User Online Customer Accesslevel Customer User ID *****

a


Comprehensive Motor Policy
(New Policy)



 
Choose the plan you want
Plan Fixed Premium Rated Plan
 
Benefits/Premium N15,000 N20,000 N25,000 2.5% 3.5% 4%
Third party property damage N1 million N1 million N1 million 1 million N1.5 million N2 million
Theft of the insured N100,000 N200,000 N300,000 Covered Covered Covered
Fire damage N100,000 N200,000 N300,000 Covered Covered Covered
Acidental damage N50,000 N100,000 N200,000 Covered Covered Covered
Tracker Add premium
N20,000
Add premium
N20,000
Add premium
N20,000
Add premium
N18,000
Add premium
N15,000
From
N3 million
and above
Passengers Liability Not covered Not covered Not covered N100,000 N200,000 N250,000
Strike Riot and civil
commotion
Not covered Not covered Not covered Not covered Covered Covered
Flood, Storm and Tempest Not covered Not covered Not covered Not covered Not covered Covered
Excess buy back Not covered Not covered Not covered Not covered Covered Covered
Third Party Bodily
injury and death
Unlimited Unlimited Unlimited Unlimited Unlimited Unlimited
SHORT PERIOD
On claims, the insured will be required to either make the  balance of the full year premum or the balance be
deducted from the total claims.
Not
Applicable
Not
Applicable
Not
Applicable
Applicable  Applicable Applicable
           
 
Selected Category
*****
Plan
*****
Rate/Premium
*****
   
     
Policy Holder's Information Policy Holder Type
Title
First Name
Last Name
Address
Sex
Phone No
Marrital Status
Email Address
Religion
State
Occupation
LGA
 
Vehicle Information
Registration Number Make
Engine Number Model
Chasis Number Colour
Vehicle Type Year of Manuf.
Use of Vehicle
 
           
  Payment Terms
 
Payment Plan
  Rate
*****
     
Value of Vehicle
 
 
  Tracker
 
Premium
0.00
Commission
  Broker credit Note No
  Credit Note PIN
                 
  Vehicle Inspection (Documents should be in PDF format)
  Upload Vehicle License Upload Vehicle's Proof of ownership (optional)
 
   
 
 
   
   
 
         
 
Payment Option
         
         
  UserID CommissionRate     User Status Online Customer