Vehicle Insurance Enquiry

If you would like a quote for your new or existing car insurance, kindly fill-up the form completely, cut and paste the following template and email to admin@euromotors.com.sg . Please note that we are able to process your request within 1-2 working day.

Personal Information

Owner Name:

I/C:

Address:

Postal Code:

Contact Number:

Email Address

The Name Driver

Name:

Gender:

Marital Status:

Date Of Birth:

Occupation:

Driving Experience:

No of Cliams in last 3 years:

Claim Amount:

Safty Driver Discount: Yes / No

NCD Discount: 10 / 20 / 30 /40/50

Previous Insurer:

Vehicle Number:

Vehicle Information

Make Model:

Normal Private Vehicle / Off Peak Car:

Vehicle Registration Number:

Year of Manufacture:

Chassis Number:

Engine Number:

Name Of Finance Company:

Period Of Coverage:

Comments