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Quote
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Primary Requirements
All fields with
*
are Required.
Wasel / National Address.
*
Commercial Registration Copy.
*
Select File
Official Permit Letter.
*
Select File
Upload File, Sample File
Here
.
Select Request Type.
*
Select Option...
Vehicle
Medical
Full Name.
*
Company Name.
*
Email Address.
*
Mobile No.
*
Insurance Type.
Address.
No. of Employees
Any Other Requests.
Claims Experience Report
Select File
Upload File, Sample File
Here
.
List of Members in excel sheet
Select File
Upload File, Sample File
Here
.
Any Other Attachment
Select File
Other Files you want to send.
Vehicle Owner Name.
*
Owner Mobile number.
*
Owner Email Address.
*
Owner DOB.
*
Vehicle Brand.
*
Vehicle Type.
*
Vehicle Kind.
*
Vehicle color.
*
Chassis Number.
*
Sequence no.
*
Vehicle Plate ID.
*
Registration Expiry Date.
*
List of Vehicles in excel sheet
Select File
Upload Member List, Sample File
Here
.
Car Registration Copy.
*
Select File
Upload Registration Copy
Any Other Attachment
Select File
Other Files you want to send.
Health Declaration Form for Overage Members (Above 64yrs age)
About Us
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Executive Management
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