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  • Proposal Detail
Motor Vehicle Insurance

Your chosen insurance plan
Agent Name / ID
/
Showroom Name
Sum Insured Amount (MMK)
0
Stamp Fee (MMK)
100
Policy Term (Month)
Policy Inception Date
Policy Expiry Date
Total Premium
Amount (MMK)
(including taxes)
0

Proposal Detail

Policy Holder Information

Full Name
Gender
Birth Date
NRC/ Passport No.
Phone Number
Email Address
Address
Township
District
State

Vehicle Detail Information

Type of Vehicle
Type of Coverage
Type of Body
Purpose of Use
License Plate No.
Make of Vehicle
Model of Vehicle
Year of Manufacture
Engine No.
Chassis No.
Cubic Capacity
Sum Insured of Vehicle (MMK)
0
Sum Insured of Windscreen (MMK)
0
Excess Type

Inspection Photo of Vehicle

Vehicle Photo (Front)
Vehicle Photo (Back)
Vehicle Photo (Left)
Vehicle Photo (Right)
Vehicle Photo (Interior Front)
Vehicle Photo (Interior Back)
Vehicle Photo (Dashboard)
Vehicle Photo (Front left wheel)
Vehicle Photo (Front right wheel)
Vehicle Photo (Rear left wheel)
Vehicle Photo (Rear right wheel)
Vehicle Photo (Spare wheel)
Vehicle Photo (Windscreen outside)
Vehicle Photo (Windscreen inside)
Vehicle Photo (Engine Room)
Vehicle Photo (Battery)
Vehicle Photo (Name plate/Chassis Number)

Related Documents of Vehicle

Owner Book (Inner front page)
Sale Invoice/Contract

Basic and Additional Covers Details

Basic Cover
Own Damage (MMK) :
0
Additional Covers
Third Party (MMK) :
0
SRCC (Strike, Riot and Civil Commotion) (MMK) :
0
WindScreen (MMK) :
0

Authorized Drivers Information

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Please select payment method.
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