Ronald Wong Insurance Svcs & Consultancy

Motor Insurance

admin — Tue, 24 May 2011 11:33:37 +0000

Get Your Competitive Motor Insurance Quotations Now

Insurance: Start Date to

End Date

Coverage Required *

Comprehensive

Third Party Fire Theft

Third Party Only

Section I - Vehicle Owner's Particulars

Is there anyone else other than the owner driving the vehicle?

Vehicle Owner's Name

Contact Number

NRIC (for 5% OFD check)

Gender

Male

Female

Marital Status

Single

Married

Date of Birth

Occupation

Job Nature

Indoors

Outdoors

Driving Experience (Years)

Section II - Vehicle Details

Vehicle No.

Vehicle Make & Model

E.g. Toyota Corolla

Please indicate if your vehicle belongs to one or more of the following categories:

Parallel Import

Off Peak

Turbo

Fitted with Sun Roof

Comapny vehicle (business use only)

Current Insurer

Renewal Premium ($)

Renewal NCD

Any Claims in Past 3 Years?

Section III - Claims Details

How many claims?

Any claim still pending?

Own Damage Claim ($)

3rd Party Damage Claim ($)

Reserve Claim ($)

Total Claim ($)

Summary of Accidents

Acknowledgement

I hereby authorise Ronald Wong Insurance Services & Consultancy to source for quotations using the information I provide *

Agree

Disagree

Note: we will not be able to proceed unless you authorize us by checking on "Agree".

Travel Insurance

admin — Tue, 24 May 2011 11:31:44 +0000

Make sure you are covered for unforeseen events during your travel abroad…

Hospitalisation & Surgical Insurance

admin — Tue, 24 May 2011 11:29:04 +0000

Protect your wealth against the high cost of medical treatment today…

Personal Accident (PA) Insurance

admin — Tue, 24 May 2011 11:27:32 +0000

Get Competitive Quotations Best Suited For Your Insurance Needs Now

Fire & Home Content Insurance

admin — Tue, 24 May 2011 11:25:35 +0000

Protect Your Valuable Home Today

Business Insurance

admin — Tue, 24 May 2011 11:23:41 +0000

Take The First Step To Insuring Your Business

Liability Insurance

admin — Tue, 24 May 2011 11:21:27 +0000

Protect Your Business and Professional Interests Today

Work Injury Compensation (WICA) and Public Liability (PL) Insurance

admin — Tue, 24 May 2011 01:34:16 +0000

Get your WICA and PL quotations today