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Contact Us:

Motorance Enterprise

1004 Eunos Avenue 8, #01-05

Singapore 409499

Tel:

+65-6693-1365

Fax:

+65-6744-8641





 

Car Insurance / Motor Insurance

  

Owner Name:
Citizenship:
Date Of Birth:
NRIC / FIN No.:

 

Gender: Male  Female 
Marital Status :
Occupation:

 

Indoor  Outdoor

Coverage Period : to    
License Date:   (If no license, please indicate 8 zeros.)
Car Plate No. :
Current Insurer:
Coverage :     
NCD Entitled:  
Any Offence Free Discount? Yes  No Check here
Claims in last 3 years? :  Yes  No

(If yes, please state in the box below)

Any Additional Information :

Contact Person:
Mobile :
Email  :

Prefer to contact via :Phone Call  E-Mail  SMS

By submitting this request, I understand that all information provided above are correct and Motorance is given the permission to use my information. I acknowledge having read through the Privacy Policy and consent to use my information for the purpose of obtaining insurance quotes and to be contacted for quotation updates. Where the data provided is not mine, I confirm that I have the consent of the owner to provide such data. 

 

For urgent cases...

 

If your car insurance is expiring very soon and you need urgent quotes, please call: 

+65 6693 1365


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