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Get Etiqa Policy Number Sample

Umber Year of Manufacture Make & Model Name of Insured Section B - Particulars of Driver Name NRIC Number Address Occupation Contact Number Authorisation to drive vehicle by owner : YES / NO Section C - Particulars of Accident (please tick ( ) where applicable) Date of accident Time Place Nature of Damage ( ) Hit by stone while driving ( ) Hit by unknown object while driving ( ) Parked & found damage ( ) Vandalism ( ) Police Report attached ( ) Reversed & hit the pillar Other Description of.

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