Information about insured (vehicle owner)
PIN: Series and number of ID card:
Name: Surname:
Middle initial: Birthday:
Contact number: Country:
Adress: Gender:
Vehicle information
Brand: VIN:
Model: Сhassis number:
Plate number: Engine number:
Production year: Engine volume (cm3):
Type:
Main coverage - Motor own hull (CASCO) insurance
Coverage start date: Deductible :
Sum insured.: Choice of repair
service:
Additional coverage - Motor third party liability insurance
Sum insured.:
Additional coverage - Driver's and passengers personal accident
Number of insured seats: Sum insured per person:
Policy information
Policy number Beginning date End date Insurance Premium Print the policy (Draft, after payment of premium - Orijinal)
  • Policy information

  • Policy number

  • Beginning date

  • End date

  • Insurance Premium

  • Print the policy (Draft, after payment of premium - Orijinal)
Make an insurance payment