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Motor Insurance Renewal Form (Existing Clients Only) ::
     

[Internet Transfer]
Kindly make payment to the following account at least 1 week before expiration of your car insurance.

UOB 126 309 015 8 (Bukit Timah Branch)

Date of Transfer:
 
(DDMMYY)
Premium Amount (SGD$):
 
 
Insured Name:
 
Policy No.:
 
Vehicle No.:
 
Type of Cover:
 
Email:
 
Mobile:
 
 
All fields required.

 

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Ph: 6339.2592 | Fax: 6338.9908 | Email: contactus@cowell.com.sg

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