Private Car

Your vehicle is registered as :

PERSONALCOMPANY

Name

NRIC

Vehicle No

Renewal NCD %

Contact No

Email

Date of Birth

Gender
MaleFemale

Marital Status
SingleMarriedDivorcedWidowed

Occupation
IndoorOutdoor

Do you have a valid Singapore driving license?
YesNo

License Pass Date

Named Driver Details
Driver Name

Driver NRIC

Driver Date of Birth

Driver Gender
MaleFemale

Driver Marital Status
SingleMarriedDivorcedWidowed

Driver Occupation
IndoorOutdoor

Driver License Pass Date

Do you have any accident for past 3 years?
YesNo

Name

ROC

Nature of Business

Vehicle No

Renewal NCD %

Do you have any accident for past 3 years?
YesNo

Contact Person

Contact No

Email

7 Boon Keng Road #11-138
Singapore 330007

9424 4979
biz@wiia.biz

Mon – Fri : 9:00 am – 6:00pm
Sat, Sun & Holiday : Closed

*For immediate claims related assistance, Whatsapp is available after office hours