Goods Commercial Vehicle - Desktop 2.0
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Vehicle
Plan Type
Comprehensive
Third Party, Fire and Theft
Third Party only
Choice of Workshops
Preferred Workshops
Authorised Workshops
Include Coverage
Equipment / Fixtures
Non Factory Fitted Accessories
Equipment / Fixtures
Crane
Hood / Canopy
Tailgate
Power Gate
Refrigerator Box
Tinted Glass
Others
Other Equipment / Fixtures
Equipment / Fixtures Sum Insured ($)
Non Factory Fitted Accessories
CD Player
Speakers
Others
Other Non Factory Fitted Accessories
Total Estimated Value ($) of Accessories
Vehicle Usage
This vehicle will be used to :
Transport own goods
Transport own employees
Transport 3rd party goods
Transport passengers on the cargo deck who are not employees
Transport goods / passengers for hire or reward
Other purposes (please state)
What other purposes the vehicle will be used for?
Will this vehicle carry goods which are flammable, corrosive or explosive in nature?
Yes
No
What goods are these?
Will this vehicle be driven to Malaysia?
Yes
No
Frequency of entering Malaysia
Weekly or more
Monthly
Less than 12 times a year
Vehicle Details
Tick here if this applies
This is a new vehicle / 2nd hand vehicle about to be taken over
Take Over Date
Vehicle Financing
On Hire Purchase or Loan
Fully Paid Up
Name of Finance Company
Modifications
Non Modified Vehicle
Modified Vehicle
Vehicle Type
Non Parallel Import
Parallel Import
Number of Seats
What modifications are present in the vehicle?
If you are human, leave this field blank.
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