Motor Elite (Private Vehicle)

Please complete the form below and we will respond to you with the best quotation for renewal of insurance within (3) working days.
For all general enquiries and feedback, kindly email us at motor@ava-ins.com

(* Compulsory fields to complete)

Vehicle Information
Insurance Type *	:
Vehicle No *	:
No Claim Discount *	:
Expiry Date *	:	(dd.mm.yyyy)
OFD (Offence Free Discount) *	:
Parallel Import Vehicle	:	Yes No
Off-Peak Car	:	Yes No
Current Insurer *	:

Check out AVA's Motor Elite Promotion on air!

Motor Insurance

Like most other countries, motor insurance in Singapore is compulsory. A valid certificate of insurance must be accompanied with every renewal of road tax. The cost of car insurance however varies with the vehicle type and the level of coverage (comprehensive or third party) requested.

Vehicle Owner
Full Name *	:
NRIC/ Passport No *	:
Driving*	:	Yes No
Gender *	:
Driving Experience *	:
License Pass Date	:	(dd.mm.yyyy)
Claim Experience *	:	Any Claims made in past 3 years? Yes No

Date of Birth *	:	(dd.mm.yyyy)
Marital Status *	:
Occupation *	:
Job Type *	:
Contact No *	:
Email *	:

Named Driver (1) click to add / remove

Full Name *	:
NRIC/ Passport No *	:
Gender *	:
Driving Experience *	:
License Pass Date	:	(dd.mm.yyyy)
Claim Experience *	:	Any Claims made in past 3 years? Yes No

Date of Birth *	:	(dd.mm.yyyy)
Marital Status *	:
Occupation *	:
Job Type *	:
Contact No	:
Email	:

Named Driver (2) click to add / remove

Full Name *	:
NRIC/ Passport No *	:
Gender *	:
Driving Experience *	:
License Pass Date	:	(dd.mm.yyyy)
Claim Experience *	:	Any Claims made in past 3 years? Yes No

Date of Birth *	:	(dd.mm.yyyy)
Marital Status *	:
Occupation *	:
Job Type *	:
Contact No	:
Email	:

If Yes, Please Specify Date of Accident & Amount Claimed
Date of Accident 1	:	(dd.mm.yyyy)
Amount	:	S$
Date of Accident 2	:	(dd.mm.yyyy)
Amount	:	S$
Date of Accident 3	:	(dd.mm.yyyy)
Amount	:	S$

If Yes, Please Specify Date of Accident & Amount Claimed
Date of Accident 1	:	(dd.mm.yyyy)
Amount	:	S$
Date of Accident 2	:	(dd.mm.yyyy)
Amount	:	S$
Date of Accident 3	:	(dd.mm.yyyy)
Amount	:	S$

If Yes, Please Specify Date of Accident & Amount Claimed
Date of Accident 1	:	(dd.mm.yyyy)
Amount	:	S$
Date of Accident 2	:	(dd.mm.yyyy)
Amount	:	S$
Date of Accident 3	:	(dd.mm.yyyy)
Amount	:	S$

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Motor Elite (Private Vehicle)