網上汽車保險報價
CAR INSURANCE ONLINE QUOTATION
1
PROPOSER INFORMATION
投保人資料
2
INSURANCE INFORMATION
保險細節
3
VEHICLE INFORMATION
車輛細節
4
PREVIEW AND SUBMIT
預覽及提交
* 符號的欄位必須填寫 | All fields marked with * are required
Proposer Information 投保人資料
投保人姓名 (全名) *
Proposer Name (Full Name)
職業 *
Occupation
手提號碼 *
Mobile
手提號碼2
Mobile 2
電郵地址 *
Email
年齡 *
Age
投保人有否駕駛執照? *
Proposer has Driving Licence?
請選擇語言 *
Select your preferred language
駕駛人資料 | Drivers Information
主要駕駛者一 / Regular Driver 1
駕駛者姓名 (全名) *
Driver's Name (Full name)
職業 *
Occupation
年齡 *
Age
駕駛年資 *
Driving Experience
與投保人關係 *
Relation with Insured
1.
5年內曾否發生交通意外或要求賠償? *
Any motor accident, loss or claim during the past 5 years?
2.
3年內被扣分或正待檢控? *
Any prosecutions pending or have been deducted driving offence points during the past 3 years?
3.
曾否被停牌? *
Have been disqualified from driving?
4.
患有不健全之視覺或聽覺或身體上或精神上的毛病而不適宜駕駛? *
Suffer from defective vision or hearing or from any physical or mental infirmity which may impair your ability to drive?
5.
曾被拒絕投保或取消保單,或拒絕續保汽車保險? *
Ever been decline insurance, cancelled, or renewal refused by any motor insurer?
增加駕駛者 Add Driver