Travel Insurance Please fill out the information below. Get Your Travel Insurance Quote Full Name* Email Address* NRIC/FIN* Vehicle Number* Select Your Coverage and Plan What type of cover would you like?*ComprehensiveThird Party Fire & TheftThird Party Only Policy Start Date* Policy End Date* About Your Car Number of accidents and/ claims in the last 3 years?* Finance Company (if any) DBS Bank LtdUnited Overseas Bank Ltd. (UOB)Oversea-Chinese Banking Corporation Ltd. (OCBC)Citibank Singapore Ltd.Standard Chartered Bank (Singapore) LimitedHSBC Bank (Singapore) LimitedMaybank Singapore LimitedBank of China Limited, Singapore BranchBNP Paribas Singapore BranchMizuho Bank, Ltd.Sumitomo Mitsuhi Banking Corporation Singapore BranchThe Bank of Tokyo-Mitsubi UFJ, Ltd.ABN AMRO Bank N.VIndustrial and Commercial Bank of China LimitedBangkok Bank Public Company LimitedBank of AmericaCredit Suisse (Singapore) LimitedBarclays Bank PLC, Singapore Branch No Claim Discount (NCD)* Previous Insurer (if any) AIA Singapore Private LimitedPrudential Assurance Company Singapore Pte LtdGreat Eastern Life Assurance Company LimitedNTUC Income Insurance Cooperative LimitedAviva LtdAXA Insurance Pte LtdTokio Marine Insurance Singapore LtdManulife (Singapore) Pte LtdHSBC Insurance (Singapore) Pte LimitedChina Life Insurance (Singapore) Pte LtdEtiqa Insurance Pte LtdLiberty Insurance Pte LtdFWS Singapore Pte LtdMSIG Insurance (Singapore) Pte LtdSompo Insurance Singapore Pte LtdErgo Insurance Pte LtdZurich Insurance Company LtdQBE Insurance (Singapore) Pte LtdAIG Asia Pacific Insurance Pte LtdAllianz Global Corporate & Specialty SE Singapore Branch We retain the authority to confirm your NCD declaration with your prior insurer(s). Should inaccuracies arise from this validation or if adjustments to your NCD are needed (owing to post-policy purchase accidents or other reasons), we will promptly inform you. This could lead to an increased premium amount, reflecting the corrected NCD. In the event of non-receipt of the applicable amount, we may adjust the Policy Term to align with the insurance period covered by your initial premium payment. I acknowledge and agree to the collection, use and disclosure of my personal data, which has been provided for the purposes of procuring insurance products and services as per the terms in Asure Insurance Agency’s Personal Data Protection Statement.