PHjTRo vH KZlelPXjPctfhirmR OP

Apply for Car Insurance

Apply for Vehicle Insurance

GET CAR INSURANCE PLAN QUOTATION ONLINE.

Apply for the best vehicle insurance plan for your Opel with comprehensive coverage qualified for our in-house insurance rebates.

    1. VEHICLE OWNER PARTICULARS

    You are applying for the insurance quotation for this vehicle reservation:

    Order Number

    Name of sales consultant who has served you

    Vehicle Model*

    Year of Manufacture*

    Off-Peak Car?*

    Vehicle Owner's Name*

    Email*

    The quotation will be sent to this email address.

    Phone*

    Vehicle Owner's NRIC / FIN / ACRA reg. no. or UEN*

    Street Address*

    Postal Code*

    2. NAMED DRIVER PARTICULARS

    Full Name*

    NRIC / FIN*

    Driving Pass Date*

    Date of Birth*

    Marital Status*

    Occupation*

    Occupation Type*

    Gender*

    Any additional named driver?

    Additional Driver Full Name*

    Additional Driver NRIC / FIN*

    Additional Driver Driving Pass Date*

    Additional Driver Date of Birth*

    Additional Driver Marital Status*

    Additional Driver Occupation*

    Additional Driver Occupation Type*

    Additional Driver Gender*

    Relationship to insured*

    3. INSURANCE HISTORY

    With current insurer?

    Current Insurer*

    Registration Number*

    No Claim Discount on Policy*

    Discount value in percentage.

    Expiry Date*

    Any claims?

    Date of Accident*

    Own Damage Claim*

    Third Party Claim*

    The car insurance plan quotation is provided by Alpine Financial Pte Ltd (UEN 201900573K), an Auto Germany Pte Ltd affiliated company.

    Auto Germany Pte Ltd does not provide insurance policies. We do not assume any risk or undertake any liability under any insurance plans that we may provide information on.

    We do not negotiate, service, or effect insurance contracts on your behalf or on behalf of the insurer or insurance broker. We do not act as your agent.