COMPULSORY CAR INSURANCE
Dear Client,
Thank you for your interest in VIKO DRAUDA services. With this questionnaire assistance we will be able to prepare people accident insurance options.
Motor Third Party Liability Insurance (MTPL) ensures that damage to third party health and property caused by an accident for which driver and/or owner of the car were responsible is covered.
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Email *
I agree that the company will process my personal data *
Insurer's name and surname *
Insurer's address *
When is insurance validity start date? *
MM
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DD
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YYYY
When is insurance validity end date? (Minimum term 1 week). *
MM
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DD
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YYYY
What is insurance's object brand and model? *
What is insurance's object year of manufacture?
What is insurance's object type? *
What is insurance's object license plate number *
What kind of fuel does insurance object use? *
How many accidents in last 5 years does insurer's has? *
Place of vehicle registration? *
Is insurer and/or insurance object is required to have green card? *
Insurance criteria monthly tariffs.
Captionless Image
Driving experience? *
Vehicle’s engine capacity/power *
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