1) Your name
2) Contact Information
3) Type of insurance
Additional Information
1. Brand, series, model of your car, motorcycle, vehicle
2. Which year produced?
3. How many CC of engine?
4. Automatic or Manual?
5. How much you paid for your vehicle?
6. Do you have existing car, motorcycle, vehicle policy,
if this is the case, and you have a good
record,
then we can give special discounts
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