THIRD PARTY

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Step 1
Step 2

Sum Insured

Sum Insured

Third party sum insured to a maximum of NGN 3,000,000

Duration of Cover (Year)

Duration of Cover (Year)

Duration of cover

Motor Third Party Type

Motor Third Party Type

Select motor third party insurance type

Premium Payable

Premium Payable

VALUE OF VEHICLE (₦) **

VALUE OF VEHICLE (₦) ** required

Asset purchase cost

PREMIUM (₦) **

PREMIUM (₦) ** required

Premium amount payable

COVER START DATE **

COVER START DATE ** required

Provide cover start date (Not later than 30 days)

DURATION (YEAR) **

DURATION (YEAR) ** required

Insurance cover duration

NAME ON VEHICLE LICENSE **

NAME ON VEHICLE LICENSE ** required

Enter name as it appears on license

REGISTRATION NUMBER **

REGISTRATION NUMBER ** required

Provide vehicle registration number QW123ERT

MAKE OF VEHICLE **

MAKE OF VEHICLE ** required

TOYOTA, HONDA, BENZ, ...

VEHICLE MODEL **

VEHICLE MODEL ** required

Highlander, pilot, CRV, RAV4

YEAR OF MAKE

YEAR OF MAKE

Year of make: 2009

VEHICLE COLOUR

VEHICLE COLOUR

Black, Brown, Blue, Silver

MILEAGE **

MILEAGE ** required

60000

CHASSIS NUMBER **

CHASSIS NUMBER ** required

JH4KA3140KC015221

ENGINE NUMBER **

ENGINE NUMBER ** required

2489272398-87

ENGINE CAPACITY

ENGINE CAPACITY

3.8L, 120HP

REG. START DATE **

REG. START DATE ** required

2020-01-01

REG. END DATE **

REG. END DATE ** required

2020-12-31

VEHICLE FRONT VIEW **

Select image Change Remove

required

Image file only (JPEG, PNG)

VEHICLE REAR VIEW **

Select image Change Remove

required

Image file only (JPEG, PNG)

VEHICLE LEFT SIDE VIEW **

Select image Change Remove

required

Image file only (JPEG, PNG)

VEHICLE RIGHT SIDE VIEW **

Select image Change Remove

required

Image file only (JPEG, PNG)

VEHICLE LICENSE **

Select image Change Remove

required

Image file only (JPEG, PNG)

VEHICLE PROOF OF OWNERSHIP **

Select image Change Remove

required

Image file only (JPEG, PNG)

EVIDENCE OF PURCHASE RECEIPT **

Select image Change Remove

required

Image file only (JPEG, PNG)

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