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1

Premium

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2

Personal Details

Some details to get you going.

3

Make Payments

Seal the deal for an instant production.


Fields marked with * are compulsory.
* Please enter the mandatory field(s).
Do you have vehicle Number? *
Vehicle Registration Number *
Owner Of Vehicle *
ID Type*
- -
e.g. yymmdd-xx-xxxx

  You acknowledge that the purchase is done via Zurich Agent’s portal. An agent will earn commission, provide you seamless and personalised product/claim services. You may purchase a similar product directly from Zurich General Insurance and it is commission-free. You will self-serve your insurance needs or contact Zurich for assistance.


Vehicle Details
Year of Manufacture *
Vehicle Make & Model *
Engine Size *
CC
No. of Named Driver*
Postcode *
Postcode
Contact Info
Email Address*
Contact Number*
Insured Details
DOB *
Age *
Gender *

Important: Please read this Product Disclosure Sheet for more information about the product and take note of your Duty of Disclosure

Alternatively, you may visit Zurich branches for your coverage needs