Type of Vehicle: PrivateCommercialMotor Cycle
Condition of Vehicle: NewUsed
Type of Body: --Select One--Saloon/Hatchback4wd/StationSUVCoupe/sports carPickupBusForklift
Registeration: --Select One--Abu DhabiDubaiSharjahAjmanRas Al KhaimahUmm Al QuwainFujeirahAl Ain
Type of Cover:--Select One--Insurance against Loss, Damage and Third Party Liability (Comprehensive)Insurance against Third Party Liability
Note: Personal Accident cover for the Driver and Passengers is mandatory.
OPTIONS:(AT EXTRA PREMIUM)
1. Do you require to have the vehicle repaired at Dealer's garage?
2. Do you require OIC Gold Roadside Assistance Service Program- Unlimited (GRASP)?
3. Do you require Hire Car Benefit (Pvt. Cars Only)?
How many accidents were you involved in over the last three years?
Of the above, how many were due to your fault?
How did you hear of us?
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