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    Owner/Insured Details

    Owner ID Type

    Owner ID No.

    Name

    Mobile

    Email

    Date of Birth

    License Pass Date

    Gender

    Marital Status

    Vehicle/Insurance Details

    Vehicle Plate No.

    Insurance Coverage

    Renewal NCD

    No. of Claims (Past 3 Yrs)

    Current Insurer

    Current Renewal Premium

    Additional Driver Details

    An additional excess applies for unnamed drivers. Adding named drivers on your policy may result in an increase in your insurance premium.

    Name

    ID No.

    Date of Birth

    License Pass Date

    Gender

    Marital Status

    Occupation

    Nationality

    Relationship