I WANT TO PURCHASE PERSONAL MOTOR INSURANCE

Thank you for your request
You can expect to be contacted by the selected insurers within 24 hours of the next working day to verify and provide further information and documentation before the quotations are given. It is advisable for you to have details of your previous insurance policy / takaful certificate as a reference to the information requested.

Full Name *

IC No *

Vehicle Model *

Vehicle Registration *

Phone Number *

Email *

I agree that any personal information collected or held by PIAM Member Companies may be disclosed by PIAM Member Companies and its affiliates to any selected third party for the purposes of motor insurance quotations and to communicate with me for such purpose.

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