understood and accepted all information provided herewith. terms and conditions
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Yes
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Required
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