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China Motor Proposal Form + Autosafe Form

This insurance proposal form requests information about the driver, vehicle, and insurance coverage being requested. The applicant is seeking a private car insurance policy with comprehensive coverage for their vehicle. The form collects details on the driver, vehicle, and policy coverage options to underwrite an insurance quote.

Uploaded by

arimul
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
0% found this document useful (0 votes)
204 views

China Motor Proposal Form + Autosafe Form

This insurance proposal form requests information about the driver, vehicle, and insurance coverage being requested. The applicant is seeking a private car insurance policy with comprehensive coverage for their vehicle. The form collects details on the driver, vehicle, and policy coverage options to underwrite an insurance quote.

Uploaded by

arimul
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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,.?@,77D =0.04A0/ 49 1@77 -D ?30 k:8;,9D X:= ?30 49?0=80/4,=D ?3=:@23 B3:8 ?30 v:74.D B,> 0110.?0/Y B4?349 e_ /,D> :1 ?30f\
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X,Y ?30 .:A0= @9/0= ?30 v:74.D[ x090B,7 k0=?414.,?0[ k:A0= t:?0 := m9/:=>0809? >3,77 -0 /0080/ ?: -0 .,9.0770/ 4880/4,?07D ,1?0= ?30 0C;4=D :1 ?30 >,4/ e_\/,D ;0=4:/g
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X.Y ?30 k:8;,9D >3,77 -0 09?4?70/ ?: , ;=:\=,?0 ?480 :9 =4>6 ;=084@8 >@-50.? ?: , 84948@8 :1 yTd_]__
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;0=4:/ :1 49>@=,9.0]

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q^}0 30=0-D B,==,9? ?3,? ,77 ?30 ,9>B0=> 24A09 49 ?34> ;=:;:>,7 ,=0 ?=@0 ,9/ .:==0.?[ ?3,? ?34> ;=:;:>,7 ,9/ l0.7,=,?4:9 >3,77 1:=8 ;,=? :1 ?30 .:9?=,.? -0?B009
?30 k:8;,9D ,9/ 8D>071] u?30=B4>0[ q^}0 @9/0=>?,9/ ?3,? ?30 v:74.D 4>>@0/ 8,D -0 =09/0=0/ A:4/]

a]

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/0.7,=0/ -D 8D^:@= ;=0A4:@> 49>@=0= ,9/ ,7>: /4110=09.0 :9 v=084@8 /@0 ?: 9:9\/0.7,=,?4:9 :1 ,..4/09?> 1=:8 8D^:@= ;=0A4:@> 49>@=,9.0 .:8;,9D]

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7484?> :1 .:A0=,20[ B30=0 ,;;74.,-70[ ;70,>0 .:9?,.? @> := A4>4? ?30 oqi ^ rqi := ylqk B0->4?0> XBBB]24,]:=2]>2 := BBB]74,]:=2]>2 := BBB]>/4.]:=2]>2Y]

w{uzizqut |irql utr* nux `c li*y

v,20 a

OPTIONAL COVER FOR AUTOSAFE SCHEME


(Private Comprehensive Motor/Commercial/Parallel Imported Vehicle Only)
BENEFITS FOR AUTOSAFE SCHEME
1.

Policyholder will enjoy Discount from Basic Premium as stated in the Policy;

2.

24-Hours towing hotline (for disabled mechanically propelled accident vehicle);

3.

6 months warranty repairs;

4.

Our authorised workshop will assist in formulating any third party claim and provide advice based on the
merits of the case;

5.

Windscreen Limit S$500/-, subject to an Excess of S$100/- with free automatic reinstatement

6.

Unlimited Windscreen Cover, subject to an Excess of S$100/- with free automatic reinstatement

(Applicable for Commercial Vehicle, Windscreen coverage can be increased at Insured Option);
(Applicable for Private Car / Parallel Imported Models Only);
7.

One Time Waiver of Excess will apply to the Insured and Named Drivers in the event of own damage
claim at our authorized workshops for each Policy year. (Subject to Policy terms and conditions).

*FOR PARALLEL IMPORT VEHICLE ONLY

Terms & Conditions for Parallel Imported Models


Replacement of Parts In the event of loss or damage to the motor vehicle/accessories and if the parts are
not obtainable from our local workshops, the Insured shall be responsible for all air-freight charges & delay
of repair to his/her/their vehicle.

*For Non-Parallel Import Vehicle owner


I/We understand that if I/We opt for the Autosafe Scheme, in the event of an accident/windscreen damage,
I/We MUST send my/our motor vehicle to China Taiping Insurance (Singapore) Pte. Ltd.s authorised
workshops for all repairs.
*For Parallel Import Vehicle owner
I/We understand that I/We MUST send my/our motor vehicle to China Taiping Insurance (Singapore)
Pte. Ltd.s authorised workshop, CAR CITY AUTO CENTRE PTE LTD for all own
damage/Windscreen repairs and accident reporting.
I/We shall abide by the terms and conditions set by China Taiping Insurance (S) Pte Ltd.

_______________________________
Signature of Insured / Company Stamp
Name of Insured:
Date:
Vehicle No
:
Policy Number (if any):
Status of Policy: New Case/Renewal Case**
** delete accordingly

Page 1 of 1

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