Allianz Personal Vehicle Insurance

Vehicle Information

Please make sure to answer honestly, with accurate and up-to-date information. If you don’t, your policy may be cancelled, and your insurer could reject your claim or declare not to pay it in full.

Car Brand

Car Model

Car Type

Car Manufacture Year

Car Registration Year

Is your car off-peak?

Vehicle Information

Driver(s) Information

Information

Popular Industries

Types Of Insurance

Contact

1	Gender Male Female Marital Status Single Married Widowed Divorced First Name Last Name Birth Date NRIC/FIN No. of Years of Driving Experience No. of Car Insurance Claims in Last 3 Years Total Claim Amount Do you have any demerit points? Yes No No. Claim Discount (NDC) Percentage
1	Gender Male Female Marital Status Single Married Widowed Divorced First Name Last Name Birth Date NRIC/FIN No. of Years of Driving Experience No. of Car Insurance Claims in Last 3 Years Total Claim Amount Do you have any demerit points? Yes No No. Claim Discount (NDC) Percentage