Apply for this insurance plan

Information of the Insured

Address

Insurance Period

Effective Date *The coverage period is 1 year as required by the policy.

Required Documents

Please upload a copy of your passport in JPG, JPEG, PNG file. Maximum size 4MB.

Please upload a copy of the vehicle's registration in JPG, JPEG, PNG file. Maximum size 4MB. - Click to see an example of the requested page

Confirm information