OneCENT - Member Area

Username:
Wallet Name:

WalletName: Naz3059

Email: [email protected]

Name: Nazrel Kennedy anak Usi

IC Number: 870921135137

Occupation: IT assistant

Address: Kampung Melaban, Jalan Simpang Entingan, 94300, Kota Samarahan, Sarawak.

Phone Number (Mobile): 0178599101

Phone Number (Office):

Phone Number (House):

Vechicle Reg. No/ Trailer No : QAA 1770 H

Make: Motorcycle

Model: Yamaha Lagenda 115ZRI

Year Of Manufactured: 2013

Hire Purchase Company: Ho Hin Motors, Lot No. 8183, 8184, Town East Building Pending Road, Poh Hua Park, 93450 Kuching, Sarawak.

Previous Insurer Particulars: Kurnia Insurance

Second Driver Name: none

Identification Number: none

ADDTIONAL COVERAGE

STRIKE, RIOT AND CIVIL COMMOTION : YES

FLOOD, WINDSTORM & TYPHOON : YES

L.L.O.P. FOR ACTS OF NEGLIGEN: YES

WINDSCREEN : NO

LEGAL LIABILITY TO PASSENGER : YES

PRIVATE HIRE CAR ENDORSEMENT: NO

ADDTIONAL DRIVER

Additional Driver Name:

Additional Driver Identification Card Number:

DOCUMENTS

Vehicle Registration Certificate : FILE

Identification Card (IC): FILE

Previous Insurer Policy: FILE

FOR ADMIN TO FILL IN

Quotation: 0

Remark:

QUOTATION: NO FILE

Approved by:

Approved Date: