Vehicle Quotation - FMA Takaful

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Vehicle Registration Number

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Phone Number

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Terms and Conditions

I agree with Terms and Conditions and understand that my data will be collected and used for insurance renewal purposes.

Yes, send quote via WhatsApp. I understand that I will be contacted via WhatsApp.

Vehicle Registration Number

Company Registration Number

SSM No.

Phone Number

Email Address

Postal Code

Upload Your Policy or Vehicle Registration Document

Terms and Conditions

I agree with Terms and Conditions and understand that my data will be collected and used for insurance renewal purposes.

Yes, send quote via WhatsApp. I understand that I will be contacted via WhatsApp.

Select Your Vehicle Type

Vehicle Registration Number

Choose ID Number to Use

IC Number

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Phone Number

Email Address

Postal Code

Are You an E-Hailing Driver?

Have You Been E-Hailing Since

Terms and Conditions

Vehicle Registration Number

Choose ID Number to Use

IC Number

Passport Number

Phone Number

Email Address

Postal Code

Terms and Conditions

Vehicle Registration Number

Company Registration Number

SSM No.

Phone Number

Email Address

Postal Code

Upload Your Policy or Vehicle Registration Document

Terms and Conditions

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