NCD Enquiries (查询汽车无索偿折扣)
For NCD inquiry, please fill up the form below. All fields are required in order to process your query.
对于无索偿折扣查询,请填写下面的表格。所有栏目均为必填项,以处理您的查询。
Untuk pertanyaan NCD, sila mengisi borang di bawah. Semua soalan perlu diisi penuh untuk memproses permintaan anda.

SIMON POON AGENCY & ASSOCIATED COLLABORATORS
Tel: 016-234 8808 Fax: 03-7772 3698 Email: simon@simonpoonagency.net Skype:simpoon/ simpooon3
Title 标题 *
Insured's Name/Company Insured Name (被保人的姓名/公司名称被保人)
Email *
Telephone No.
Telephone No. 2
Mobile No. *
Mobile No.2
Address Line 1
Postcode
State *
Subject (主题) *
PLEASE SELECT AN OPTION FROM LIST (请选择一个选项从列表中)
Requested by (要求者)
Requestor's Name/ 请求者的名称
Vehicle Registration No. (车辆登记号码) *
Insured Name (被保人名) *
As per NRIC
Insured NRIC / Passport/Company Registration No./ID (参保身份证/护照/公司注册号码/身份证号码) *
NCD Confirmation Requested by (NCD 要求者的确认) *
Submit
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