Request for Car Insurance Quotation - Renew Allianz Insurance Online

If your vehicle is company registered, or if you are looking to renew your insurance for your Bus Sekolah, Tour bus, A or C permit vehicle, you can just complete the form below and we will manually work on the official quotation from Allianz.

REQUEST FOR ALLIANZ INSURANCE QUOTATION

Kindly use this form to request for an official quotation from Allianz if the instant renewal system cannot cater to your needs. Upon completing the necessary information in this form, we will revert to you soonest possible with an official quotation via your email.

Name as per NRIC*

NRIC / Passport Number*

Date of Birth

Nationality

Mobile Number*

Email*

Address with Post Code*

If your vehicle is Company registered, please provide us your company business number under the NRIC/Passport field.

For Non-Malaysian, we will need your Date of Birth as well Nationality. These are required by the system.

Please also provide us your complete address with post code as insurance premium will be difference based on difference address.

Ensure your email address is correct as quotation will be sent to provided address. Consider using a personal email than office email.

Vehicle Registration Number*

Insured Amount (RM)*

Car Model*

Year of Made*

Engine Number

Chassis Number

Capacity (cc)

Add Windscreen Cover? RM

Car used for E-Hailing?*

No - Private use only

YES - Please Include E-Hailing Cover

Additional Coverage Add-on?

Legal Liability to Passenger

Special Perils (Protect against Flood)

Compensation for Access Repair Time

List of name driver(s) & NRIC

Additional Remark (if any)

If you are unsure how much to insure for your vehicle. You can check the current market value of your vehicle HERE.

For your vehicle model, please be as specific as possible. This will allow us to have the right model printed in the cover note.Example: Perodua Bezza 1.3 Advance Auto

Engine, Chassis number and Capacity are usually available in NVIC system, if these information is not available. We will ask from you for these information later.

Select YES to add E-hailing coverage if you are using your vehicle for E-Hailing Purposes.Allianz E-Hailing covers:

Loss or damage to your own car
Liability to Third Party
Legal liability to fare-paying passengers
Personal Accident cover of RM50,000 due to accidental injury or death of the authorised e-hailing driver
Legal liability of fare paying passengers for negligent act

Legal Liability to Passengers (LLNP) is compulsory if you drive to Singapore. It is required by Singapore Law. Remember to add this if you intend to drive into Singapore