MOTOR INVITATION COMPREHENSIVE Please answer the following questions below! FOR WHICH OF THE FOLLOWING PUROPOSE WILL YOUR VEHICLE BE USED? --SELECT -- PRIVATE RERSONAL USE PRIVATE BUSINESS USE COMMERCIAL BUSINESS USE VEHICLE RENTAL COMMERCIAL TAXI/MINI BUS WHAT IS THE VEHICLE OWNER’S NAME? WHAT IS THE OWNER’S DATE OF BIRTH? WHAT IS THE ADDRESS OF OWNER? WHAT IS THE NAME OF PERSON/PERSONS THAT WILL DRIVE THIS VEHICLE? WHAT IS THE MAKE & MODEL OF VEHICLE? WHAT IS THE VEHICLE LICENSE PLATE NUMBER? WHAT IS THE YEAR OF MANUFACTURE OF THE VEHICLE? WHAT IS THE VEHICLE CHASSIS NO.? IS THE VEHICLE’S CUBIC CAPACITY CC OR HORSE POWER HP? WHAT IS THE VEHICLE’S VALUE? IS THE VEHICLE A LEFT-HAND DRIVE? IS THE VEHICLE A SOFT TOP? DID THE VEHICLE HAVE PREVIOUS INSURANCE? How many passengers is this vehicle designed to carry? HAVE YOU EVER HAD ANY CLAIMS WITHIN THE LAST 5 YEARS? HAVE YOU EVER HAD MOTOR INSURANCE? IF YES, WHO IS YOUR CURRENT INSURER? WHAT PERCENTAGE NO CLAIM DISCOUNT ARE YOU ENJOYING? WHAT TYPE OF INSURANCE COVERAGE DO YOU NEED? --SELECT-- COMPREHENSIVE THIRD PARTY LIABILITY ONLY THIRD PARTY FIRE & THEFT Send
