Product - Eticar

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Insurance

Insurance & Roadtax

Vehicle Plate Number*

Owner MyKad*

Owner Full Name*

Email Address*

Contact Phone Number*

Current Address*

Postcode*

Type of Insurance*

Car Grant Or Current coverage policy (OPTIONAL)

Additional Infomation (OPTIONAL)

Insurance Coverage*

Additional Info

Non-Saloon Vehicle

Windscreen Vehicle

Perils Coverage

Unlimited Km Towing

Company Vehicle

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